ATI Capstone Pharmacology
assessment 1 With Complete Correct
Solutions
a nurse is providing teaching for a pt with a prescription for oral metronidazole, what is
the priority teaching point? - ANSWER-you should report a rash to your provider
(fatal disorder Stevens-Johnson syndrome)
a nurse is providing discharge instructions to a client who has a new prescription for
codeine for cough suppression, what is the priority instruction? - ANSWER-move slowly
when standing from a lying down position
(r/f orthostatic hypotension)
a nurse is reviewing the medical record of a client who received his medications 1 hour
ago, the pt reports chest pain, this can be an AE of what med? - ANSWER-albuterol
(beta2agonist, controls bronchospasm for asthma--can cause tremors, chest pain,
tachycardia, dysrhythmias)
a nurse is teaching a pt who has a new prescription for brimonidine to treat open-angle
glaucoma, what indicates an understanding of the instructions? - ANSWER-i can expect
to feel some irritation when i put these drops in my eyes
a nurse is caring for a female client who has osteoporosis and a new prescription for
raloxifene, what should the nurse assess prior to initiating therapy? - ANSWER-
pregnancy status
(risk category X)
a nurse is teaching a pt to use TD nitroglycerin patches to treat angina pectoris, what
instructions should she include? - ANSWER-apply a new patch every morning
(effects begin 30-60 min after application and last 14 hours)
a nurse is providing teaching to a pt who has a new prescription for allopurinol to treat
gout, what should the nurse include? - ANSWER-increase your fluid intake
a nurse is providing teaching to a client who has a neuropathic pain and a new
prescription for amitriptyline once per day, what should the nurse include? - ANSWER-
increase fluids while on this med
, (urine turns blue/green, sedation is an AE)
a nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent
infusion over 30min every 12 hours, what should the nurse take? - ANSWER-contact
the provider for prescription clarification
(administer over 60min or more to reduce risk of infusion reaction--hypotension,
flushing)
a nurse is providing teaching to a male client who has a new prescription for folic acid,
the client tells the nurse he heard that the medication is prescribed for women during
pregnancy, what statements should the nurse make? - ANSWER-folic acid is important
for the building of blood cells for adults and children
(tx megaloblastic and macrocytic anemias)
a nurse is caring for a client who has HIV-1 and is starting therapy with ritonavir and
zidovudine. the client asks why she has to take both medications, which explanation
should the nurse provide? - ANSWER-taking the 2 meds together keeps you from
becoming resistant to either of them
a nurse in the PACU is caring for a client who has received GA and has a
manifestations of malignant hyperthermia, the nurse should expect to administer which
of the following meds? - ANSWER-dantrolene
a nurse is providing teaching to a client who has a new prescription for oxybutynin, what
statements by the client indicates an understanding of the teaching? - ANSWER-i need
to avoid jogging on warm days
(suppression of sweating by the anticholinergic effects by oxybutynin can result in
hyperthermia)
a nurse is reviewing the lab findings for a client who is taking zidovudine to treat HIV,
which should the nurse report to the provider - ANSWER-neutrophil count 650/mm3
(normal is 1500-8000)
a nurse is assessing a client who is receiving gemfibrozil, the nurse should identify what
finding as an AE of this med? - ANSWER-muscle tenderness
(--> myopathy, rhabdomyolysis)
a nurse is caring for a pt with T2D and began therapy with metformin 2 days ago
the client reports experiencing n/d, what should the nurse say - ANSWER-your
symptoms are common AE of metformin and should decrease with time
assessment 1 With Complete Correct
Solutions
a nurse is providing teaching for a pt with a prescription for oral metronidazole, what is
the priority teaching point? - ANSWER-you should report a rash to your provider
(fatal disorder Stevens-Johnson syndrome)
a nurse is providing discharge instructions to a client who has a new prescription for
codeine for cough suppression, what is the priority instruction? - ANSWER-move slowly
when standing from a lying down position
(r/f orthostatic hypotension)
a nurse is reviewing the medical record of a client who received his medications 1 hour
ago, the pt reports chest pain, this can be an AE of what med? - ANSWER-albuterol
(beta2agonist, controls bronchospasm for asthma--can cause tremors, chest pain,
tachycardia, dysrhythmias)
a nurse is teaching a pt who has a new prescription for brimonidine to treat open-angle
glaucoma, what indicates an understanding of the instructions? - ANSWER-i can expect
to feel some irritation when i put these drops in my eyes
a nurse is caring for a female client who has osteoporosis and a new prescription for
raloxifene, what should the nurse assess prior to initiating therapy? - ANSWER-
pregnancy status
(risk category X)
a nurse is teaching a pt to use TD nitroglycerin patches to treat angina pectoris, what
instructions should she include? - ANSWER-apply a new patch every morning
(effects begin 30-60 min after application and last 14 hours)
a nurse is providing teaching to a pt who has a new prescription for allopurinol to treat
gout, what should the nurse include? - ANSWER-increase your fluid intake
a nurse is providing teaching to a client who has a neuropathic pain and a new
prescription for amitriptyline once per day, what should the nurse include? - ANSWER-
increase fluids while on this med
, (urine turns blue/green, sedation is an AE)
a nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent
infusion over 30min every 12 hours, what should the nurse take? - ANSWER-contact
the provider for prescription clarification
(administer over 60min or more to reduce risk of infusion reaction--hypotension,
flushing)
a nurse is providing teaching to a male client who has a new prescription for folic acid,
the client tells the nurse he heard that the medication is prescribed for women during
pregnancy, what statements should the nurse make? - ANSWER-folic acid is important
for the building of blood cells for adults and children
(tx megaloblastic and macrocytic anemias)
a nurse is caring for a client who has HIV-1 and is starting therapy with ritonavir and
zidovudine. the client asks why she has to take both medications, which explanation
should the nurse provide? - ANSWER-taking the 2 meds together keeps you from
becoming resistant to either of them
a nurse in the PACU is caring for a client who has received GA and has a
manifestations of malignant hyperthermia, the nurse should expect to administer which
of the following meds? - ANSWER-dantrolene
a nurse is providing teaching to a client who has a new prescription for oxybutynin, what
statements by the client indicates an understanding of the teaching? - ANSWER-i need
to avoid jogging on warm days
(suppression of sweating by the anticholinergic effects by oxybutynin can result in
hyperthermia)
a nurse is reviewing the lab findings for a client who is taking zidovudine to treat HIV,
which should the nurse report to the provider - ANSWER-neutrophil count 650/mm3
(normal is 1500-8000)
a nurse is assessing a client who is receiving gemfibrozil, the nurse should identify what
finding as an AE of this med? - ANSWER-muscle tenderness
(--> myopathy, rhabdomyolysis)
a nurse is caring for a pt with T2D and began therapy with metformin 2 days ago
the client reports experiencing n/d, what should the nurse say - ANSWER-your
symptoms are common AE of metformin and should decrease with time
