ATI CAPSTONE PHARMACOLOGY COMPREHENSIVE EXAM
UPDATED QUESTIONS AND ANSWERS SURE A+
✔✔pt education - timolol - ✔✔- compliance with the drug (never fills perscriptions)
- Polypharmacy - if taking antihypertensives or antiarrhythmics
Timopotic may adversely interact with Ramipril- Signs of bronchospasm or delirium
- Vision loss, is she able to read the label or instructions correctly?
Eyes might burn/may have blurred vision
Possible inflammation and/or rash
Use 1 drop of solution 1-2 times daily
Medication will help relieve pressure in her affected eye for up to 24 hours
if taken with ACE inhibitor, can lead to hypotension and dizziness
✔✔timolol contraindictations? - ✔✔- If Miki develops any of the adverse effects of this
medication, it should be stopped ASAP
- Interaction b/w Ramipril and Timoptic
- History of bronchial asthma or severe COPD; sinus bradycardia; second and third-
degree heart block; overt cardiac failure; cardiogenic shock; hypersensitivity
✔✔what do you monitor while on timolol? - ✔✔Monitor vision, BP, and drainage
Administration - apply pressure after, instill eye drop in conjunctival sac
✔✔Brimonidine - ✔✔Brimonidine decreases production and may also increase outflow
of aqueous humor to *lower IOP*
Advise clients who wear soft contact lenses
brimonidine should be administered with lenses removed.
*instill the medication and waitat least 15 min before putting in his contacts*
SE: hypotension
✔✔transdermal nitro patch - ✔✔-Place the patch on a hairless area of skin (chest, back,
or abdomen) and rotate sites to. prevent skin irritation.
,-Remove old patch, wash skin with soap and water, and dry thoroughly before applying
new patch.
-Remove the patch at night to reduce the risk of developing tolerance to nitroglycerin.
-Be medication-free between 10 and 12 hr/day
✔✔nitro and angina attack - pt education - ✔✔Stop activity. Sit or lie down
.- Immediately put one sublingual tablet under the tongue and let it dissolve.
Rest for 5 min.- If pain not relieved by first tablet, call 911, then take a second tablet.
after 5 more minutes, take a third tablet if pain is still not relieved.
*Do not take more than 3* sublingual tablets
- If using nitroglycerin translingual spray, one spray substitutes for one sublingual tablet
when treating an anginal attack.
✔✔beclomethasone - inhaled glucocorticoid priority adverse effects - ✔✔-difficulty
speaking, hoarseness, and candidiasis
Nursing intervention: - advise clients to use a spacer with mdi
*advise clients to rinse mouth or gargle with water or salt water after use*
- advise clients to monitor for redness, sores, or white patches and to report to provider
if they occur.
*Candidiasis may betreated with nystatin oral suspension*
✔✔What information should the nurse provide to a client who is starting
beclomethasone dipropionate (QVAR) for long-term management of asthma? -
✔✔Inhaled glucocorticoids are generally safe.
-Use a spacer during administration by MDI.Rinse mouth and gargle after inhaling the
dose (prevents oropharyngeal candidiasis)
-Engage in weight-bearing exercises and ensure adequate intake of calcium and
vitamin D
(*inhaled glucocorticoids promote bone loss*)
✔✔Which of the following instructions should be given to a client who has been
prescribed albuterol (Proventil) and beclomethasone dipropionate (QVAR) inhalers for
, the control of asthma? - ✔✔*Use the albuterol inhaler 5 min before using the
beclomethasone inhaler*
When a client is prescribed an inhaled beta2 -agonist, such as albuterol, and an inhaled
glucocorticoid, such as beclomethasone, the beta2 -agonist should be administered
first. The beta2 -agonist promotes bronchodilation and enhances absorption of the
glucocorticoid
✔✔Anticholinergic side effects? - ✔✔dry mouth
blurred vision
photophobia
urinary hesitancy or retention
constipation
tachycardia
✔✔Anticholinergic side effects? anti-psychotic disorders - ✔✔agitation
dizziness
sedation
sleep disruption
mild EPS such as tremor
✔✔A nurse is preparing to initiate IV therapy for an older adult client. Which of the
following actions should the nurse plan to take? - ✔✔The nurse should distend veins
using a blood pressure cuff to reduce overfilling of the vein which can result in a
hemotoma
*no tourniquet*
✔✔Alosetron (Lotronex)- side effects? - ✔✔Constipation, which can result in impaction,
perforation, obstructionIschemic colitis-->contributes to intestinal injury
✔✔A nurse is caring for a client who has a new prescription for alosetron. What are the
expected therapeutic effects of this medication? - ✔✔effectiveness may be evidenced
by relief of diarrhea and decrease in urgency and frequency of defecation
Evidence can by relief of diarrhea and decrease in urgency and frequency of defecation.
This is used for female clients that have severe IBS-D that has lasted more than 6
months and has been resistant to conventional management.
✔✔What is required before a health care professional can administer Alosetron
(Lotronex) - ✔✔Make sure patients meet specific criteria and sign the required
treatment agreement before administration.
UPDATED QUESTIONS AND ANSWERS SURE A+
✔✔pt education - timolol - ✔✔- compliance with the drug (never fills perscriptions)
- Polypharmacy - if taking antihypertensives or antiarrhythmics
Timopotic may adversely interact with Ramipril- Signs of bronchospasm or delirium
- Vision loss, is she able to read the label or instructions correctly?
Eyes might burn/may have blurred vision
Possible inflammation and/or rash
Use 1 drop of solution 1-2 times daily
Medication will help relieve pressure in her affected eye for up to 24 hours
if taken with ACE inhibitor, can lead to hypotension and dizziness
✔✔timolol contraindictations? - ✔✔- If Miki develops any of the adverse effects of this
medication, it should be stopped ASAP
- Interaction b/w Ramipril and Timoptic
- History of bronchial asthma or severe COPD; sinus bradycardia; second and third-
degree heart block; overt cardiac failure; cardiogenic shock; hypersensitivity
✔✔what do you monitor while on timolol? - ✔✔Monitor vision, BP, and drainage
Administration - apply pressure after, instill eye drop in conjunctival sac
✔✔Brimonidine - ✔✔Brimonidine decreases production and may also increase outflow
of aqueous humor to *lower IOP*
Advise clients who wear soft contact lenses
brimonidine should be administered with lenses removed.
*instill the medication and waitat least 15 min before putting in his contacts*
SE: hypotension
✔✔transdermal nitro patch - ✔✔-Place the patch on a hairless area of skin (chest, back,
or abdomen) and rotate sites to. prevent skin irritation.
,-Remove old patch, wash skin with soap and water, and dry thoroughly before applying
new patch.
-Remove the patch at night to reduce the risk of developing tolerance to nitroglycerin.
-Be medication-free between 10 and 12 hr/day
✔✔nitro and angina attack - pt education - ✔✔Stop activity. Sit or lie down
.- Immediately put one sublingual tablet under the tongue and let it dissolve.
Rest for 5 min.- If pain not relieved by first tablet, call 911, then take a second tablet.
after 5 more minutes, take a third tablet if pain is still not relieved.
*Do not take more than 3* sublingual tablets
- If using nitroglycerin translingual spray, one spray substitutes for one sublingual tablet
when treating an anginal attack.
✔✔beclomethasone - inhaled glucocorticoid priority adverse effects - ✔✔-difficulty
speaking, hoarseness, and candidiasis
Nursing intervention: - advise clients to use a spacer with mdi
*advise clients to rinse mouth or gargle with water or salt water after use*
- advise clients to monitor for redness, sores, or white patches and to report to provider
if they occur.
*Candidiasis may betreated with nystatin oral suspension*
✔✔What information should the nurse provide to a client who is starting
beclomethasone dipropionate (QVAR) for long-term management of asthma? -
✔✔Inhaled glucocorticoids are generally safe.
-Use a spacer during administration by MDI.Rinse mouth and gargle after inhaling the
dose (prevents oropharyngeal candidiasis)
-Engage in weight-bearing exercises and ensure adequate intake of calcium and
vitamin D
(*inhaled glucocorticoids promote bone loss*)
✔✔Which of the following instructions should be given to a client who has been
prescribed albuterol (Proventil) and beclomethasone dipropionate (QVAR) inhalers for
, the control of asthma? - ✔✔*Use the albuterol inhaler 5 min before using the
beclomethasone inhaler*
When a client is prescribed an inhaled beta2 -agonist, such as albuterol, and an inhaled
glucocorticoid, such as beclomethasone, the beta2 -agonist should be administered
first. The beta2 -agonist promotes bronchodilation and enhances absorption of the
glucocorticoid
✔✔Anticholinergic side effects? - ✔✔dry mouth
blurred vision
photophobia
urinary hesitancy or retention
constipation
tachycardia
✔✔Anticholinergic side effects? anti-psychotic disorders - ✔✔agitation
dizziness
sedation
sleep disruption
mild EPS such as tremor
✔✔A nurse is preparing to initiate IV therapy for an older adult client. Which of the
following actions should the nurse plan to take? - ✔✔The nurse should distend veins
using a blood pressure cuff to reduce overfilling of the vein which can result in a
hemotoma
*no tourniquet*
✔✔Alosetron (Lotronex)- side effects? - ✔✔Constipation, which can result in impaction,
perforation, obstructionIschemic colitis-->contributes to intestinal injury
✔✔A nurse is caring for a client who has a new prescription for alosetron. What are the
expected therapeutic effects of this medication? - ✔✔effectiveness may be evidenced
by relief of diarrhea and decrease in urgency and frequency of defecation
Evidence can by relief of diarrhea and decrease in urgency and frequency of defecation.
This is used for female clients that have severe IBS-D that has lasted more than 6
months and has been resistant to conventional management.
✔✔What is required before a health care professional can administer Alosetron
(Lotronex) - ✔✔Make sure patients meet specific criteria and sign the required
treatment agreement before administration.
