ATI NR 293 / ATI PHARMACOLOGY PROCTORED FINAL EXAM 2020/2021 – STUDY GUIDE
9 vistas 0 compra
Grado
ATI NR293 Pharm Final Review
Institución
Chamberlain College Of Nursing
ATI PHARMACOLOGY PROCTORED FINAL EXAM 2020/2021 – STUDY GUIDE
1) A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?
a) Insomnia
i) Rationale: Levothyroxine overdose will result...
ati pharmacology proctored final guide 1 a nurse is assessing a client who is taking levothyroxine the nurse should recognize that which of the following findings is a manifestation of levothyroxin
Escuela, estudio y materia
Chamberlain College Of Nursing
ATI NR293 Pharm Final Review
Todos documentos para esta materia (4)
Vendedor
Seguir
doctorsolutions65
Comentarios recibidos
Vista previa del contenido
ATI PHARMACOLOGY PROCTORED FINAL EXAM 2020/2021 – STUDY GUIDE
1) A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the
following findings is a manifestation of levothyroxine overdose?
a) Insomnia
i) Rationale: Levothyroxine overdose will result in manifestations of hyperthyroidism, which
include Insomnia, tachycardia, and hyperthermia.
b) Constipation
i) Rationale: Constipation is a manifestation of hypothyroidism and indicates an inadequate dose
of levothyroxine.
c) Drowsiness
i) Rationale: Drowsiness is a manifestation of hypothyroidism and indicates an inadequate dose
of levothyroxine.
d) Hypoactive deep-tendon reflexes
i) Rationale: Hypoactive deep-tendon reflexes are manifestations of hypothyroidism and indicate
an inadequate dose of levothyroxine.
2) A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of
the following findings indicates a therapeutic response to the medication?
a) Decrease in level of thyroxine (T4)
i) Rationale: If the dose of this medication has been adequate, the nurse should see an increase in the T4.
b) Increase in weight
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease in weight,
as hypothyroidism causes a decrease in metabolism with weight gain.
c) Increase in hr of sleep per night
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease in the hr
of sleep per night, as hypothyroidism causes sluggishness with increased hr of sleep.
d) Decrease in level of thyroid stimulating hormone (TSH).
i) Rationale: In hypothyroidism, the nonfunctioning thyroid gland is unable to respond to the TSH, and no
endogenous thyroid hormones are released. This results in an elevation of the TSH level as the anterior
pituitary continues to release the TSH to stimulate the thyroid gland. Administration of exogenous
thyroid hormones, such as levothyroxine, turns off this feedback loop, which results in a decreased level
of TSH.
3) A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The
nurse should recognize which of the following medications can cause glucose intolerance?
a) Ranitidine
i) Serum creatinine levels
b) Guafenesin
i) Drowsiness and dizziness
c) Prednisone
i) Glucose intolerance and hyperglycemia, patient might require increased dosage of hypoglycemic med.
d) Atorvastatin
i) Thyroid function tests.
4) A nurse is caring for a client receiving mydriatic eye drops. Which of the following clinical manifestations indicates
to the nurse that the client has developed a systemic anticholinergic effect?
a) Seizures
b) Tachypnea
c) Constipation
i) Mydriatic eye drops can cause systemic anticholinergic effects such as constipation, dry
mouth, photophobia, and tachycardia.
,d) Hypothermia
, 5) A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the
client for which of the following electrolyte imbalances?
a) Hypernatremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hyponatremia.
b) Hyperuricemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hyperuricemia. The
nurse should instruct the client to notify the provider for any tenderness or swelling of the joints.
c) Hypercalcemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hypocalcemia.
d) Hyperchloremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hypochloremia.
6) A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is
experiencing flank pain. Which of the following adverse effects should the nurse suspect?
a) Renal stones
7) A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following
laboratory values should the nurse monitor for a therapeutic effect of warfarin?
a) Hemoglobin
b) Prothrombin time (PT)
i) Rationale: This test is used to monitor warfarin therapy. For a client receiving full anticoagulant
therapy,should typically be approximately two to three times the normal value, depending on
the indication for therapeutic anticoagulation.
c) Bleeding time
d) Activated partial thromboplastin time (aPTT)
8) A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this
medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to
decrease levels of which of the following components in the bloodstream?
a) Glucose
Los beneficios de comprar resúmenes en Stuvia estan en línea:
Garantiza la calidad de los comentarios
Compradores de Stuvia evaluaron más de 700.000 resúmenes. Así estas seguro que compras los mejores documentos!
Compra fácil y rápido
Puedes pagar rápidamente y en una vez con iDeal, tarjeta de crédito o con tu crédito de Stuvia. Sin tener que hacerte miembro.
Enfócate en lo más importante
Tus compañeros escriben los resúmenes. Por eso tienes la seguridad que tienes un resumen actual y confiable.
Así llegas a la conclusión rapidamente!
Preguntas frecuentes
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
100% de satisfacción garantizada: ¿Cómo funciona?
Nuestra garantía de satisfacción le asegura que siempre encontrará un documento de estudio a tu medida. Tu rellenas un formulario y nuestro equipo de atención al cliente se encarga del resto.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller doctorsolutions65. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for $18.49. You're not tied to anything after your purchase.
