Pharmacology ATI (From Pharm ATI version )

Pharmacology ATI (From Pharm ATI version ). A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client’s respiratory status and stopping the medication infusion, which of the following actions should the nurse take next? A. Elevate the client’s legs and feet (Raises BP & pulse, maybe just supplementary though) B. Administer epinephrine IM (Only thing that’ll stop the reaction immed, first line treatment) C. Replace the solution with with 0.9 % sodium chloride D. Give diphenhydramine IM 8. A client who has active Tuberculosis and is taking rifampin reports that this urine and sweat have developed a red orange tinge. Which of the following actions should the nurse take? page 376 a. Prepare the client for dialysis b. Instruct the client to increase the fluid intake c. Check the the clients liver function tests results d. Document this as an expected finding Broad Spectrum Antimycobacterial (antituberculosis) - inform clients of expected orange color of urine, sweat, saliva, and tears. 10. A nurse is caring for a client who is receiving warfarin to treat atrial fibrillation. Which of the following laboratory lab values should the nurse identify as the outside the expected range for this client? A. aPTT 36 seconds 35 - 45 seconds B. Hgb 15.2 g/dl ( 12- 16) C. Hct 43 % (35- 45) D. INR 4.5 (2-3 seconds) PT/INR - for Warfarin; PTT/aPTT - for Heparin 12. A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects should the nurse report to the provider? page 49 SSRI - DEPRESSION A. Confusion (Serotonin Syndrome) B. Insomnia C. Bruxism (Grinding of teeth during sleep, treated with buspirone) D. Weight Loss (Weight gain) 17. A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following findings should the nurse identify as an early indication of medication toxicity? a. Visual disturbances - (toxicity: fatigue, weakness, vision changes, GI effects) b. Insomnia - i don’t think this is relevant. LOL c. Potassium 4.4 mEq/L - within normal limits d. Sudden weight gain - GI effects (anorexia, N/V, abd pain) 20.) A nurse is caring for a client who is receiving IV amphotericin B. Which of the following findings should the nurse identify as an acute infusion reaction? a. Dry cough b. Fever - infusion reaction: fever, chills, rigor c. Pedal edema Hyperglycemia 21. A nurse is providing teaching to a client who has a new prescription for bumetanide for heart failure. Which of the following instructions should the nurse include in the teaching? a. You should monitor for hearing difficulties - ototoxicity is an AE of bumetanide/loop diuretic b. You should take this medication on an empty stomach - may cause GI stress c. You should take the medication at bedtime - avoid administering late in the day or at night to prevent nocturia d. You should decrease your intake of foods high in potassium -INC intake of potassium to prevent hypokalemia 30. A nurse is teaching a client who has prescription for ferrous gluconate. Which of the following statements by the clients indicates an understanding of the teaching a. I should stay upright for at least 15 minutes after medication b. I should notify the provider if my stools turn black (Harmless dark green/black stool) c. I should take this medication with 8 ounces of milk (DEC absorption) I should take an antacid with this medication to prevent stomach upset (Acid INC 34. A nurse is assessing a client who takes levothyroxine for ⇩⇩hypothyroidism.⇩⇩ The nurse should identify that which of the following findings indicates the need for an increase in dosage? SELECT ALL THAT APPLY. a. Impaired short term memory b. BP 178/80 c. Cold intolerance d. Heart rate 46 e. Diaphoresis 36. A nurse is caring for a client who has heart failure and is taking digoxin and hydrochlorothiazide. The nurse should monitor for which of the following following adverse effects of hydrochlorothiazide? a. Hypernatremia b. Hypophosphatemia c. Hypermagnesemia d. Hypokalemia 38. A nurse is teaching a client who has angina about a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? a. Take one tablet each morning 30 min prior to eating - only for acute pain b. Keep the tablets at room temperature in their original glass bottle - away from direct heat, moisture, & light c. Place the tablet between your cheek and gum to dissolve - under the tongue d. Discard any tablets you do not use every 6 months (3 months) 39. A nurse is caring for a client who is taking triamterene. For which of the following lab values should the nurse withhold the medication? K-SPARING!! a. Sodium 142 b. BUN 16 c. Potassium 5.3 d. Albumin 4 (3.5-5.5) 41.) A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective? a. BUN 15 mg/dL b. Blood glucose 90 mg/dL c. LDL 120 mg/dL (100 to 129) d. Urine specific gravity 1.020 (1 to 1.030) 43.) A nurse is assessing a client’s IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take? **Infiltration!!! a. Slow the IV solution rate (Stop) b. Maintain the extremity below the level of the heart (At the level of heart) c. Apply a warm, moist compress d. Initiate a new IV distal to the initial site (Proximal) 44.) A nurse is providing teaching to a client who has a new prescription for tetracycline. The nurse should instruct the client to take which of the following dietary supplements at a different time than the tetracycline? a. Vitamin C b. Folic acid c. Calcium carbonate Take 2-4 hours before or after - reduces absorption of tetra d. Fish oil 47.) A nurse is reviewing the laboratory results of a client who has diabetes mellitus and is taking glipizide. Which of the following values indicates that the client is adhering to the treatment plan? a. Creatinine 1.0 mg/dL b. HbA1c 6.8% (Below 7% for diabetics) c. Total cholesterol 225 mg/dL d. Positive urinary ketones 49.) A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects? Selective Serotonin Reuptake Inhibitor a. Tinnitus b. Peripheral edema c. Drowsiness d. Alopecia Drowsiness - early adverse effect 50.) A nurse is providing teaching about the adverse effects of ergotamine to a client who has migraine headaches. Which of the following adverse effects should the nurse include in the teaching? a. Blurred vision b. Tinnitus c. Hematuria d. Paresthesias (ERGOTISM: paresthesia in fingers/toes; COLD, pale extremities) 51.) A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction? CEPHALOSPORIN - 2nd Gen. a. Hematuria b. Slurred Speech c. Pruritus d. Tremor 57.) A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse that the treatment has been effective? a. Blood pressure 90/50 mm Hg (expected symp) b. Hyperactive bowel sounds c. Heart rate 90/min d. Increased salivation (expected) 58.) A nurse is preparing to administer subcutaneous heparin to a client. Which of the following actions should the nurse take? a. Insert the needle at least 5 cm (2 in) from the umbilicus b. Massage the site after administering the medication