ATI Capstone Pharmacology

ATI Capstone Pharmacology a nurse is caring for a client who has varicella zoster, what med should the nurse administer acyclovir 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? i can expect to feel some irritation when i put these drops in my eyes a nurse is caring for 4 clients who have peptic ulcer disease, the nurse should recognize that misoprostol is contraindicated for which of the following clients? a client who might be pregnant (category X, can cause spontaneous abortion) a nurse is caring for a client who is receiving morphine, what assessment is priority RR a nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma, what is the priority to report to the provider bronchospasms a nurse is caring for a client who has prescription for terazosin, the nurse should identify that this medication is indicated for which of the following disorders? hypertension BPH a nurse is providing teaching to a client who has a new prescription for beclomethasone inhaler to use with an albuterol inhaler for asthma maintenance, what should the nurse instruct? you should gargle with water after each use of this inhaler a nurse is preparing to administer topotecan IV, which of the following meds should the nurse expect to administer to control the adverse effects granisetron (antiemetic to prevent n/v) for clients receiving chemo a nurse is planning a staff education session on AE of meds, what info should the nurse discuss about anticholinergic adverse effects? blurred vision tachycardia constipation a nurse is providing teaching to a client who has a new prescription for guaifenesin, what info regarding the action of guaifenesin should the nurse include in the teaching? guaifenesin increases cough production a nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction. the nurse should monitor the client for which of the following outcomes as therapeutic response to the medication? decreased anginal pain a nurse is providing teaching to a client who has a new prescription for levothyroxine, which statement indicates understanding of the teaching? "i might not realize the full effect of the medication for several weeks" take on empty stomach with glass of water, first thing in the morning 30-60min prior to breakfast a nurse is assessing a client who has HF is taking digoxin. the nurse should monitor the client for which of the following manifestations as an indication of digoxin toxicity to report to the provider? vomiting (n/v, anorexia, blurred vision) a nurse is providing teaching for a pt with a prescription for oral metronidazole, what is the priority teaching point? 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? 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? albuterol (beta2agonist, controls bronchospasm for asthma--can cause tremors, chest pain, tachycardia, dysrhythmias) 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? 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? 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? increase your fluid intake a nurse is teaching a client who has a new prescription for alprazolam to treat an anxiety disorder, what should the nurse include? avoid taking this med with GFJ (take with food to reduce gastric distress) a nurse is providing teaching to a pt who has hypertension and a new prescription for clonidine twice daily, the client understands when he says i will stop drinking a glass of red wine at night (avoid due to the additive CNS effects) 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? 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? 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? 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? 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? 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? 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 neutrophil count 650/mm3 (normal is ) a nurse is assessing a client who is receiving gemfibrozil, the nurse should identify what finding as an AE of this med? 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 your symptoms are common AE of metformin and should decrease with time (GI manifestations at onset of therapy) a nurse is in the ICU and caring for a pt with sudden onset of sustained SVT, what med should the nurse prepare? adenosine (decreases electrical conduction through the AV node) a nurse is assessing a pt who has open angle glaucoma and a new prescription for timolol, the nurse should monitor for what AE hypoglycemia a nurse is caring for a client who has recurrent lower UTIs which of the following meds should the nurse expect to administer? nitrofuratoin ab for lower recurrent UTIs a nurse is teaching a pt who is starting subq leuprolide for treatment of prostate cancer. what info should the nurse include? increase calcium intake (can cause bone loss) a nurse in ICU is monitoring a pt who has cardiogenic shock and is receiving a continuous IV infusion of dopamine. what requires an immediate intervention by the nurse? infiltration of the peripheral IV a nurse is caring for a pt who has a new diagnosis of adrenal insufficiency. which of the following prescriptions should the nurse anticipate? fludrocortisone