ATI PHARMACOLOGY TEST 1, ATI Capstone Pharmacology, ATI NCLEX Pharmacology Assessment 1

ATI PHARMACOLOGY TEST 1, ATI Capstone Pharmacology, ATI NCLEX Pharmacology Assessment 1 A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? One A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. which of the following factors should the educator include as a reason to administer lower medication dosages? -liver failure -Concurrent use of medication the same pathway metabolizes A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? -Ask the client to look up at the ceiling -Drop the medication into the center of the client's conjunctival sac -Instruct the client to close her eye gently after instillation A nurse is completing discharge teaching for a client who has new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions? I will apply the patch to an area of skin with no hair A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of he client's medication. which of the following actions should the nurse take? Obtain a blood specimen immediately prior to administering the next dose of medication A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? -maintain skill competency -monitor for adverse effects -safeguard medications A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription? Routine A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus PRN for nausea and vomiting for a client who has hyperemesis gravidarum. The nurse should clarify which of the following parts of the prescription with the provider? Frequency A nurse is admitting a client and completing a preassessment before administering medications. Which of he following data should the nurse include in the preassessment? -use of herbal teas -current heath status -food allergies A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify as an indication that the newly licensed nurse understands the process? Another nurse should listen to the phone call A nurse in a clinic is caring for group of clients. The nurse should contact the provider about a potential contraindications to a medication for which of the following clients? -A client who takes prednisone and has a possible fungal infection -A client who has chronic liver disease and is taking hydrocodone/acetaminophen -A client who has a prosthetic heart valve, takes warfarin, and reports a suspected pregnancy A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. the client states she took penicillin 3 years ago and developed a rash. which of the following actions should the nurse take? withhold the medication A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. which of the following statements should the nurse give? change positions slowly when you move form sitting to standing A nurse is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. the nurse should recognize that the medication affected which of the following systems? central nervous a nurse is caring for a client who is taking oral oxycodone. the client states he is also taking ibuprofen in three recommended doses daily. the nurse should identify that an interaction between these two medications will cause which of the following finding? an increase in the expected therapeutic effect of both medications A nurse is teaching a client who has anemia and a new prescription for a liquid iron supplement. which of the following information should the nurse include in the teaching? -add foods that are high in fiber to your diet -rinse your mouth after taking the medication -add red meat to your diet A nurse is caring for a client who has increased liver enzymes and is taking herbal supplements. which of the following herbal supplements should the nurse report to provider? kava a nurse is evaluating a group of clients at a health fair to identify the need for folic acid therapy. which of the following clients require folic acid therapy? -24 year old female who has no heath problems -55 year female who has alcohol use disorder a nurse preparing to administer potassium chloride IV to a client who has hypokalemia. which of the following actions should the nurse take? -infuse medication through a large-bore needle -implement cardiac monitoring -administer the infusion using an IV pump a nurse is caring for a client who requests information on the use of feverfew. which of the following responses should the nurse make? it can decrease the frequency of migraine headaches A nurse is completing an assessment of a client's current medications. the client states she also takes gingko biloba. which of following medications is contraindicated for a client taking gingko biloba? warfarin 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 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 We have an expert-written solution to this problem! 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 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 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 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 caring for 4 clients who have peptic ulcer disease, the nurse should recognize that misoprostol is contraindicated for which of the following clients?