ATI Pharmacology 2019 B
Nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of
following actions should nurse take prior to administering the medication?
A. Ask the client to drink 8oz of water
B. Review the client's most recent Hgb level
C. Obtain the client's blood pressure
D. Determine if the client is allergic to NSAIDs - CORRECT ANSWERS-Obtain the
client's blood pressure.
Rationale: HCTZ is a thiazide diuretic administered to promote urine output and reduce
blood pressure and edema. The nurse should obtain the client's blood pressure prior to
administration of the medication.
Nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of
following client laboratory values should the nurse monitor?
A. Creatinine kinase
B. Erythrocyte sedimentation rate
C. International normalized ratio
D. Potassium - CORRECT ANSWERS-Creatinine kinase
Rationale: The client who is taking atorvastatin can develop an adverse effect called
rhabdomyolysis, which causes muscle weakness or pain and can progress to myositis.
Creatinine kinase levels rise in response to enzymes released with muscle injury.
Nurse is providing teaching to a client who is to start therapy with digoxin. For which of
following adverse effects should nurse instruct client to monitor and report to provider?
A. Dry cough
B. Pedal edema
C. Bruising
D. Yellow-tinged vision - CORRECT ANSWERS-Yellow-tinged vision
The nurse should instruct the client to monitor for and report yellow-tinged vision, which
is a sign of digoxin toxicity. Other manifestations of digoxin toxicity include nausea,
vomiting, loss of appetite, and fatigue. As the digoxin levels increase, the client can
experience cardiac dysrhythmias.
Nurse is providing teaching to a client who has prescription for
trimethoprim/sulfamethoxazole. Which of following instructions should nurse include in
teaching?
1|Page
, A. Take the medication with food
B. Expect a fine, red rash as a transient effect
C. Drink 8 to 10 glasses of water daily
D. Store the medication in the refrigerator - CORRECT ANSWERS-Drink 8 to 10
glasses of water daily.
Rationale: The nurse should instruct the client to increase water intake to 1,920 to 2,400
mL (65 to 81 oz) a day to decrease the chance of kidney damage from crystallization.
The nurse should instruct the client to take the medication on an empty stomach either
1 hour before or 2 hours after meals.
The nurse should instruct the client to notify the provider if a rash develops, because
this can be an indication of Stevens-Johnson syndrome. However, the client should not
expect to have a fine, red rash as a transient effect.
The nurse should inform the client to store trimethoprim/sulfamethoxazole in a light-
resistant container at room temperature.
Nurse is caring for a client who is receiving end-of-life care and has a prescription for
fentanyl patches. Which of the following information regarding the adverse effects of
fentanyl should the nurse plan to give to the client and family?
A. The provider will prescribe naloxone at home for respiratory depression
B. Remove the patch to reverse the adverse effects immediately
C. Expect an increase in urinary output
D. Take a stool softener on a daily basis - CORRECT ANSWERS-Take a stool softener
on a daily basis.
Rationale:
Constipation is an adverse effect of opioid use. Stool softeners can decrease the
severity of this adverse effect.
Nurse is reviewing lab results for pt who is to receive dose of ceftazidime via intermittent
IV bolus. Which of following lab findings is priority for nurse to report to provider before
administering the medication?
A. Total bilirubn 0.4 mg/dL
B. Alanine aminotransferase 26 units/L
C. Platelet count 360,000/mm^3
D. Creatinine 2.6 mg/dL - CORRECT ANSWERS-Creatinine 2.6 mg/dL
Rationale:
Ceftazidime is excreted primarily by the renal system. A serum creatinine level above
1.3 mg/dL can indicate a kidney disorder requiring a reduction in the dose administered.
The nurse should notify the provider, who is likely to prescribe a lowered dose of
medication.
2|Page
Nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of
following actions should nurse take prior to administering the medication?
A. Ask the client to drink 8oz of water
B. Review the client's most recent Hgb level
C. Obtain the client's blood pressure
D. Determine if the client is allergic to NSAIDs - CORRECT ANSWERS-Obtain the
client's blood pressure.
Rationale: HCTZ is a thiazide diuretic administered to promote urine output and reduce
blood pressure and edema. The nurse should obtain the client's blood pressure prior to
administration of the medication.
Nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of
following client laboratory values should the nurse monitor?
A. Creatinine kinase
B. Erythrocyte sedimentation rate
C. International normalized ratio
D. Potassium - CORRECT ANSWERS-Creatinine kinase
Rationale: The client who is taking atorvastatin can develop an adverse effect called
rhabdomyolysis, which causes muscle weakness or pain and can progress to myositis.
Creatinine kinase levels rise in response to enzymes released with muscle injury.
Nurse is providing teaching to a client who is to start therapy with digoxin. For which of
following adverse effects should nurse instruct client to monitor and report to provider?
A. Dry cough
B. Pedal edema
C. Bruising
D. Yellow-tinged vision - CORRECT ANSWERS-Yellow-tinged vision
The nurse should instruct the client to monitor for and report yellow-tinged vision, which
is a sign of digoxin toxicity. Other manifestations of digoxin toxicity include nausea,
vomiting, loss of appetite, and fatigue. As the digoxin levels increase, the client can
experience cardiac dysrhythmias.
Nurse is providing teaching to a client who has prescription for
trimethoprim/sulfamethoxazole. Which of following instructions should nurse include in
teaching?
1|Page
, A. Take the medication with food
B. Expect a fine, red rash as a transient effect
C. Drink 8 to 10 glasses of water daily
D. Store the medication in the refrigerator - CORRECT ANSWERS-Drink 8 to 10
glasses of water daily.
Rationale: The nurse should instruct the client to increase water intake to 1,920 to 2,400
mL (65 to 81 oz) a day to decrease the chance of kidney damage from crystallization.
The nurse should instruct the client to take the medication on an empty stomach either
1 hour before or 2 hours after meals.
The nurse should instruct the client to notify the provider if a rash develops, because
this can be an indication of Stevens-Johnson syndrome. However, the client should not
expect to have a fine, red rash as a transient effect.
The nurse should inform the client to store trimethoprim/sulfamethoxazole in a light-
resistant container at room temperature.
Nurse is caring for a client who is receiving end-of-life care and has a prescription for
fentanyl patches. Which of the following information regarding the adverse effects of
fentanyl should the nurse plan to give to the client and family?
A. The provider will prescribe naloxone at home for respiratory depression
B. Remove the patch to reverse the adverse effects immediately
C. Expect an increase in urinary output
D. Take a stool softener on a daily basis - CORRECT ANSWERS-Take a stool softener
on a daily basis.
Rationale:
Constipation is an adverse effect of opioid use. Stool softeners can decrease the
severity of this adverse effect.
Nurse is reviewing lab results for pt who is to receive dose of ceftazidime via intermittent
IV bolus. Which of following lab findings is priority for nurse to report to provider before
administering the medication?
A. Total bilirubn 0.4 mg/dL
B. Alanine aminotransferase 26 units/L
C. Platelet count 360,000/mm^3
D. Creatinine 2.6 mg/dL - CORRECT ANSWERS-Creatinine 2.6 mg/dL
Rationale:
Ceftazidime is excreted primarily by the renal system. A serum creatinine level above
1.3 mg/dL can indicate a kidney disorder requiring a reduction in the dose administered.
The nurse should notify the provider, who is likely to prescribe a lowered dose of
medication.
2|Page
