ATI Capstone Pharmacology
Assessment 2
A client diagnosed with oral candidiasis has received instructions from the nurse about the use of
nystatin (Mycostatin) suspension. Which of the following statements made by the client should
indicate to the nurse that the teaching has been effective? - ANSWER "I will hold the
medication in my mouth for as long as possible."
A client is taking ibuprofen (Advil, Motrin) to treat hip pain. The nurse should teach the client that, to
minimize gastric mucosal irritation, she should take this medication at which of the following times? -
ANSWER Immediately after a meal
A client tells the nurse she took a dose of dimenhydrinate (Dramamine) before coming to the health
care clinic. The nurse determines that the medication is effective when the client reports relief of -
ANSWER nausea
A client who is postoperative reports incisional pain. The surgeon has prescribed subcutaneous
morphine. Before administering this medication, the nurse should complete which priority
assessment? - ANSWER Respiratory rate
A female client who has rheumatoid arthritis asks the nurse if it is safe for her to take aspirin. Which
of the following is a contraindication to this medication? - ANSWER History of gastric ulcers.
A home health nurse is reviewing the medication list of an older adult client who reports falling a
couple of times over the past week. Which of the following medications should the nurse suspect is
contributing to the client's falls? - ANSWER Alprazolam (Xanax)
A hospice nurse makes weekly visits to a client who has terminal cancer. For several weeks, the client
has been taking morphine sulfate for pain relief. At today's visit, the client reports to the nurse that
the usual dose of morphine does not seem to be working. The nurse should understand that the
most likely explanation is that the client has - ANSWER developed a tolerance to the
medication.
A nurse is administering ipratropium bromide (Atrovent) via nebulizer to a client who has
emphysema. Which of the following client findings should cause the nurse to consult the provider
before administering the next dose? - ANSWER Visual changes
A nurse is caring for a child in status asthmaticus. Which of the following is the priority action for the
nurse to take? - ANSWER Administer a short-acting ß2 -agonist.
A nurse is caring for a client treated with intermittent IV vancomycin (Vancocin). The client reports
pain at the IV site when the nurse starts the infusion. Which of the following nursing actions is
appropriate at this time? - ANSWER Assess the patency of the IV site.
A nurse is caring for a client who asks how albuterol (Proventil) helps his breathing. Which of the
following should the nurse include in the response? (Select all that apply.) - ANSWER - The
medication will prevent wheezing
- The medication will open the airways.
- The medication will decrease coughing episodes.
, ATI Capstone Pharmacology
Assessment 2
A nurse is caring for a client who has a prescription for diphenhydramine (Benadryl) to relieve
pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing.
Which of the following is an appropriate response by the nurse? - ANSWER "Take most of
the daily dose at bedtime."
A nurse is caring for a client who has anemia and has difficulty swallowing pills. The client's provider
has prescribed a liquid oral iron supplement. The client should be instructed by the nurse to take the
iron - ANSWER with orange juice to enhance absorption.
A nurse is caring for a client who has been on levothyroxine (Synthroid) for several months. If the
dose of this medication has been adequate, the nurse should expect to see a decrease in the -
ANSWER thyroid stimulating hormone (TSH).
A nurse is caring for a client who has difficulty swallowing medications and is prescribed aspirin
(Ecotrin) PO once daily. The client asks if the medication can be crushed to make it easier to swallow.
The nurse's response should be, "Crushing the pill - ANSWER might cause you to have a
stomachache or indigestion."
A nurse is caring for a client who has poison ivy and dermatitis and is started on diphenhydramine
(Benadryl). Which of the following nursing recommendations is appropriate for decreasing the dry
mouth associated with the use of diphenhydramine? - ANSWER "Chew on sugarless gum or
suck on hard, sour candies."
A nurse is caring for a client who has several environmental allergies and was admitted in status
asthmaticus. The provider prescribes cromolyn sodium (Intal) via metered dose inhaler (MDI) to be
added to the client's home management along with an albuterol (Proventil) MDI. When performing
discharge teaching, the nurse should identify the need for additional teaching when the client states,
- ANSWER "I will be sure to take the Intal four times a day before using the Proventil."
A nurse is caring for a client who is taking levothyroxine (Synthroid). Which of the following
manifestations should suggest to the nurse that the client may have taken an overdose of
levothyroxine? - ANSWER Insomnia
A nurse is caring for a client who is taking naproxen (Naprosyn) following an exacerbation of
rheumatoid arthritis. Which of the following comments by the client requires further discussion by
the nurse? - ANSWER "I've been buying Tagamet to help with the indigestion I've had."
A nurse is caring for a client who received morphine sulfate 30 min ago. Which of the following best
determines therapeutic client response to this medication? - ANSWER 0 rating on pain scale
A nurse is caring for a client who reports daily use of acetaminophen (Tylenol) to manage mild knee
pain. Which of the following statements by the client should be of most concern to the nurse? -
ANSWER "I take three or four Vicodin ES tablets a day for severe knee and joint pain."
A nurse is caring for a client who reports occasionally self-medicating with an over-the-counter
calcium carbonate antacid. To avoid the adverse effects of calcium carbonate, the nurse should
recommend that the client take this medication with - ANSWER water.
Assessment 2
A client diagnosed with oral candidiasis has received instructions from the nurse about the use of
nystatin (Mycostatin) suspension. Which of the following statements made by the client should
indicate to the nurse that the teaching has been effective? - ANSWER "I will hold the
medication in my mouth for as long as possible."
A client is taking ibuprofen (Advil, Motrin) to treat hip pain. The nurse should teach the client that, to
minimize gastric mucosal irritation, she should take this medication at which of the following times? -
ANSWER Immediately after a meal
A client tells the nurse she took a dose of dimenhydrinate (Dramamine) before coming to the health
care clinic. The nurse determines that the medication is effective when the client reports relief of -
ANSWER nausea
A client who is postoperative reports incisional pain. The surgeon has prescribed subcutaneous
morphine. Before administering this medication, the nurse should complete which priority
assessment? - ANSWER Respiratory rate
A female client who has rheumatoid arthritis asks the nurse if it is safe for her to take aspirin. Which
of the following is a contraindication to this medication? - ANSWER History of gastric ulcers.
A home health nurse is reviewing the medication list of an older adult client who reports falling a
couple of times over the past week. Which of the following medications should the nurse suspect is
contributing to the client's falls? - ANSWER Alprazolam (Xanax)
A hospice nurse makes weekly visits to a client who has terminal cancer. For several weeks, the client
has been taking morphine sulfate for pain relief. At today's visit, the client reports to the nurse that
the usual dose of morphine does not seem to be working. The nurse should understand that the
most likely explanation is that the client has - ANSWER developed a tolerance to the
medication.
A nurse is administering ipratropium bromide (Atrovent) via nebulizer to a client who has
emphysema. Which of the following client findings should cause the nurse to consult the provider
before administering the next dose? - ANSWER Visual changes
A nurse is caring for a child in status asthmaticus. Which of the following is the priority action for the
nurse to take? - ANSWER Administer a short-acting ß2 -agonist.
A nurse is caring for a client treated with intermittent IV vancomycin (Vancocin). The client reports
pain at the IV site when the nurse starts the infusion. Which of the following nursing actions is
appropriate at this time? - ANSWER Assess the patency of the IV site.
A nurse is caring for a client who asks how albuterol (Proventil) helps his breathing. Which of the
following should the nurse include in the response? (Select all that apply.) - ANSWER - The
medication will prevent wheezing
- The medication will open the airways.
- The medication will decrease coughing episodes.
, ATI Capstone Pharmacology
Assessment 2
A nurse is caring for a client who has a prescription for diphenhydramine (Benadryl) to relieve
pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing.
Which of the following is an appropriate response by the nurse? - ANSWER "Take most of
the daily dose at bedtime."
A nurse is caring for a client who has anemia and has difficulty swallowing pills. The client's provider
has prescribed a liquid oral iron supplement. The client should be instructed by the nurse to take the
iron - ANSWER with orange juice to enhance absorption.
A nurse is caring for a client who has been on levothyroxine (Synthroid) for several months. If the
dose of this medication has been adequate, the nurse should expect to see a decrease in the -
ANSWER thyroid stimulating hormone (TSH).
A nurse is caring for a client who has difficulty swallowing medications and is prescribed aspirin
(Ecotrin) PO once daily. The client asks if the medication can be crushed to make it easier to swallow.
The nurse's response should be, "Crushing the pill - ANSWER might cause you to have a
stomachache or indigestion."
A nurse is caring for a client who has poison ivy and dermatitis and is started on diphenhydramine
(Benadryl). Which of the following nursing recommendations is appropriate for decreasing the dry
mouth associated with the use of diphenhydramine? - ANSWER "Chew on sugarless gum or
suck on hard, sour candies."
A nurse is caring for a client who has several environmental allergies and was admitted in status
asthmaticus. The provider prescribes cromolyn sodium (Intal) via metered dose inhaler (MDI) to be
added to the client's home management along with an albuterol (Proventil) MDI. When performing
discharge teaching, the nurse should identify the need for additional teaching when the client states,
- ANSWER "I will be sure to take the Intal four times a day before using the Proventil."
A nurse is caring for a client who is taking levothyroxine (Synthroid). Which of the following
manifestations should suggest to the nurse that the client may have taken an overdose of
levothyroxine? - ANSWER Insomnia
A nurse is caring for a client who is taking naproxen (Naprosyn) following an exacerbation of
rheumatoid arthritis. Which of the following comments by the client requires further discussion by
the nurse? - ANSWER "I've been buying Tagamet to help with the indigestion I've had."
A nurse is caring for a client who received morphine sulfate 30 min ago. Which of the following best
determines therapeutic client response to this medication? - ANSWER 0 rating on pain scale
A nurse is caring for a client who reports daily use of acetaminophen (Tylenol) to manage mild knee
pain. Which of the following statements by the client should be of most concern to the nurse? -
ANSWER "I take three or four Vicodin ES tablets a day for severe knee and joint pain."
A nurse is caring for a client who reports occasionally self-medicating with an over-the-counter
calcium carbonate antacid. To avoid the adverse effects of calcium carbonate, the nurse should
recommend that the client take this medication with - ANSWER water.
