ATI CAPSTONE PHARMACOLOGY ASSESSMENT 1
A nurse is caring for a client who is receiving morphine, what assessment is priority -
Answers- 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 - Answers-
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? - Answers- you should gargle with water after each use of this inhaler
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? -
Answers- 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? - Answers- 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? - Answers- "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? - Answers- 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? - Answers- 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? - Answers- 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? - Answers- albuterol
(beta2agonist, controls bronchospasm for asthma--can cause tremors, chest pain,
tachycardia, dysrhythmias)
A nurse is planning a staff education session on AE of meds, what info should the nurse
discuss about anticholinergic adverse effects? - Answers- blurred vision
Tachycardia
Constipation
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? - Answers- 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? - Answers-
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? - Answers- 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? - Answers- 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? - Answers-
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? - Answers- 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? - Answers- folic acid is important
for the building of blood cells for adults and children
A nurse is caring for a client who is receiving morphine, what assessment is priority -
Answers- 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 - Answers-
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? - Answers- you should gargle with water after each use of this inhaler
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? -
Answers- 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? - Answers- 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? - Answers- "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? - Answers- 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? - Answers- 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? - Answers- 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? - Answers- albuterol
(beta2agonist, controls bronchospasm for asthma--can cause tremors, chest pain,
tachycardia, dysrhythmias)
A nurse is planning a staff education session on AE of meds, what info should the nurse
discuss about anticholinergic adverse effects? - Answers- blurred vision
Tachycardia
Constipation
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? - Answers- 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? - Answers-
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? - Answers- 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? - Answers- 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? - Answers-
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? - Answers- 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? - Answers- folic acid is important
for the building of blood cells for adults and children