ATI pharmacology exam B and rationales

a nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. the nurse should identify that which of the following findings indicates a therapeutic response to the medication?

clients report of decreased parathesia

a nurse is teaching a client who is to start taking famotidine for PUD. which of the following client statements should the nurse identify as understanding of the teaching?

"i know smoking makes famotidine less effective"

Normal Creatinine

0.6-1.2

normal digoxin level

0.8-2.0 ng/mL

normal magnesium level

1.7-2.7

Normal Hgb

12-18

Normal PLT count

150,000-400,000

normal potassium levels

3.5-5.0 mEq/L

normal WBC

5000-10000

Normal calcium levels

9-10.5 mg/dL

a nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. which of the following findings should the nurse report to the provider?

HGB 7, PLT 75000, potassium 5.2

clozapine can cause

Hyperlipidemia

Normal RBC count

Male: 4.7-6.1 Female: 4.2-5.4

a nurse is reviewing the lab results of a client who is taking carbamazepine for a seizure disorder. which of the following findings should the nurse report to the provider?

WBC 3.5

hyperventilation in aspirin pt can indicate what?

acute salicylate poisoning which can cause respiratory alkalosis

a nurse is completing an incident report for a med error. which of the following information should the nurse include in the report?

administered propanolol 80mg PO at 1800 to the client who did not have an rx for the medication.

a nurse is precepting a newly licensed nurse who is caring for four clients. the nurse should complete an incident report for which of the following actions by the newly licensed nurse?

administers isosorbide mononitrate to a client with a BP of 82/60

clozapine can cause

agranulocytosis

a nurse is caring for a client who is receiving haloperidol. the nurse should identify which of the following findings as an adverse effect of the medication?

akathisia

Amitriptyline has

anticholinergic effects

a nurse is reviewing the medical record of a client who has HTN. the nurse should identify which of the following findings as a contraindication for receiving propanolol?

asthma

why drink milk with furosemide

avoid gastric irritation

Why drink 8-10 glasses of water a day when taking sulfa-based drugs?

avoid kidney damage from crystallization

a nurse is caring for a client who is recovering from DVT and is to start taking warfarin. for which of the following findings should the nurse monitor as an adverse effect of warfarin?

bleeding gums

a nurse is providing teaching to a client who has MS and a new rx for methylprednisolone. which of the following instructions should the nurse include?

blood glucose will need to be monitored during therapy, avoid contact with people who have a known active infection, grapefruit juice will increase blood levels of med

a nurse is assessing a client who has received atropine eye drops during an eye examination. which of the following findings should the nurse expect as an effect of the medication?

blurred vision

a nurse is caring for a client who has a Mg level of 3.1 mEq/L. the nurse should expect to administer which of the following medications?

calcium gluconate

low glucose levels

can cause anxiety/restlessness and shaking cold and clammy give some candy

a nurse is preparing to teach a client who is to start a new rx for extended release verapamil. which of the following instructions should the nurse plan to include

change positions slowly

a nurse is providing teaching to a client who is to start taking sumatriptan. which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider?

chest pressure

a nurse is reviewing lab results for a client who is to receive a dose of ceftazidime via intermittent IV bolus. which of the following lab findings is the priority for the nurse to report to the provider before administering the medication?

creatinine 2.6

a nurse is caring for a client who is taking atorvastatin for hyperlipidemia. which of the following client lab values should the nurse monitor?

creatinine kinase

a nurse is teaching about inhalant medications to a client who has a new dx of exercise induced asthma. which of the following meds should the nurse plan to instruct the client to use prior to physical activity?

cromolyn

a nurse is administering baclofen for a client who has a spinal cord injury. which of the following findings should the nurse document as a therapeutic outcome?

decrease in flexor and extensor spasticity

yellow tinged vision can indicate

digoxin toxicity, other symptoms include N/V, loss of appetite, and fatigue

a nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. which of the following actions should the nurse take first?

discontinue the medication IV infusion

a nurse is caring for a client who has developed hypomagnesemia due to long term therapy with lansoprazole. the nurse should monitor the client for which of the following manifestations?

disorientation

a nurse is teaching a client who has a new rx for docusate sodium about the medications MOA. which of the following information should the nurse include in the teaching?

docusate sodium reduces the surface tension of the stools to change their consistency

a nurse is caring for a client who has pneumonia. the client tells the nurse she is pregnant and that she has not told her provider yet. the nurse should identify that pregnancy is a contraindication for receiving which of the following meds?

doxycycline

a nurse is teaching a client who is taking allopurinol for the treatment of gout. which of the following info should the nurse include in the teaching?

drink 2l of water a day

a nurse is providing teaching to a client who has a rx for trimethoprim/sulfamethoxazole. which of the following instructions should the nurse include in the teaching?

drink 8-10 glasses of water a day

a nurse is planning discharge teaching for a client who has a rx for furosemide. the nurse should plan to include which of the following statements in the teaching?

drink a glass of milk with each dose of the med

a nurse is assessing a client who is taking amitriptyline for depression. which of the following findings should the nurse identify as an adverse effect of the med?

dry mouth

a nurse is administering diazepam to a client who is having a colonoscopy. which of the following actions should the nurse take?

ensure flumazenil is available to administer for toxicity management

manifestations of hypocalcemia

hand and finger spasms during BP cuff inflation paresthesia around the lips twitching when facial nerve is stimulated

a nurse contacts a clients provider on the telephone to obtain a rx for pain medication. which of the following actions should the nurse take?

have the provider spell out any unfamiliar names

a nurse is caring for a client who has heart failure and an Rx for enalapril. the nurse should monitor the client for which of the following findings as an adverse effect of the medication?

hyperkalemia

a nurse in a providers office is assessing a client who has been taking aspirin daily for the past year. which of the following findings should the nurse notify the provider immediately?

hyperventilation

a nurse is providing teaching to a client who has depression and a new rx for fluoxetine. which of the following statements made by the client indicates an understanding of the teaching?

i should take acetaminophen for my headaches instead of ibuprofen.

a nurse is teaching a client who is starting to take diltiazem. which of the following statements should the nurse identify as an indication that the client understands the teaching?

i will check my heart rate before taking this medication

a nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. the nurse should identify that which of the following statements by the client indicates an understanding of the teaching?

i will fold the sticky sides of the old patch together before disposing it

a nurse is teaching about self administration of transdermal medication with a male client who has a new Rx for nitroglycerin. the nurse should identify that which of the following statements by the client indicates an understanding of the teaching?

i will remove the patch after 14 hours

a nurse is teaching about a new rx for ciprofloxacin to a client who has a urinary tract infection. the nurse should identify which of the following statements as an indication that the client understands the teaching?

i will report any signs of tendon pain or swelling

a nurse is providing discharge instructions to a client who is to self administer insulin at home. which of the following client statements should indicate to the nurse that the teaching is effective?

i will store my unopened bottles of insulin in the refrigerator

a nurse is teaching about zolpidem to a client who has insomnia. the nurse should identify that which of the following client statements indicates an understanding of the teaching?

i will use this medication for a short period of time

a nurse is providing discharge teaching to a client who has a new rx for furosemide twice daily. the nurse should include which of the following instructions in the teaching?

increase the intake of potassium rich food, monitor for muscle weakness, dangle your legs for the side of the bed before standing

a nurse is assessing a client who is receiving epoeitin alfa to treat anemia. which of the following findings should the nurse monitor?

increased blood pressure

a nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. which of the following findings indicates that the med was effective?

increased cardiac output

magnesium and calcium are

inversely related

a nurse is assessing a client who is taking tamoxifen to treat breast cancer. which of the following findings is the priority for the nurse to report to the provider?

leg tenderness

a nurse is caring for a client who is to receive treatment for opioid use disorder. which of the following medications should the nurse expect to adminster?

methadone

a nurse administered digoxin immune fab to a client who received the incorrect dose of digoxin over a period of 3 days. the nurse should identify that which of the following findings indicates the antidote was effective?

normal sinus rhythm

a nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. which of the following actions should the nurse plan to take?

obtain a WBC with absolute neutrophil count

a nurse is preparing to administer HCTZ (hydrochlorothiazide) to a client. which of the following actions should the nurse take prior to administering the medication?

obtain the clients BP

antibiotics often contraindicate what type of med

oral contraceptives (use alternative birth control methods)

a nurse is providing teaching to a client who has a new rx for ferrous sulfate. the nurse should instruct teh client to take the medication with which of the following to promote absorption?

orange juice

a nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. which of the following findings should the nurse identify as an adverse effect of the med?

orthostatic hypotension

cephalosporins are contraindicated with what

penicillin allergies

a nurse is caring for a client who has diabetes mellitus and is taking glyburide. the client reports feeling confused and anxious. which one of the following actions should the nurse take first?

perform a capillary blood glucose test

a circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. which of the following actions should the nurse include in the plan of care?

place monitoring cords and tubes in a stockinet

ace inhibitors can raise what electrolyte

potassium, avoid salt substitutes

drinking 2L of water a day while on allopurinol

prevents renal stone formation and kidney injury since allopurinol is eliminated through the kidneys

a nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during surgery. which of the following actions should the nurse take?

reconstitute the initial dose with 60mL of sterile water without a bacteriostatic agent

Opioids cause

respiratory depression, urinary retention, constipation, sedation, N/V

elevated creatinine kinase can indicate what

rhabdomyolysis

a nurse is caring for a client who is receiving end of life care and has a Rx for fentanyl patches. which of the following info regarding the adverse effects of fentanyl should the nurse plan to give the client and family?

take a stool softener on a daily basis

a nurse administers ceftazidime to a client who has a severe penicillin allergy. the nurse should identify which of the following client findings as an indication that she should complete an incident report?

the client reports shortness of breath

leg tenderness with use of tamoxifen can indicate.....

thromboembolism

a nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. the nurse should identify which if the following findings as an indication that the client is beginning to experience symptoms of salicylism?

tinnitus

why do we remove the nitro patch after dinner/before bed?

to have a nitro free time of the day so that a tolerance doesn't form

a nurse is reviewing the medical record of a client who has schizophrenia and a rx for clozapine. which of the following lab tests should the nurse review before administering this med?

total cholesterol

a nurse is teaching a client who is starting to take amitriptyline. which of the following findings should the nurse include in the teaching as an adverse effect of the medication?

urinary retention

a nurse is preparing to administer a new rx of amoxicillin to a client. the client tells the nurse that they are allergic to penicillin. which of the following actions should the nurse take first?

withhold the medication

a nurse is providing teaching to a client who is to start therapy with digoxin. for which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?

yellow tinged vision