ATI PHARM REVIEW

A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects?

Thins and loosens mucus

A nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. Which of the following information should the nurse include?

+report rash or itching +prime the pump before the first dose +report nasal irritation

A client is taking risperidone for schizophrenia, recognizing the adverse effects of risperidone, you advise the client to watch for and report which of the following?

Tremor

a nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity?

Tremors confusion nausea muscle weakness

A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor?

-Tolerance -anxiety -sedation -respiratory depression

The primary care provider continues to instruct the client about using pilocarpine (a direct-acting cholinergic agonist). He tells the client to watch for and report which of the following adverse effect of this drug?

-blurred vision -headache -visual floaters

early clinical manifestations of lithium toxicity include which of the following?

-nausea -muscle weakness

when instructing the client about alendronate, which of the following information should the health care provider include?

-take the drug on an empty stomach -sit upright for 30 minutes following dosage -take with a full glass of water

client is taking fact VII to tx hemophilia A. which if the following drugs the client takes should alert you to take further action?

Aspirin

Propranolol

Beta adrenergic blocker that controls atrial and ventricular tachycardia

which drugs, used to treat open-angle glaucoma, should primary care providers use with caution for a client who is taking propranolol?

Betaxolol, a bata blocker, can can cause bradycardia and hypotension.

Alteplase?

Dissolves blood clots

Factor VIII used for?

Hemophilia A

folic acid used for?

Megaloblastic anemia

A client is about to start taking warfarin to prevent venous thrombosis. You should explain to the client that taking this drug initially requires daily blood samples to monitor the results of which of the following laboratory tests?

PT/INR

you are administering lidocaine, %0 mg via IV bolus, to a client with a ventricular dysrhythmia> You monitor the client for which adverse reactions to lidocaine?

Paresthesias

During an assessment of a client taking chlorpromazine, you note a slow shuffling gait, rigid facial expression, and fine tremors. These manifestations indicate which of the following?

Parkinsonism

prior to starting alendronate, the nurse should assess which of the following in the client?

ability to swallow baseline vision

A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. which if the following drugs should the nurse expect to administer to the client?

acetylcysteine is a mucolytic that loosens thick respiratory secretions

You are instructing a client about taking phenelzine to treat depression. Which of the following foods should you tell the client to avoid?

aged cheese

A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include?

antidepressants; if you have persistent headaches, let the provider know R: the client should report persistent headache, anxiety, or insomnia to the provider as an adverse drug reaction

The client returns to the primary care provider after 1 week. He is sweating and reports urinary urgency. He suspects systemic effects from the pilocarpine. which of the following drugs can reverse systemic toxicity from pilocarpine?

atropine sulfate; an anticholinergic drug, such as atropine, reverses it.

A nurse is teaching a client who is taking presdnisone for an acute asthma exacerbation. Which of the following instructions should the nurse include?

avoid NSAIDS

Erythromycin, ketoconazole, and grapefruit juice can increase the blood levels of what?

buspirone

verapamil (calan)

calcium channel blocker that treats supraventricular tachycardia and treat fibrillation or flutter

Filgrastim used for?

chronic neutropenia

A nurse is caring for a client who has chronic stable angina. The nurse should Identify that which of the following drugs inhibits the action of adenosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the client's risk for myocardial infarction?

clopidogrel is an antiplatelet medication

Lithium carbonate

controls manic episodes

Monoamine oxidase inhibitors

depression

Legal restrictions apply to the purchase of pseudoephedrine because of which of the following risks?

drug abuse

A nurse is caring for a client who is taking filgrastim to treat neutropenia. The nurse should assess thee client for which of the following adverse effects?

enlarged spleen with long term us, filgrastim, a leukopietic growth factor, can causes an enlarges spleen. the nurse should tell the client to monitor and report abdominal pain or fullness

A client is about to start taking aliskiren to treat hypertension. Which of the following should you tell the client to avoid to ensure optimal absorption of this drug?

fatty foods

A client who has rheumatoid arthritis is taking methotrexate. which of the following toxicity from this drug

folic acid

cholinergic agonists

glaucoma

A client is about to start taking raloxifene to treat osteoporosis. you advise the client to watch for which of the following adverse effects?

hot flashes

A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions?

hypertensive crisis tyramine-enriched foods, such as aged cheese and processed meat, can trigger severe hypertension in clients who are taking phenelzine. Manifestations include hypertension, headache, and nausea

A client is taking bumetanide and spironolactone. You explain to the client that using these drugs together may reduce the risk of which adverse effects?

hypokalemia

A primary care provider prescribes calcitonin salmon for a post-menopausal client knowing the adverse effects of calcitonin, you instruct the client to?

increase calcium and vit D intake

a nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include?

increase weight-bearing activity

Clopidogrel use?

inhibits platelet aggregation

a nurse is caring for a client taking etanercept. which of the following adverse effects is most important to mention when educating this client?

injection site reaction can occur

when instructing a client about taking buspirone, which of the following is a paradoxical effect of buspirone?

insomnia

venlafaxine

reduces depression

Betaxolol

reduces intraocular pressure

Bisphosphonates

reduces the number of osteoclasis

A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for prescription modification?

renal function impairment

A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is priority to make?

respirations

a nurse is caring for a client who was admitted to the emergency department with a head injury. The nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. For which of the following adverse effects is the client at increased risk?

seizure activity

A nurse is monitoring plasma drug levels in a client who is taking theophylline. which of the following should the nurse expect to see of the client's drug level indicates toxicity?

seizures

quinidine

sodium channel blocker that treats supraventricular and ventricular tachycardia

what adverse effects of methotrexate should the client look out for?

sore throat

Epoetin alfa use?

stimulates RBC production

Filgrastim use?

stimulates leukocyte production

clients taking chlorpromazine which is schizophrenia medication should take measures to prevent sunburn. By doing what?

they should wear sunglasses because unprotected exposure to the sun can cause piqmentary deposits in the cornea and lens of the eye

Risperidone

treats schizophrenia

A primary care provider prescribes etanercept to treat a client's rheumatoid arthritis. prior to beginning the treatment, the client requires testing for which of the following?

tuberculosis

A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects?

urinary retention dry mouth is correct

A nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects?

withdrawal symptoms physical dependence can develop with extended us of alprazolam, a benzodiazepine. To prevent withdrawal symptoms, clients should taper the dose slowly over several weeks

The provider discharges the client at home with a prescription for warfarin. You should advise the client to do which of the following?

+avoid taking NSAIDs +brush his teeth with a soft toothbrush +Ask the provider before taking over the counter drugs

You are caring for a client who is taking oral amiodarone to treat atrial fibrillation. Recognizing the adverse effects of amiodarone, you advise the client to watch for and report which of the following?

+cough +blurred vision +dizziness +fever

A client is about to start taking liquid ferrous sulfate to treat iron deficiency anemia. Which of the following instructions should you include when taking with the client about taking this drug?

+drink it through a straw +Dilute it first with water +Take it with food if needed

Digoxin is effective in treating heart failure due to which pharmacological actions?

+exerts positive inotropic action +Decrease sympathetic tone +increase myocardial contractility

A client is about to start taking hydrochlorothiazide for hypotension. To assess for adverse effects of this drug, you monitor for which during drug therapy?

+hyponatremia +hypokalemia +Dehydration

You are caring for a client who is receiving alteplase to dissolve a thrombus. Which of the following should you include in your care plan for the client?

+monitor temperature +limit venipunctures +Assess neurologic status +Apply pressure to oozing sites

A client is about to start taking clopidogrel to prevent transient ischemic attacks? You should instruct the client to watch for and report which of the following adverse effects of the drug?

+petechiae +weakness +vision changes

A client is to start taking amitriptyline. For which of the following should you instruct the client to watch for and report?

-blurred vision -urinary hesitancy -tachycardia

when reviewing the indication for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following?

-seasonal affective disorder: a type of depression associated with the reduction of natural light during winter months -Nicotine addiction: to quit smoking -Depression: can help treat depression

A client is taking venlafaxine to treat major depression. Which of the following instructions should you include when advising the client and family about the use of venlafaxine?

-take it with food to reduce gastric disturbances -monitor and report insomnia -have BP checked regularly -check with the primary care provider before taking any herbal supplements

you should monitor a client throughout continuous heparin therapy for which of the following adverse reaction?

+Thrombocytopenia +hypotension +Deep vein thrombosis +Fever

while instructing a client about using isosorbide to treat angina, you advise the client to avoid which of the following?

Alcohol

while talking with a client who is taking captopril to treat hypertension, which instructions do you include to help her manage the drug's adverse effects?

Do not use salt substitutes to season your food

Alendronate (fosamax) to reduce bone resorption and instructs the client to monitor for which of the following indication of a serious adverse effect of this drug?

Dysphagia (difficulty swallowing) can indicate esophagitis, a rare but serious effect of alendronate

A client is about to start taking oprelvekin for thrombocytopenia. To assess for adverse effects of this drug, you should monitor which if the following carefully during therapy?

ECG bc can cause dysrhythmias

you are talking with a client who is taking losartan for hyoertension. she asks you about stopping contraception and starting a family. You inform the client that losartan is unsafe to take during pregnancy due to which risk?

Fetal injury

You are caring for a client whose atrial dysrhythmia fails to respond to other antidysrhythmia therapies. You anticipate that the primary care provider might try which drugs whose off-label use includes refractory atrial dysrhythmias?

Flecainide (Tambocor) sodium channel blocker

A nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects?

jaw pain blurred vision muscle pain

selective estrogen receptors modulators

mimic the effects of estrogen on the bones

A client who is menopausal is taking a calcium supplement to prevent osteoporosis. You instruct the client to watch for which of the following indications of hypercalcemia?

nausea

what is the first line of therapy for treating open-angle glaucoma?

ophthalmic beta blocker the ophthalmic beta blockers reduce the production of aqueous humor, thus reducing intraocular pressure

A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug?

palpitation

Amiodarone

potassium channel blocker that treats ventricular fibrillation and ventricular tachycardia

A nurse is teaching a client about the use of antihistamine to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions?

prevent histamine from binding to receptors

which drugs are effective in dz prevention as well as treatment of osteoporosis?

raloxifene alendronate

Before administering IV folic acid, you should explain to the client that this drug can cause which of the following AE?

rash