ATI Learning System 4.0 : Pharmacology Final
B. Sedation
A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells the nurse she has been administering prescribed Lorazepam, 1 mg three times per day, to the client for restlessness and anxiety during the past few days. For which of the following adverse effects should the nurse assess the client? A. Low-grade fever B. Sedation C. Diuresis D. Tonic-clonic seizures
D. Oral oxycodone
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg three times daily PO and gabapentin 1,800 mg three times daily PO to manage pain. The client tells the nurse, "I'm having pain that keeps me from doing what I'd like most of the time." Which of the following additions should the nurse anticipate to the client's medication regimen? A. Oral meperidine B. Parenteral naloxone C. Parenteral diazepam D. Oral oxycodone
A. Urine specific gravity 1.035
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily, but the client reports that she has been taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated? A. Urine specific gravity 1.035 B. Distended neck veins C. BUN 18 mg/dL D. Bounding radial pulses
C. Dyspnea
A nurse is administering Adenosine via IV bolus for a client who has developed paroxysmal atrial tachycardia. For which of the following findings should the nurse assess the client during administration of Adenosine? A.Seizures B. Cinchonism C. Dyspnea D. Transient pallor of the face
D. "Ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats pain."
A nurse is administering Ciprofloxacin and Phenazopyridine to a client who has a severe urinary tract infection [UTI]. The client asks why both medications are needed. Which of the following responses should the nurse make? A. "Phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride." B. "Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of therapy." C. "The use of phenazopyridine allows for a lower dosage of ciprofloxacin hydrochloride." D. "Ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats pain."
B. 0745
A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipate onset of action of the insulin at which of the following times? A. 0800 B. 0745 C. 0900 D. 1030
D. Dry mouth
A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should the nurse instruct the client to expect? A. Diarrhea B. Anxiety C. Nausea and vomiting D. Dry mouth
C. Tremor
A nurse is assessing a client who has hypothyroidism and takes Levothyroxine. Which of the following findings should alert the nurse that the client is experiencing acute Levothyroxine overdose? A. Bradycardia B. Cold intolerance C. Tremor D. Hypothermia
B. Tremors
A nurse is assessing a client who has oral Theophylline for relief of chronic bronchitis. The nurse should recognize that which of the following findings indicates toxicity to Theophylline? A.Constipation B. Tremors C. Fatigue D. Bradycardia
A. Urinary health promotion
A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects? A. Urinary health promotion B. Immune system stimulation C. Decreased leg pain from arterial disease D. Prevention of nausea caused by motion sickness
C. Assess the client's apical pulse.
A nurse is caring for a client and realizes after administering the 0900 medications that she administered digoxin 0.25 mg PO to the client instead of the prescribed digoxin 0.125 mg PO. Which of the following actions should the nurse take first? A. Notify the provider. B. Contact the nursing supervisor. C. Assess the client's apical pulse. D. Complete an incident report.
B. Aspartate aminotransferase (AST)
A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for Isoniazid. The nurse should teach the client that which of the following laboratory values should be monitored while taking Isoniazid? A. Thyroid Stimulating Hormone level (TSH) B. Aspartate aminotransferase (AST) C. Potassium D. Sodium
C. Chlordiazepoxide
A nurse is caring for a client who has alcohol use disorder and is admitted with lower extremity fractures following a motor-vehicle crash. A few hours after admission, the client develops restlessness and tremors. Which of the following medications should the nurse anticipate administering to the client first? A. Acamprosate B.Naltrexone C. Chlordiazepoxide D. Disulfiram
D. Check the client's apical pulse.
A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refused to eat breakfast. Which of the following actions should the nurse take first? A. Encourage the client to eat the toast on the breakfast tray. B. Administer an antiemetic. C. Inform the client's provider. D. Check the client's apical pulse.
C. Tinnitus
A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of the following adverse effects should the client be taught to monitor and notify the provider if it occurs? A. Nasal congestion B. Tremors C. Tinnitus D. Fronal headache
B. It inhibits uterine contractions by blocking entry of calcium into uterine cells.
A nurse is caring for a client who is in preterm labor and has a new prescription for Nifedipine. The client states she is concerned because her father takes Nifedipine for his angina pectoris. The nurse should explain to the client that Nifedipine works for clients who are pregnant by which of the following mechanisms? A. It decreases the incidence of bacterial vaginosis, thus preventing uterine contractions. B. It inhibits uterine contractions by blocking entry of calcium into uterine cells. C. It decreases the activity within the CNS, which regulates all smooth muscle. D. It stimulates beta2 receptors in the uterus, which results in decreased frequency of contractions.
C. Pinpoint pupils
A nurse is caring for a client who was brought to the emergency department by friends who report the client has overdosed on heroin. Which of the following findings should the nurse expect to assess? A. Temperature 39.2° C (102.6° F) B. Respiratory rate 30/min C. Pinpoint pupils D. Severe abdominal cramping
B. Platelets 78,000/mm3
A nurse is monitoring laboratory values for a male client who has leukemia and is receiving weekly chemotherapy with methotrexate via IV infusion. Which of the following laboratory values should the nurse report to the provider? A. BUN 18 mg/dL B. Platelets 78,000/mm3 C. Hemoglobin 14.2 g/dL D. Aspartate aminotransferase (AST) 35 units/L
The client must sign an agreement with the provider before beginning alosetron
A nurse is planning care for a female client who has severe irritable bowel syndrome with diarrhea [IBS-D] and a new prescription for Alosetron. Which of the following interventions should the nurse include in the plan of care? The client must sign an agreement with the provider before beginning alosetron. The client must stop taking alosetron if diarrhea continues 1 week after beginning the medication. The client should expect to have a slower heart rate while taking alosetron. The client should use a barrier birth control method because alosetron interacts with oral contraceptives.
A.Broiled beef steak
A nurse is planning discharge teaching for a client who has Major Depressive Disorder and a new prescription for Phenelzine. Which of the following foods should the nurse include in the plan as safe for the client to consume while taking Phenelzine? A.Broiled beef steak B. Macaroni and cheese C. Pepperoni pizza D. Smoked salmon
A. Hypotension
A nurse is planning to administer Diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of Diltiazem?A. Hypotension B. Tachycardia C. Decreased level of consciousness D. History of diuretic use
D. Aspirate to check for IV patency before administering the diphenhydramine.
A nurse is planning to administer Diphenhydramine 50 mg via IV bolus to a client who is having an allergic reaction. The client has an IV infusion containing a medication that is incompatible with diphenhydramine in solution. Which of the following actions should the nurse take? A. Choose an IV port for IV bolus injection of the diphenhydramine as near as possible to the client's hanging IV bag. B. Flush the IV tubing with 2 mL of 0.9% sodium chloride before and after administering diphenhydramine. C. Allow the IV infusion to keep running while administering the diphenhydramine via IV bolus. D. Aspirate to check for IV patency before administering the diphenhydramine.
A. Blood pressure
A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following data should the nurse plan to review prior to administration of this medication? A. Blood pressure B. Temperature C. Blood glucose levels D. Total protein level
A. Add a spacer to each MDI.
A nurse is preparing a discharge teaching plan for a 6 year old client who has asthma and several prescription medications using metered dose inhalers (MDIs). Which of the following interventions should the nurse include in the plan? A. Add a spacer to each MDI. B. Instruct the child to inhale more rapidly than usual when using an mdi. C. Request that the provider change the child's medications from inhaled to oral formulations. D. Administer oxygen by facemask along with the MDI.
C. Schedule the medication on alternate days to decrease adverse effects.
A nurse is preparing a discharge teaching plan for a client who is to begin long-term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan? A. Stop taking the medication if a rash occurs. B. Take the medication on an empty stomach to enhance absorption. C. Schedule the medication on alternate days to decrease adverse effects. D. Treat shortness of breath with an extra dose of the medication.
2.6 mL
A nurse is preparing to administer Chlorothiazide 20 mg/kg/day PO divided equally and administered twice daily for a toddler who weighs 28.6 lb. The amount available is Chlorothiazide oral suspension 250 mg/5ml. how many ml should the nurse administer per dose?
0.8 mL
A nurse is preparing to administer Digoxin 0.2 mg via IV bolus to a client. The amount available is Digoxin 0.25 mg/1ml. How many ml should the nurse administer?
7.5 ml
A nurse is preparing to administer ampicillin 50 mg/kg/day PO divided into 4 equal doses for a toddler who weighs 33 lbs. available is ampicillin 125 mg/5ml oral solution. How many ml should the nurse administer per dose?
33 gtt/min
A nurse is preparing to administer ampicillin 500 mg in 50 ml of dextrose 5% in water [D5W] to infuse over 15 minutes. The drop factor of the manual IV tubing is 10 gtt./ml. The nurse should set the manual IV infusion to deliver how many gtt./min?
500 ml/hr
A nurse is preparing to administer an IV fluid bolus of 1 L 0.9% sodium chloride over 2 hr. to a client who is dehydrated. The nurse should set the IV pump to deliver how many ml/hr.?
10 mL/hr
A nurse is preparing to administer codeine 30 mg PO every 4 hr. PRN to a client for pain. The amount available is codeine oral solution 15 mg/5 ml. How many ml should the nurse plan to administer per does?
50 mL/hr
A nurse is preparing to administer dextrose 5& in 0.45% sodium chloride 400 ml IV to an older adult client over 8 hr. The nurse should set the IV pump to deliver how many ml/hr.?
18 mL/hr
A nurse is preparing to administer heparin 900 units/hr. via IV infusion. The amount available is heparin 25, 000 units in 500 mL 5% dextrose in water. The nurse should set the IV pump to deliver how many mL/hr.?
A. Administer a small test dose before giving the full dose.
A nurse is preparing to administer iron dextran IV to a client. Which of the following actions should the nurse plan to take? A. Administer a small test dose before giving the full dose. B. Infuse the medication over 30 seconds. C. Monitor the client closely for hypertension after the infusion. D. Administer cyanocobalamin as an antidote if iron dextran toxicity occurs.
D. Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min.
A nurse is preparing to administer oxytocin to a client who is at 41 weeks of gestation and is experiencing ineffective labor. Which of the following actions should the nurse plan to take? A. Place the oxytocin from a pre-filled syringe into the posterior fornix of the vagina every 10 min until effective labor occurs. B. Check the client's blood pressure and pulse every 15 min while induction of labor is occurring. C. Stop the oxytocin for contractions that continue longer than 30 seconds. D. Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min.
C. "I can develop lithium toxicity if I experience vomiting or diarrhea."
A nurse is providing discharge teaching about lithium toxicity to a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching? A. "I should take naproxen if I have a headache because aspirin can cause lithium toxicity." B. "I can develop lithium toxicity if I eat foods with lots of sodium." C. "I can develop lithium toxicity if I experience vomiting or diarrhea." D. "I might need to take a daily diuretic along with my lithium to prevent lithium toxicity."
C. "You should take this medication before breakfast every day."
A nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and is prescribed Omeprazole. Which of the following statements should the nurse include in the teaching? A. "You will need to take this medication for the next 6 months." B. "Taking this medication will decrease your risk for acquiring pneumonia." C. "You should take this medication before breakfast every day." D. "Watch for the serious adverse effects of tachycardia and heart palpitations while taking this medication."
B. "I am likely to develop higher blood pressure while taking this medication."
A nurse is providing discharge teaching to a client who had a kidney transplant and has a prescription for oral cyclosporine. Which of the following statements by the client indicates an understanding of the teaching? A. "I will be able to stop taking this medication 6 months after my surgery." B. "I am likely to develop higher blood pressure while taking this medication." C."I am likely to lose my hair while taking this medication." D. "I am taking this medication to boost my immune system."
A. "Verapamil is used to treat both high blood pressure and angina."
A nurse is providing discharge teaching to a client who has angina pectoris and a new prescription for verapamil. The client tells the nurse, "My brother takes verapamil for high blood pressure. Do you think the provider made a mistake?" Which of the following responses should the nurse make? A. "Verapamil is used to treat both high blood pressure and angina." B. "You should talk to your provider to make sure the prescription is correct for you."" C. Are you concerned that you might have high blood pressure?" D. "Your provider has prescribed verapamil so that you will not develop high blood pressure."
B. "I will move slowly when I stand up because amitriptyline can cause my blood pressure to decrease."
A nurse is providing discharge teaching to a client who has been hospitalized for major depressive disorder and has a prescription or Amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? A. "I will take amitriptyline in the morning because I'm likely to have trouble falling asleep if I take it in the evening." B. "I will move slowly when I stand up because amitriptyline can cause my blood pressure to decrease." C. "I can drink a glass of beer or wine with my evening meal because amitriptyline doesn't interact with alcohol." D. "I will avoid foods high in fiber because amitriptyline can cause diarrhea."
D. "I will eat fruits and vegetables that have high potassium content every day."
A nurse is providing discharge teaching to a client who has heart failure and a prescription for Digoxin 0.125 mg PO daily and Furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching? A. "I know that blurred vision is something I will expect to happen while taking digoxin." B. "I will measure my urine output each day and document it in my diary." C. "I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute." D. "I will eat fruits and vegetables that have high potassium content every day."
B. Carry a medic alert ID card.
A nurse is providing discharge teaching to a client who has venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching? A. Take ibuprofen as needed for headache or other minor pains. B. Carry a medic alert ID card. C. Report to the laboratory weekly to have blood drawn for aPTT. D. Increase intake of dark green vegetables.
D. "I will watch for increased breast tissue growth while taking this medication."
A nurse is providing teaching to a client who has heart failure and is taking Spironolactone. Which of the following statements by the client indicates an understanding of the teaching? A. "I will increase my intake of citrus fruits, bananas, and potatoes." B. "I will use salt substitutes on my food." C. "I will drink as much water as I can while taking this medication." D. "I will watch for increased breast tissue growth while taking this medication."
D. Avoid driving until the client's reaction to the medication is known.
A nurse is providing teaching to a client who has hypertension and a new prescription for oral Clonidine. Which of the following instructions should the nurse include in the teaching? A. Discontinue the medication if a rash develops. B. Expect increased salivation during the first few weeks of therapy. C. Minimize fiber intake to prevent diarrhea. D. Avoid driving until the client's reaction to the medication is known.
A. "I might have difficulty recognizing when my blood sugar is low."
A nurse is providing teaching to a client who has hypertension and type 1 diabetes mellitus and a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of the teaching? A. "I might have difficulty recognizing when my blood sugar is low." B. "I will have less risk for developing an infection while I take this medication." C. "I should be concerned about losing excess weight while I take this medication." D. "I could have more problems with high blood sugars while taking this medication."
C. "I will need to depress the side arms to activate the pump."
A nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin-salmon. Which of the following statements by the client indicates an understanding of the teaching? A. "I will administer a spray into each nostril daily." B. "I should expect nasal bleeding for the first week." C. "I will need to depress the side arms to activate the pump." D. "I should expect to take this medication for a short-term course of treatment."
B. Myalgia
A nurse is providing teaching to a client who has type 2 Diabetes Mellitus and a new prescription for Metformin. Which of the following adverse effects of Metformin should the nurse instruct the client to watch for and report to the provider? A. Weight gain B. Myalgia C. Hypoglycemia D. Severe constipation
D. "This medication can cause a loss of potassium."
A nurse is providing teaching to a client who is to start taking Hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods rich in potassium. Which of the following statements by the client indicates an understanding of the teaching? A. "This medication will not work unless I have enough potassium." B. "Potassium will increase the therapeutic effect of my blood pressure medication." C. "Potassium will lower my blood pressure." D. "This medication can cause a loss of potassium."
D. Albuterol
A nurse is providing teaching to the parents of a school-age child who has asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve and acute asthma attack? A. Salmeterol B. Cromolyn C. Fluticasone D. Albuterol
Stop activity Place a tablet under the tongue Wait 5 minutes Call 911 if the pain is not relieved
A nurse is teaching a client who has chronic stable angina pectoris and a prescription for sublingual nitroglycerin tablets. Identify the sequence of instructions that the nurse should tell the client to use if he experiences chest pain? Wait 5 min. Stop actvity. Call 911 if the pain is not relieved. Place a tablet under the tongue.
