ATI practice quiz Pharmcology
A nurse is preparing to administer heparin 8,000 units subcutaneously every 8 hr. Available is heparin 10,000 units/1mL. How many mL should the nurse administer per dose?
0.8mL--no conversion.
A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV to infuse over 8 hours. 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?
21 gtt/min--for this problem , need to convert the units of measurment. desired over have.
A nurse is preparing to administer amoxicillin liquid suspension 250mg PO every 8 hr to an older adult client. The amount available is amoxicillin 50 mg/mL. How many Ml should the nurse administer per dose?
5 mL--no conversation needed
A nurse is preparing to administer an enteral tube feeding through an NG tube at 250 mL over 4 hr. The nurse should set the pump to deliver how many mL/hr? (round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
63-- no conversion, but need to round the answer to nearest whole number
A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects?
Antiestrogenic--Tamoxifen is an antiestrogen medication used to treat cancer of the breast in both pre-and postmenopausal women who are at an increased risk
A nurse is reinforcing teaching with a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?
Arthralgia--Sulfasalazine can cause nausea,vomiting and arthralgia
A nurse is reinforcing teaching with a client who has a urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates a need for further teaching?
I should notify my provider immediately if my urine turns orange--phenazopyridine is a urinary tract analgesic used to relieve pain and burning during urination. Medication can cause the client's urine to turn a reddish-orange color. coloration can stain clothing this finding does not need to be reported to the provider.
A nurse is reinforcing teaching with a parent of a child who has asthma and a new prescription for cromolyn metered dose inhaler. Which of the following statements by the parent indicates a need for further teaching?
I will give my child a dose as soon as wheezing starts.-- Cromolyn is a mast cell inhibitor that has a slow onset and is given for prophylactic treatment of asthma. It is not a rescue medication.
A nurse is reinforcing with a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following labs tests?
Liver function--gemfibrozil reduces triglycerides by decreasing the liver's uptake of fatty acids, it can cause liver toxicity, therefore the nurse should monitor the clients liver function.
A nurse is reinforcing teaching with a client who has cirrhosis and a new prescription for lactulose. the nurse should instruct the client that lactulose has which of the following therapeutic effects?
Reduces ammonia levels--lactulose is a laxative the promotes the excretion of ammonia on a client who has hepatic encephalopathy from cirrhosis of the liver
A nurse is reinforcing teaching with a class of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following?
Reye's syndrome --aspirin should not be given to children or adolescents who have a viral infection, such as chickenpox or influenza; due the risk of developing Reye's syndrome
A nurse is caring for a client who has new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidasis is a manifestation of which of the following adverse effect ?
Superinfection--superinfection can develop from the overgrowth of fungus due to the antibacterial effect of tetracycline. The nurse should monitor the client for manifestations of a superinfection, such as soreness of the mouth and a swollen tongue.
A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer?
acetaminophen-- Acetaminophen is an analgesic used for mild to moderate pain. It can be administered to a client who has peptic ulcer disease because it does not affect blood coagulation and does not increase the risk of GI bleeding.
A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take?
administer the medication into the client's abdomen-- Heparin should be administered into the client's abdomen.
A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects?
bleeding--Clopidogrel is an antithrombotic medication that inhibits platelet aggregation. It is used to prevent stenosis of coronary stents, myocardial infarctions, and strokes. monitor for coffee ground emesis, black tarry stools, ecchymosis, and any indication of bleeding.
A nurse is collecting data from a client who has taken methimazole for a thyroid disorder during the past month. Which of the following findings demonstrates an expected response to methimazole?
decrease in body temperature--methimazole inhibits thyroid production for a client who has hyperthyroidism. increase body temperature with warm, moist skin is a manifestation of hyperthyroidism, therefore a decreased body temperature is an expected response to the medication. Other findings demonstrating effectiveness of the medication include decreased pulse rate and decrease in metabolic rate, which allows the client to maintain a healthy body weight.
A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effect?
dizziness--zolpidem can cause dizziness and daytime drowsiness. It can cause confusion in the older adult client
A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostics tests should the nurse plan to obtain prior to administering the medication?
electrocardiogram--amitriptyline can cause tachycardia and ECG changes. Older adult is at risk for cardiovascular effects of amitriptyline. therefore an ECG should be performed prior to the start of therapy to obtain a baseline of the clients cardiovascular status.
A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects?
fever--fever can indicate a potentially fatal hypersensitivity reaction. The client should discontinue the allopurinol and notify the provider if a fever or rash develops.
A nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication?
hypotension--Enlapril, an angiotensin-converting enzyme(ACE) inhibitor, can cause hypotension and postural hypotension, especially during the first 3 hr following the initial dosage.
A nurse is reinforcing teaching with a newly licensed nurse about metoclopramide. the nurse should include in the teaching that which of the following conditions is a contraindication to this medication?
intestinal obstruction--Metoclopramide reduces nausea and vomiting by increasing gastric motility and promoting gastric emptying. It is contraindicated for a client who has an intestinal obstruction perforation.
A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions?
migraine headaches--ergotamine prevents or stops a migraine headache by blocking alpha-adrenergic receptors in the cranial peripheral vascular smooth muscle, causes vasoconstriction of dilated cerebral blood vessels.
A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effect?
muscle weakness-Cholorthiazide is a thiazide diuretic used to treat hypertension and CHF. It promotes excretion of water and sodium, and potassium, and can cause hypokalemia. Manifestations of hypokalemia include muscle weakness, muscle cramps, and dysrhythmias.
A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a prescription for long-term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects?
stress fractures
A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide 50mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching?
take the hydrochlorothiazide in the morning--the client should take hydrochlorothiazide in the morning to allow for diuresis during the day and prevent nocturia
