ATI 2019 PME A
A female patient has a UTI and is prescribed ciprofloxacin, whichof the following is a contraindication?
"I have tendonitis, so I have not been able to exercise." +Risk of tendon rupture
What's a correct statement for cyclobenzaprine patient teaching?
"I will taper off the medication before discontinuing it." +Prevents abstinence syndrome or rebound insomnia
Mannitol adverse effects
-Bibasilar crackles -It's an osmotic diuretic can precipitate heart failure and pulmonary edema
Oxybutynin is an anticholinergic used for urinary incontinence and causes which adverse effects?
-Dry mouth -Dry eyes -Blurred vision
Patient teaching for methylprednisolone
-Monitor blood glucose -Avoid contact with people who have known infections -Grapefruit juice can increase the effects of the medication
What is a normal platelet count?
150,000-400,000/mm3
Adverse effects of heparin include:
Blood in urine
A nurse is preparing to administer heparin SQ to a client. Which of the following actions should the nurse plan to take?
Administer the medication outside the 5-cm(2-inch) away from the umbilicus
When should the nurse conduct medication reconciliation?
Anytime the client is undergoing a change in care!
What do you administer in a cholinergic crisis?
Atropine
What medication interferes with the oral contraceptives?
Carbamazepine; causes an accelerated inactivation of oral contraceptives because of its action on hepatic medication-metabolizing enzymes
What drug is used to prevent delirium tremens?
Chlordiazepoxide
Tendonitis is a contraindication for which medication?
Ciprofloxacin; risk of tendon rupture
What vaccines are given at 2 months?
DTaP, IPV, Hep B, HIB, PCV, Rota
What interacts with calcium gluconate?
Digoxin
What's a manifestation of neuroleptic malignant syndrome(NMS)?
Fever! incontinent Tachycardia Severe muscle rigidity
Antidote for benzodiazepines
Flumazenil
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching?
Forms a protective barrier over ulcers +Sucralfate , a mucosal protectant, forms a gel-like substance that coats the ulcer, creating a barrier to hydrochloric acid and pepsin.
Lithium contraindication
Ibuprofen; it decreases lithium levels
The nurse should identify which of the following findings as an indication of hypokalemia?
Presence of U-waves +An adverse effect of furosemide
A patient with myasthenia gravis is taking neostigmine, an adverse effect of this drug is?
Miosis( pupil constriction); due to excessive muscarinic stimulation, other effects include increased salivation, abdominal cramping, and N/V.
Serious adverse effect of captopril is?
Neutropenia
Patient teaching for a client who has a new prescription for simvastatin?
Report muscle pain to the provider No grapefruit juice Lifelong therapy
Adverse effect of metoclopramide?
Sedation +Acts on the CNS(Dizziness,fatigue, and sedation)
What's an adverse effect of fluoxetine(SSRI), an antidepressant?
Sexual dysfunction
What is an adverse effect of gentamicin?
Tinnitus +Aminoglycosides, are ototoxic
A client in labor is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first?
Turn the . client to the side-lying position
Hydrocodone+Acetaminophen=
Vicodin=Decrease RR
Acetaminophen antidote
acetylcysteine
What's an adverse effect of sodium polystyrene sulfonate?
constipation +monitor for possible fecal impaction
Adverse effect of bupropion?
insomnia +It's an atypical antidepressant, it has stimulant properties which can result in agitation, tremors, mania, and insomnia
When taking ranitidine you need to report ...
yellowing of the skin! The drug can be hepatotoxic
