ATI intro to pharm 4.0

A nurse is caring for client who has a new prescription for a drug. after receiving the first dose of the drug, the client experiences anaphylaxis. the nurse should identify that anaphylaxis represents which of the following results of the drug

Adverse effect

a nurse is caring for a client who is newly admitted to the facility for chest pain. at which of the following times should the nurse begin teaching about drugs and discharge planning?

As soon as possible

A nurse is caring for a client who is taking acetaminophen and codeine for pain relief. these analgesic drugs interact with one another to cause an additive effect. the nurse should identify that which of the following are characteristics of additive drug interactions?

Clients can achieve desired effects with the use of lower dosage both drugs have similar actions

A nurse is preparing to administer a drug to the client. In which of the following sections of a drug handbook should the nurse look to determine if the client can receive the drug?

Contraindications

A nurse is teaching a client about naproxen enteric- coated tablets. which of the following statements should the nurse include in the teaching?

Do not crush or chew the tablet

A nurse is caring for a client who has a history of renal insufficiency and is taking lithium. the nurse should monitor the client for which of the following?

Drug toxicity

A nurse is providing teaching to a pregnant client who is taking captopril, an ACE inhibitor, to treat hypertension. The nurse informs the client that captopril is a teratogenic drug. The nurse should explain that teratogenic drugs can cause which of the following

Fetal malformation

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the drug has more than one use?

Indications

When reviewing a list of drugs in a drug handbook a nurse can identify the generic name for a drug in whihc of the follwoing ways

It begins with a lower case letter

A nurse is obtaining a client's health history. the client reports no allergies but has experienced mild itching while taking amoxicillin in the past. which of the following responses should the nurse make?

Itching can indicate a hypersensitivity to amoxicillin

A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity. which of the following information should the nurse include?

Periodic laboratory tests are essential to measure serum drug levels monitoring for indications of toxicity is important taking the smallest effective dose is crucial

A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. thee nurse should identify that which of the following terms describes why this drug was prescribed for the client ?

Pharmacologic action

A nurse is caring for a client who is postpartum and breastfeeding. the client asks the nurse about the effects that taking over the counter drugs will have on her newborn. which of the following should the nurse consider when recommending a drug for the client

The newborns weight how much breast milk the newborn consumes each day whether or not the benefits to the client outweigh the risk to the newborn the properties of the drug

A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of the drug. the nurse should identify that the oral dose will be higher than the IV dose for which of the following reasons

The oral form has decreased bioavailability because of the first pass effect

A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify that drowsiness indicates which of the following

Therapeutic effect

A nurse is obtaining a clients health history and discovers that the client takes loratadine, an over the counter drug. the nurse should identify that which of the following is correct regarding over the counter drugs

They do not require the supervision of the nurse They can interact with other drugs they should be included in the clients drug history assessment

a nurse is reviewing drugs in a drug reference. the nurse should identify that drugs in the same class share whihc of the following similarities?

They have a similar mechanisms of actions

A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect. which of the following information should the nurse include in the teaching?

This will increase the effects of normal cellular functions

A nurse is teaching a client about he adverse effects of digoxin. which of the following statements should the nurse include the teaching?

contact your provider if adverse effects occur

A nurse is speaking to a client who is taking sertraline and reports drinking grapefruit juice. the nurse explains that grapefruit juice inhibits an enzyme in the liver that is used to metabolize sertraline. the nurse should recognize the clients risk for which of the following?

drug toxicity

A nurse is caring for a client who is having difficulty remembering to take their prescribed drug three times each day. the nurse should identify that which of the following alternate forms of the drug can help to promote adherence to the prescribed dosage?

extended release tablet

A nurse is preparing to teach a client how to take care of newly created colostomy. the nurse should identify that which of the following factors can decrease the clients ability to learn?

impaired cognitive level language barrier discomfort unreadiness to learn

A nurse is caring for a client who arrived at an emergency department following a bee sting. which of the following findings indicates an anaphylactic reaction?

low blood pressure wheezing difficulty swallowing

A nurse is reviewing a drug handbook prior to administering a drug to a client who has a kidney disease. The handbook state that the drug can be administered but identifies certain risks. which of the following terms describes these risks ?

precautions

A nurse is preparing to teach a client about a newly prescribed drug. prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons?

to determine if dosage modification is indicated