ATI Pharmacology Made Easy Intro
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 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."
you note that a primary care provider prescribed morphine sulfate, an opioid agonist, to relieve a patient's postoperative pain. which of the following describes the action of an agonist on a receptor
activates the receptor
A nurse is caring for a 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
you are talking with a client about taking tetracycline along with an antacid. you tell the client not to take these two drugs at the same time because the antacid can reduce the absorption of tetracycline. which one drug reduces the effect of another drug, it is
an antagonist 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
primary care providers prescribe drug dosages for children using which of the following information
body surface area age weight drug properties
A nurse is caring for a client who is taking acetaminophen and codeine for pain relief. These analgesics 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 the lower dosages both drugs have similar actions
A nurse is teaching a client about the adverse effects of digoxin. Which of the following statements should the nurse include in the teaching
contact your provider is adverse effect occur
A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The handbook states that the drug can be administered but identifies certain risks. Which of the following terms describes these risks
precautions
an older adult client may be at risk for drug toxicity due to which of the following physiologic changes associated with aging
reduced hepatic blood flow
a client with glaucoma asks you about taking oxybutynin, a muscarinic antagonist, to manage an overactive bladder. you explain that glaucoma is a contraindication for taking oxybutynin. primary care providers should not prescribe contraindicated drugs because of their potential for which of the following
serious adverse reactions
metabolism
the change of a drug into a more or less potent or more soluble form as it passes through the liver, kidneys, intestinal mucosa, or other body part
duration of action
the length of time the drugs therapeutic effect lasts
absorption
the movement of a drug from the site of administration into the circulatory system
distribution
the movement of drugs by the circulatory system to its intended site of action
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 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 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 that client's 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 a 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 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
you are helping a client learn how to give himself a insulin injection. which of the following is the best method for evaluating effective learning
have the client demonstrate an insulin injection
a client asks you about the difference between a generic drug and a trade or brand-name drug. which of the following are true regarding generic drugs
have the same chemical composition as the brand name drug may have several brand names are usually less expensive than brand name drugs
A nurse is preparing to teach a client how to take care of a newly created colostomy. The nurse should identify that which of the following factors can decrease the client's ability to learn
impaired cognitive level language barrier discomfort unreadiness to learn
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
a client who has a peanut allergy comes to the emergency department with suspected anaphylactic shock. which of the following actions should you anticipate taking
initiate oxygen therapy to support respiratory function administer epinephrine to increase blood pressure give diphenhydramine to stop histamine release establish and maintain an open airway to ensure oxygenation
When reviewing a list of drugs in a drug handbook, a nurse can identify the generic names for a drug in which of the following ways
it begins with a lower-case letter
A nurse is caring for a client who arrived at an emergency department following a bee sting. Which of the following indicates an anaphylactic reaction
low blood pressure wheezing difficulty swallowing NOT PERIPHERAL EDEMA BUT RATHER FACIAL SWELLING
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
newborn's weight how much breast milk the newborn consumes each day whether or not the benefits tot he mother outweigh the risks to the newborn properties of the drug
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. The 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 receiving nitroglycerin IV and is switching to the oral form of the drug. The nurse should identify that the oral dose will be hight than the IV dose for which of the following reasons
the oral form has decreased bioavilability because of the first-pass effect
trough drug level
the point in time when a drug is at its lowest level in the body
excretion
the removal of the drug or its metabolites through the kidneys, GI tract, skin, or lungs
peak drug level
the time it takes a drug to demonstrate its full therapeutic effect
onset of action
the time it takes for a drug to demonstrate a therapeutic response
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 client's health history and discovers that the client takes loratadine, and 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 the other drugs the should be included in the client's drug history assessment
A nurse is reviewing drugs in a drug reference. The nurse should identify that drugs in the same class share which of the following similarities
they have similar mechanisms of actions
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 Precaution sections includes diseases or clinical situations in which drug use involves particular risks or dosage modifications might be necessary.
