PHARM ATI 35, 36, 37 - application exercises

36- nurse is preparing to administer an opioid agonist to a client who has acute pain which of the following complications should the nurse monitor A. Urinary retention B. Tachy apnea C. hypertension D. irritating cough

A

37- I nurse is caring for a client who has cancer and is taking morphine and Carbamazepine for pain which of the following affects the nurse monitor when given these medications together (select all apply ) A. Need for reduced dosage of the opioid B. reduced adverse affects of the opioid C. increased analgesic effects D. enhanced CNS stimulation E. increased opioid tolerance

A, B, C

35- A nurse is admitting a toddler to the hospital after and acetaminophen overdose which of the following medications should the nurse anticipate administering to this client A. Acetylcysteine B. Pegfilgrastim C. Misoprostol D. Naltrexone

A.

35- I nurse is teaching a client about a new prescription for celecoxib which of the following information should she include in the teaching A. Increases the risk for a myocardial in farction B. Decreases the risk of stroke C. Inhibits COX-1 D. Increases platelet aggregation

A.

37- I nurse is planning care for a client has brain cancer and is experiencing headaches which of the following adjuvant medications are indicated for this client A. Dexamethasone B. Methylphenidate C. Hydroxyzine D. Amitriptyline

A. Dexamethasone decreases inflammation and swelling

36- I nurse is reviewing the medication administration record for a client who is receiving trans dermal Fentonaylfor severe pain which of the following medications should the nurse expect to cause an adverse effect when administered concurrently with fentanyl A. Ampicillin B. diazepam C. Furosemide D. prednisone

B

37- A nurse is planning care for a client who has cancer and is taking a glucocorticoid as a adjuvant medication for pain control which of the following interventions the nurse include in the plan of care (select all apply) A. Monitor for urinary retention B. monitor serum glucose C. monitor serum potassium level D. monitor for gastric bleeding E. monitor for respiratory depression

B, C, D Glucocorticoids raise good ghost level cause hypokalemia and put a client at risk for peptic ulcer

37- A nurse is preparing to administer pamidronate to a client who has bone pain related to cancer which of the following precautions should the nurse take when administering pamidronate A. Inspect the skin for redness and irritation when changing the intradermal patch B. assess the IV site for thrombophlebitis frequently during administration C. instruct the client to sit upright or stand for 30 minutes following oral administration D. watch for manifestations of anaphylaxis for 20 minutes after IMadministration

B. Pamodronate is irritating to veins

36- A nurse is planning to administer morphine IV to a client who is postoperative which actions should the nurse take A. Monitor for seizures and confusion with repeated doses B. protect the client skin from the severe diarrhea that occurs with morphine C. withhold this medication is respiratory rate is less than 12 per minute D. give morphine intermittent via IV bolus over 30 seconds or less

C

36- I nurse is caring for a client who has and stage cancer and is receiving morphine the clients daughter asks why the provider prescribed myethylnaltrexone which of the following responses to the nurse make A. The medication will increase your mothers respirations B. Medication will prevent dependent on the morphine C. The medication to relieve your mothers constipation D. Medication works with the morphine to increased pain relief

C

35- I nurses taking history for a client who reports that he is taking aspirin about four times daily for a sprained wrist which of the following prescribe medications taken for the client is contra indicated with aspirin A. Digoxin B. metformim C. warfarin D. nitroglycerin

C. Warfarin and other anticoagulants or increased by aspirin

35- nurses in an emergency department performing admission assessment for a client who has severe aspirin toxicity which of the following findings should she expect A. Body temperature 35°C 95 Fahrenheit B. lung crackles C. cool dry skin D. respiratory depression

D

36- nurse is preparing to administer Butorfanol to a client who has a history of substance use disorder the nurse should I didn't file which of the following information is true regarding Butorphanol A. It has a greater risk for abuse than morphine B. It causes a higher incidence of respiratory depression than morphine C. It cannot be reversed with an opiate antagonist D. It can cause abstinence syndrome in opiod dependent clients

D

37- I nurses in ministering amitriptyline to a client who is experiencing cancer pain for which of the following adverse effects of the nurse monitor A. Decreased appetite B. explosive diarrhea C. decreased pulse rate D. Orthostatic hypotension

D.