ATI Pharmacology Practice Version 3 | LATEST, Questions and Answers

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ATI Pharmacology Practice Version 3 | LATEST, Questions and Answers 1) A nurse is assessing a pt who has Myasthenia gravis and is taking Neostigmine. Which of the following findings should indicate... to the nurse that the pt is experiencing an adverse effect? -Tachycardia Neostigmine can cause bradycardia, rather than tachycardia, due to the excessive muscarinic stimulation. -Oliguria Neostigmine can cause urinary urgency, rather than decreased urinary output, due to the excessive muscarinic stimulation. -Xerostomia Neostigmine can cause increased salivation, rather than dry mouth, due to the excessive muscarinic stimulation. -Miosis = CORRECT ANSWER Miosis, which is pupillary constriction, is a common adverse effect of neostigmine due to the excessive muscarinic stimulation that causes difficulty with visual accommodation. 2) A nurse is preparing to give Ciprofloxin 15mg/kg PO every 12hr to a child who weighs 44lbs. How many mg should the nurse administer per dose? (Round to nearest whole #; do not use trailing zero) 300mg/dose = CORRECT ANSWER give 300 mg/dose every 12 hr. 3) A nurse on the acute care unit is caring for a pt who is receiving Gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication? -Constipation Gentamicin, an aminoglycoside used to treat serious infections, can cause several gastrointestinal adverse effects, such as inflammation of the liver and spleen. However, it does not cause constipation. -Tinnitus= CORRECT ANSWER Aminoglycosides, such as gentamicin, are ototoxic, which can manifest as tinnitus and deafness. The nurse should monitor the client for high-pitched ringing in the ears and headaches and should notify the provider if these occur. -Hypoglycemia Gentamicin, an aminoglycoside used to treat serious infections, can cause alternations in the functions of the liver and spleen. However, pancreatic function, mainly insulin production, is not affected by this medication. -Joint pain Aminoglycosides, such as gentamicin, can result in neuromuscular adverse effects such as twitching or flaccid paralysis. However, joint pain is not an adverse effect of gentamicin. 4) A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching? -The client's provider is required to complete medication reconciliation. The nurse or a member of the health care team, such as the pharmacist, is required to complete medication reconciliation. -Medication reconciliation at discharge is limited to the medication ordered at the time of discharge. Medication reconciliation at discharge includes medications ordered at the time of discharge, over-the-counter medications, vitamins, herbal supplements, nutritional supplements, and other medications the client is taking. -A transition in care requires the nurse to conduct medication reconciliation. = CORRECT ANSWER The nurse should conduct medication reconciliation anytime the client is undergoing a change in care such as admission, transfer from one unit to another, or discharge. A complete listing of all prescribed and over-the-counter medications should be reviewed. -Medical reconciliation is limited to the name of the medications that the client is currently taking. The name of the current medication and new medication, over-the-counter medications, vitamins, herbal supplements, and nutritional supplements are included at the medication reconciliation. The indication, route, dosage size, and dosing interval are also required. 5) A nurse is caring for a pt who is experiencing acute alcohol withdrawal. For which of the following pt outcomes should the nurse administer Chlordiazepoxide? -Minimize diaphoresis The client should take clonidine or a beta-adrenergic blocker, such as atenolol, to minimize autonomic components, such as diaphoresis, during alcohol withdrawal. -Maintain abstinence The client should take acamprosate to help maintain abstinence from alcohol by decreasing anxiety and other uncomfortable manifestations. [Show More]

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