ATI Pharmacology - Proctored Assessment {LATEST} - A Grade | ATI Pharmacology - Proctored Assessment {LATEST} -School Graded

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ATI Pharmacology - Proctored Assessment {LATEST} Pharmacology – Proctored Review A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. After 6... weeks of treatment the nurse dtermines that the medication was effective if the: 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL 2) Total t4 level is 2 mcg/dL A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which of the following client statement indicates understanding of teaching: 1) I will not use a salt substitute while taking meds 2) I will move slowly from sitting to standing to prevent falls A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which statement by the patient indicates further teaching: 1) I should expect a rash to develop 2) I may develop hair or face or chest A nurse is receiving a telephone prescription for an antibiotic from a client's provider. Which of the following is the nurse required to do: 3) Read the prescription back to the provider after transcribing 4) Write the trade name for the prescribed medicine A nurse is providing teaching to an adolescent and her family regarding a new prescription of phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the following client statements indicates the understanding of the teaching: 1) I will keep a seizure frequency chart 2) I will skip a dose if I am experiencing nausea A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which of the following actions should the nurse take first: 1) Apply a cardiac monitor 2) Provides foods high in potassium A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which of the following client findings requires an incident report: 1) The client is also taking linsinophrel (Prinivil) 2) The client reports shortness of breath A nurse is providing teaching to a female client who has been newly diagnosed with a seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin can decrease the effectiveness of which of the following: 1) Ethunyl estradiol/desogestrel (Cyclessa) 2) Fluroxetine (Prozac) A nurse providing teaching to a client who is diagnosed with migrane headaches. The client is prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse include in her instructions: 1) Take 1SL tablet three times a day before meals 2) Take 1SL tablet at onset of migrane A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of digoxin (Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the following actions should the nurse take: 1) Give the medication 2) Request a dose increase A nurse is planning to provide medication education for a client who will begin a course of therapy with metronidazole (Flagyl). Which of the following should the nurse instruct the client to avoid during the course of therapy: 3) Coffee 4) Beer A nurse is teaching a client who has heart failure about a new prescription for captopril (Capoten). Which of the following statements by the client indicates a need for further teaching: 3) I will take the medication 1 hr before my meals 4) I will use a salt substitute with my meals A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is prescribed. Which of the following client findings should the nurse recognize as being the best indication that the medication is achieving it's therapeutic effect: 3) Decrease in intraocular pressure 4)Lung fluids clear to ausculatation A nurse is educating a client who has a new prescription for simvastatin (Zacor). Which of the following instructions should the nurse include in the teaching plan: (Select all that apply): 1) Report muscle pain to provider 2) Do not take the medication with grapefruit juice 3) Take the medication in the early morning 4) Minimize intake of alcoholic beverages 5) Expect therapy with this medication to be life long A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client aPTT is 4x the normal value and his INR is 2. Which of the following actions should the nurse plan to take: 1) Decrease the heparin 2) Increase the warfarin The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin) by continuous IV infusion, piggy backed into a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first: 1) Turn the client to side lying position 2) Discontinue the client's IV meds A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit smoking. For which of the following side effects should the nurse assess the client: 3) Insomnia 4) Tinnitus A nurse is teaching a client about the use of resedronate (Actonel) to treat osteoporasis. Which of the following client statements indicates a need for further teaching: 3) I need to set up or stand after taking the risedronate 4) I need to take the risdronate with food A nurse is caring for a client who is receiving haloperidol (Haldol). For which of the following adverse effects should the nurse be observing: 1) vomiting 2) Akathesia A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which should the nurse document to indicate the effectiveness of the therapy: 1) Increased platelet count 2) Increased RBC count A nurse is administering baclofen (Lioresal) for a client with a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome: 1) Increase in seizure threshold 2) Decrease flexor & extension spasticity A nurse is assessing a client who is receiving epoetin alfa (Procit) to treat anemia. For which should the nurse monitor related to this medication: 1) Paresthesias 2) Increased BP A nurse is planning teaching for a client who has depression and is to start a new prescription for tranylcypromine (Parnate). Which should be included in teaching: 1) Avoid eating citrus fruits while taking this medication 2) Move slowly when changing to a standing position Provide teaching new prescription: exenatide (Byetta) for Type 2 Diabetes. What should the nurse monitor and report: 1) Abdominal pain 2) Increased thirst - - - - - - - - - - - - - - - -- - - - - - - - - -- - - - - -- -- - - - - -- A nurse is caring for a client who has just been transferred from the PACU to the medical surgical unit following a colon resection. The client reports pain of an 8 on a scale from 0 to 10 and has a prescription for morphine sulfate 4 mg IV bolus PRN pain every 2 hr. Which of the following actions should the nurse take first: 1) Administer the morphine sulfate 2) Check the client's PACU medication record A client who has diabetes mellitus insulin lispro and is prescribed metoprolol (Lopressor) for hypertension. Which of the following should the nurse observe for in this client as an early indicator of hypoglycemia: 1) Sweating 2) Tachycardia A nurse is caring for a client who has cancer and is taking oral morphine sulfate and docusate sodium (Colace). Which of the following side effects will be minimized by taking the docusate sodium on a daily basis? 1) Constipation 2) Drowsiness A nurse caring for a client that has undergone a liver transplant and is taking cyclosporine (Sandimmune). Which of the following laboratory findings indicates an adverse effect of the medication: 1) WBC count 8,000/mm3 2) Serum creatine 2.5 mg/dL A nurse is providing teaching to a client who has a new pancrelipase (Pancrease). Which of the following should the nurse include in the teaching: 3) Take the medication with each meal and snack 4) Monitor blood glucose levels daily A client who is postoperative has received 2 mg of hydromorphine (Dilaudid) IV bolus every 2 hours. The client continue to rate his pain at a 7 on a scale from 0 to 10. which of the following client findings should the nurse attend to first: 1) Constipation 2) Hypotension A nurse is instructing a client who has asthma. The client is currently taking albuterol (Proventil) every 4 hours PRM for bronchial spasms. He is to start a new prescription for montelukast (Singulair). Which of the following instructions should the nurse include: (Select all that apply) 1) Use montelukast to relieve an asthma attack 2) Do not take montelukast with food 3) Administer montelukast 30 min before sports activities 4) Report any increased need to use albuterol 5) Take montelukast once a day in the the evening A nurse is caring for a client who is experiencing acute alcohol withdrawl. For which of the following is the client prescribed chlordiazpoxide (Librium) 3) Lessen craving 4) Prevent delirium tremens A child is prescribed amoxicillin-clavulanic acid (Augmentin) for the treatment of an ear infection. The child's mother asks the nurse why her child is receiving this combination of two medications. The nurse appropriately responds by stating that this medication is: 1) More effective 2) Known to decrease allergic reaction A nurse is providing teaching to a client who has rheumatoid arthritis and is prescribed methotrexate (Rheumatrex). Which of the following statements by the client indicates an understanding of the teaching: 3) I should call my doctor if I develop sores in my mouth 4) I will have difficulty sleeping when i take this medication A nurse is caring for a client who is starting a new prescription for warfarin (Coumadin). Which of the following medications should the nurse plan to administer if the client experiences bleeding: 1) Vitamin K 2) Protamine sufate A nurse is evaluating a client who has been prescribed oral metformin (Glucophage) and glipizide (Glucotrol) 3 months ago to control diabetes mellitus. The nurse should identify which of the following laboratory findings as indicative of client compliance over time: 1) HbA1c 8.0% 2) HbA1c 6.5% An older adult client who has an infection is prescribed gentamicin (Garamycin). Which of the following client statements indicates a side effect of this medication and should be reported to the provider immediately: 1) I'm having difficulty reading the newspaper 2) I have to turn the volume up on the TV to hear it A client is prescribed amitriptyline (Elavil). Which of the following adverse effects should the nurse instruct the client to report: 3) Urinary retention 4) Decreased libido A nurse is caring for a client who has heart failure and is prescribed enalapril (Vasotec) and spironolactone (Aldactone). For which of the following potential side effects should the nurse plan to monitor: 1) Hypokalemia 2) Hyperkalemia A nurse is monitoring a client receiving an IV infusion of magnesium sulfate for preterm labor. Which of the following indicates to the nurse that the client is experiencing magnesium toxicity: 3) Decreased level of consciousness 4) Agitation A nurse is administering donepezil (Aricept) to a client who has Alzheimer's disease. Which of the following documented findings should the nurse report to the provider immediately: 3) Dizziness 4) Dyspnea [Show More]

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