ATI Pharm 2013B – Flashcards
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A nurse is obtaining the medication hx of a pt who is starting a new prescription for allopurinol. Which of the following medication should the nurse contact the provider regarding a potential s/e?
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Warafin Allopurinol may interfere with the hepatic drug-metabolizing enzymes that are responsible for inactivating warfarin and thereby extend the anitcoagulating effects
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A client informs the nurse at a PCP office that received a prescription for timolol to tx glaucoma. Which of the following in the client's hx should concern the nurse?
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Bradycardia Timololo is a beta blocker and can worsen the client's bradycardia
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A nurse is precepting a newly licensed nurse who is caring for 4 clients. Which of the following actions should be noted in an incident report.
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Isosorbide mononitrate May result in hypotension.
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A client has been prescribed furosemide. Which of the findings should indicate to the nurse to withhold the medication?
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K+ 3.1
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A nurse is planning teaching for a client who ha depression and is to start a new prescription for tranylcypromine. Which of the following should the nurse include in the teaching?
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Move slowly when changing position. Orthostatic hypotension is a common s/e
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A nurse is assessing a client who is experiencing cardiogenic shock and is receiving a continuous IV infusion of dopamine. Which of the following findings indicates the medication is effective?
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Increased BP dopamine is a catecholamine and used to increase BP in the event of cardiogenic shock.
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A nurse is caring for a client who is receiving tx for opioid addiction. Which of the following medication should the nurse expect to administer ?
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Methadone
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A nurse in the ED is carding for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer?
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Atropine An anticholinergic agent to reverse cholinergic toxicity.
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A client who is post operative has received 2mg of hydromorphine IV bolus every 2hr. The client continues to rate his pain at a 7 on a scale from 0 to 10. Which of the following client finding should the nurse attend to first?
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Hypotension Priority action the nurse should take when using ABC's.
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A nurse is providing teaching to a client who has rheumatoid arthritis and is prescribed methotrexate. Which of the following statements by the client indicates an understanding of the teaching
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"I should call my doctor if I develop sores in my mouth" Stomatitis is an indication of toxicity and should be reported.
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A client is receiving chemotherapy and tells the nurse that she is trying to get pregnant. Which of the following statements by the nurse is the highest priority?
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"There is a high risk of fetal malformation while on chemotherapy." Using urgent vs nonurgent approach.
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A nurse is caring for a child who has been treated for diarrhea and has a prescription for Lactobacillus acidophilus. The nurse should understand that the purpose of this medication is which of the following?
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Recolonize the intestinal flora Diarrhea may be caused by lack of normal intestinal flora.
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A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The anticipates a prescription for ciproflaxin. Which of the following client statements indicates a contraindication for this medication?
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" I have tendonitis, so I haven't been able to exercise." Tendonitis is a contraindication for ciproflaxin d/t r/f tendon rupture.
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A nurse is caring for several clients that report allergies. Which of the following client statements indicates a medication allergy?
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"I cannot take celecoxib because of the rash I developed taking trimethoprim/sulfamethoxazole." Clients who have a hypersensitivi a sulfonamide may have a cross sensitivity to thiazide diuretics.
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A client diagnosed with acute bronchitis beginning to a short course of prednisone. The client asks the nurse to give him a required vaccinations because he is joining the Peace Corps. The nurse appropriately responds by stating, "You should.....
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wait until you have completed your medication therapy before receiving the vaccinations." Gluccocorticoids reduce antibody responses to vaccines and can increase the risk of infection from a virus.
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A nurse is teaching a client who has a prescription for pilocarpine eye drops. Which of the following client statements should indicate tot the nurse a need for additional teaching?
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"I will stop using the drops as soon as my vision improves." Pilocarpine is used to treat glaucoma and will need to be taken for the rest of the client's life.
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A nurse is caring for a client who has heart failure and is prescribed enalapril and spironolactone. For which of the following side effects should the nurse plan to monitor?
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Hyperkalemia Spironolactone is a potassium sparing diuretic. Enalapril, an ACE inhibitor, can induce potassium sparing as well.
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A nurse is providing teaching to a client who has a new prescription for a prefilled epinephrine injector. Which of the following should the nurse include in the teaching?
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Massage the site for 10 seconds after infection
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A nurse is assessing a client who is receiving morphine for pain via secondary IV infusion. The nurse notes that the client's respirations are 8/min. After stopping the morphine infusion, what should the nurse plan to do next?
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Administer naloxone. Using urgent vs nonurgent approach to client care, priority action is to admin naloxone.
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A nurse is to administer a new prescription for amoxicillin/clavulanic acid to a client. The client tells the nurse she is allergic to penicillin Which of the following actions should the nurse take first?
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Withhold the medication.
