Exam (elaborations)
ATI Pharmacology Proctored Assessment graded A+ 100% VERIFIED
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ATI Pharmacology Proctored Assessment graded A+ 100% VERIFIED
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ATIPharmacology
Proctored
Assessment
A
patient
newly
diagnosed
with
hypothyroidism
is
prescribed
Levothyroxine
(Synthroid)
0.25
mg
PO
daily.
After
6
weeks
of
treatment
the
nurse
determines
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
-
ANS1)
Thyroid
stimulating
hormone
(TSH)
level
is
2
microunits/mL
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
-
ANS2)
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
-
ANS1)
I
should
expect
a
rash
to
develop
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
-
ANS3)
Read
the
prescription
back
to
the
provider
after
transcribing
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
-
ANS1)
I
will
keep
a
seizure
frequency
chart
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
-
ANS1)
Apply
a
cardiac
monitor
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
-
ANS2)
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)
-
ANS1)
Ethunyl
estradiol/desogestrel
(Cyclessa)
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
-
ANS2)
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
mg/mL.
Which
of
the
following
actions
should
the
nurse
take:
1)
Give
the
medication
2)
Request
a
dose
increase
-
ANS1)
Give
the
medication
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
-
ANS4)
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
-
ANS4)
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
auscultation
-
ANS3)
Decrease
in
intraocular
pressure
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
-
ANS1)
Report
muscle
pain
to
provider
2)
Do
not
take
the
medication
with
grapefruit
juice
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
-
ANS1)
Decrease
the
heparin
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
-
ANS2)
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
-
ANS3)
Insomnia
A
nurse
is
teaching
a
client
about
the
use
of
risedronate
(Actonel)
to
treat
osteoporosis.
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
risedronate
with
food
-
ANS4)
I
need
to
take
the
risedronate
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
-
ANS2)
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
-
ANS1)
Increased
platelet
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
-
ANS2)
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
-
ANS2)
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
-
ANS2)
Move
slowly
when
changing
to
a
standing
position
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