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ATI Pharmacology dynamic quiz.pdf
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ATI Pharmacology dynamic quiz.pdfA nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks
for the treatment of active pulmonary tuberculosis (TB). The client reports his urine is
an orange color. Which of the following statements should the nurse make?
A. "Stop taking the isoniazid for 3 days and the discoloration should go away."
B. "Rifampin can turn body fluids orange."
C. "I'll make an appointment for you to see the provider this afternoon."
D. "Isoniazid can cause bladder irritation." - ANSWER Correct: B (R) Rifampin can
cause body fluids, such as tears, sweat, saliva, and urine, to turn a reddish-orange
color. The nurse should inform the client that this effect does not cause harm.
A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks
for the treatment of active pulmonary tuberculosis (TB). The client reports his urine is
an orange color. Which of the following statements should the nurse make?
A. "Stop taking the isoniazid for 3 days and the discoloration should go away."
B. "Rifampin can turn body fluids orange."
C. "I'll make an appointment for you to see the provider this afternoon."
D. "Isoniazid can cause bladder irritation." - ANSWER Correct: B (R) Rifampin can
cause body fluids, such as tears, sweat, saliva, and urine, to turn a reddish-orange
color. The nurse should inform the client that this effect does not cause harm.
A nurse is providing teaching to a newly licensed nurse about caring for a client who
a prescription for gemfibrozil. The nurse should instruct the newly licensed to monitor
which of the following laboratory tests.
A. Platelet count
B. Electrolyte levels
C. Thyroid function
D. Liver function - ANSWER Correct: D (R) Gemfibrozil reduces triglycerides by
decreasing the liver's uptake of fatty acids. It can cause liver toxicity; therefore, the
nurse should monitor the client's liver function.
A nurse is providing teaching to a newly licensed nurse about caring for a client who
a prescription for gemfibrozil. The nurse should instruct the newly licensed to monitor
which of the following laboratory tests.
A. Platelet count
B. Electrolyte levels
C. Thyroid function
D. Liver function - ANSWER Correct: D (R) Gemfibrozil reduces triglycerides by
decreasing the liver's uptake of fatty acids. It can cause liver toxicity; therefore, the
nurse should monitor the client's liver function.
A nurse is administering subcutaneous heparin to a client who is at risk for deep vein
thrombosis. Which of the following actions should the nurse take?
A. Administer the medication into the client's abdomen.
B. Inject the medication into a muscle.
,C. Massage the site after administering the medication.
D. Use a 22-gauge needle to administer the medication. - ANSWER Correct: A (R)
The heparin should be administered into the client's abdomen, not in the muscle, firm
pressure applied after administration, with a 25-gauge or smaller needle to decrease
risk of hemorrhage
A nurse is administering subcutaneous heparin to a client who is at risk for deep vein
thrombosis. Which of the following actions should the nurse take?
A. Administer the medication into the client's abdomen.
B. Inject the medication into a muscle.
C. Massage the site after administering the medication.
D. Use a 22-gauge needle to administer the medication. - ANSWER Correct: A (R)
The heparin should be administered into the client's abdomen, not in the muscle, firm
pressure applied after administration, with a 25-gauge or smaller needle to decrease
risk of hemorrhage
A nurse is caring for a client who has a new prescription for ergotamine. The nurse
should recognize that ergotamine is administered to treat which of the following
conditions?
A. Raynaud's phenomenon
B. Migraine headaches
C. Ulcerative colitis
D. Anemia - ANSWER B. (R) Ergotamine prevents or stops a migraine headache
by blocking alpha-adrenergic receptors in the cranial peripheral vascular smooth
muscle, which causes vasoconstriction of dilated cerebral blood vessels.
Contraindicated for clients with Raynaud's or anemia.
A nurse is caring for a client who has a new prescription for ergotamine. The nurse
should recognize that ergotamine is administered to treat which of the following
conditions?
A. Raynaud's phenomenon
B. Migraine headaches
C. Ulcerative colitis
D. Anemia - ANSWER B. (R) Ergotamine prevents or stops a migraine headache
by blocking alpha-adrenergic receptors in the cranial peripheral vascular smooth
muscle, which causes vasoconstriction of dilated cerebral blood vessels.
Contraindicated for clients with Raynaud's or anemia.
A nurse is providing teaching to a client who has gout and a new prescription for
allopurinol. The nurse should instruct the client to discontinue taking the medication
for which of the following adverse effects?
A. Nausea
B. Metallic taste
C. Fever
D. Drowsiness - ANSWER C. (R) Fever can indicate a potentially fatal
hypersensitivity reaction. The client should discontinue the allopurinol and notify the
provider if a fever or rash develops. GI effects, metallic taste, and drowsiness are
expected side effects.
, A nurse is providing teaching to a client who has gout and a new prescription for
allopurinol. The nurse should instruct the client to discontinue taking the medication
for which of the following adverse effects?
A. Nausea
B. Metallic taste
C. Fever
D. Drowsiness - ANSWER C. (R) Fever can indicate a potentially fatal
hypersensitivity reaction. The client should discontinue the allopurinol and notify the
provider if a fever or rash develops. GI effects, metallic taste, and drowsiness are
expected side effects.
A nurse is caring for a client who is at 28 weeks of gestation and is experiencing
preterm labor. Which of the following medications should the nurse plan to
administer?
A. Oxytocin
B. Nifedipine
C. Dinoprostone
D. Misoprostol - ANSWER B. (R) Nifedipine is a tocolytic medication that is
administered to stop preterm labor. Oxytocin and dinoprostone are oxytocic
medications to stimulate uterine contractions and misoprostol is a prostaglandin
used to induce labor
A nurse is caring for a client who is at 28 weeks of gestation and is experiencing
preterm labor. Which of the following medications should the nurse plan to
administer?
A. Oxytocin
B. Nifedipine
C. Dinoprostone
D. Misoprostol - ANSWER B. (R) Nifedipine is a tocolytic medication that is
administered to stop preterm labor. Oxytocin and dinoprostone are oxytocic
medications to stimulate uterine contractions and misoprostol is a prostaglandin
used to induce labor
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone.
the nurse should include a severe allergy to which of the following medications as a
contraindication to ceftriaxone?
A. Gentamicin
B. Clindamycin
C. Piperacillin
D. Sulfamethoxazole-trimethoprim - ANSWER C. (R) Clients who have a severe
allergy to piperacillin, which is a penicillin, can have a cross sensitivity to ceftriaxone,
a third-generation cehphalosporin. Ceftriaxone is contraindicated fro the client who
has an allergy to cephalosporins or a severe allergy to penicillin.
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone.
the nurse should include a severe allergy to which of the following medications as a
contraindication to ceftriaxone?
A. Gentamicin
B. Clindamycin
C. Piperacillin
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