ATI Pharmacology - Questions Part 2
A nurse is teaching a client who has a new prescription for warfarin. Which of the following
statements should the nurse identify as an indication that the client understands the
instructions? - ANS I'll avoid contact sports like football.
The most common adverse effect of taking anticoagulants is bleeding. Therefore, the client
should avoid any activities that have a high risk of causing injury, such as contact sports.
A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to
promote sleep. The nurse should plan to monitor the client for which of the following adverse
effects? - ANS Dizziness
Zolpidem can cause dizziness and daytime drowsiness. It can cause confusion in the older adult
client.
A nurse is reviewing the medical record for a client who has a migraine and a prescription for
sumatriptan. Which of the following factors in the client's medical history should the nurse
identify as a contraindication to receiving sumatriptan? - ANS Ischemic heart disease
The nurse should identify that ischemic heart disease is a contraindication to receiving
sumatriptan. Sumatriptan is a serotonin receptor agonist that can cause vasoconstriction and
coronary vasospasm. This medication is also contraindicated in clients who have MI or coronary
artery disease, uncontrolled hypertension, or other types of heart disease.
A nurse is completing the admission history for a client who reports drinking 1 pint of whiskey
every day for 6 years. The client's las drink was 10 hours ago. Which of the following
medications should the nurse plan to administer upon admission? - ANS Chlordiazepoxide
The nurse should anticipate the client will experience manifestations of alcohol withdrawal.
Benzodiazepines are the most effective medications use to facilitate alcohol withdrawal, and
chlordiazepoxide is preferred because it has a longer half-life than other benzodiazepines.
Benzodiazepines are safe and can stabilize vital signs, reduce the intensity of symptoms, and
decrease the risk of seizures and delirium tremens.
A nurse is preparing to administer 100 units of insulin glargine and 4 units of NPH insulin
subcutaneously to a client. Which of the following actions should the nurse plan to take? - ANS
Use separate syringes for administering insulin glargine and NPH insulin.
The nurse should not mix insulin glargine with any other insulin. The nurse should administer
the NPH insulin and insulin glargine separately.
, A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a
prescription for estradiol cream. Which of the following statements should the nurse include in
the teaching? - ANS This medication has fewer systemic effects than oral estrogen.
The nurse should instruct the client that intravaginal estradiol cream has fewer systemic side
effects because it is applied topically.
A nurse is caring for a client who has osteoporosis and has been taking vitamin D supplement.
The nurse notes that the client reports also taking a multivitamin daily. Which of the following
findings should indicate to the nurse that the client might be experiencing vitamin D toxicity? -
ANS Hypercalcemia
The nurse should identify that vitamin D increases plasma calcium levels by increasing
reabsorption from bone, decreasing excretion by the kidneys and increasing absorption from the
intestines. Clients who take a vitamin D supplement along with a multivitamin daily might be
taking too much calcium.
A nurse is providing discharge teaching to a client who is postoperative and has a new
prescription for oral opioid analgesic. Which of the following pieces of information should the
nurse include as a rationale for increasing the client's daily intake of fiber? - ANS Dietary fiber
helps prevent constipation.
The nurse should inform the client that constipation is an adverse effect of opioids. Increasing
dietary fiber consumption can help manage opioid-induced constipation. The nurse should
instruct the client to increase physical activity and fluid intake. A stool softener and laxative
might also be needed to prevent the complications associated with opioid-induced constipation.
A nurse is preparing a continuous IV infusion of erythromycin lactobionate for a client who has a
Bordetella pertussis infection. Which of the following actions should the nurse take to minimize
the risk of thrombophlebitis? - ANS Infuse the medication slowly.
The nurse should infuse erythromycin slowly to minimize the risk of thrombophlebitis, which is
an inflammatory process resulting from the formation of a blood clot in a vein. These blood clots
usually form in the legs.
A nurse is teaching a client who has primary adrenal insufficiency (Addison's disease) and a
prescription for hydrocortisone. Which of the following statements should the nurse include in
the teaching about this medication? - ANS Carry a supply of pills and a single-use injectable
preparation with you at all times.
The nurse should tell the client to carry an emergency supply of the medication to take during
times of unexpected stress. The client should carry an adequate supply at all times, which
should include an injectable preparation plus a supply equal to the regular oral dosage. The
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