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ATI VATI PHARM Practice Exam FOCUSED
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ATI VATI PHARM Practice Exam FOCUSED ATI VATI PHARM Practice Exam FOCUSED ATI VATI PHARM Practice Exam FOCUSED
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ATI VATI PHARM Practice ExamFOCUSED
A nurse is reinforcing teaching with a client who has a new prescription for colchicine to manage gouty
arthritis. Which of the following manifestations should the nurse include as an adverse effect of this
medication?
A. Abdominal pain
B. Wheezing
C. Excessive urination
D. Tinnitus - ANS A. Abdominal pain
RATIONALE: Abdominal pain indicates cell dmg to the GI tract. The nurse should notify the MD, and the
client should d/c the med immediately
A nurse is reinforcing teaching with a client who has a new prescription for ethinyl
estradiol/norethindrone, an oral contraceptive. Which of the following client statements should indicate
to the nurse an understanding of the teaching?
1. "I should expect my menstrual flow to increase."
2. "I should monitor my blood pressure for hypotension while on this medication."
3. "I will take the medication at the same time each day."
4. "This type of medication is the most effective because it only contains estrogen." - ANS "I will take the
medication at the same time each day."
--This helps maintain a consistent level to reduce fertility and the chance of pregnancy.
**Menstrual flow volume will decrease, as well as the number of days of menses.
**BP should be monitored for hypertension due to the medication causing increased secretion of
aldosterone and angiotensin.
,**Each tablet in this combination oral contraceptive contains both estrogen and progestin.
Which of the following over-the-counter medications is contraindicated while taking oxycodone?
1. docusate sodium
2. famotidine
3. diphenhydramine
4. ibuprofen - ANS Diphenhydramine
Both diphenhydramine, an antihistamine, and oxycodone, an opioid analgesic, can cause CNS
depression. Therefore, when a client uses the two medications together, the client is at increased risk
for sedation, respiratory depression, and injury.
pt reports long term use of oral comfrey to promote wound healing. which lab test is done to know
adverse effect? - ANS Liver function tests
Oral comfrey has been shown to cause severe liver toxicity in humans. The nurse should expect that the
provider will prescribe liver function testing to assess for liver damage.
Vitamin B12 intranasal to treat malabsorption syndrome. teaching?
"Take this medication once per day."
"Drink a hot liquid after administering the medication."
"Massage your nose gently after medication administration."
"Store this medication in the refrigerator." - ANS "Massage your nose gently after medication
administration."
The nurse should instruct the client to massage their nose gently to increase absorption of the
medication.
,administer vitamin B12 intranasally once per week. Oral vitamin B12 formulations require daily dosing.
The nurse should instruct the client to avoid hot liquids within 1 hr before and after taking intranasal
vitamin B12. Hot liquids or spicy foods can cause rhinitis, which limits the effectiveness of the
medication.
store vitamin B12 at room temperature.
Tuberculosis pt taking isoniazid. what action should nurse take?
Determine the client's daily alcohol intake.
Tell the client to expect red-orange colored urine.
Reinforce teaching about a low-calorie diet.
Instruct the client to have a yearly tuberculin skin test. - ANS Determine the client's daily alcohol intake.
The nurse should instruct the client to reduce or avoid all use of alcohol because isoniazid can cause
liver damage. Therefore, it is important for the nurse to determine the client's daily alcohol intake.
Isoniazid does not cause red-orange colored urine. Rifampin is a medication used to treat tuberculosis
and causes the client's sweat, urine, saliva, and tears to appear red-orange in color.
The client is at risk for losing weight. Therefore, the nurse should reinforce how the client can maintain
their weight with good nutrition.
A client who has tuberculosis will always have a positive tuberculin skin test. Therefore, there is no
reason for the client to have a yearly test.
Theophylline what is the expected outcome?
Dilates bronchioles
Reduces inflammation
Loosens secretions
Blocks leukotrienes - ANS Dilates bronchioles
Theophylline is a bronchodilator, which affects smooth muscle relaxation and leads to opened airways.
, Glucocorticoids are anti-inflammatory agents.
Expectorants help the flow of secretions.
Leukotriene modifiers block the results of leukotrienes, thereby reducing smooth muscle constriction
and inflammatory responses.
A nurse is monitoring a client's IV site. the nurse should report which of the following findings as
manifestation of phlebitis? SATA
Erythema at the insertion site
Damp dressing over the insertion site
Blistering around the insertion site
Warmth at insertion site
Streak formation along the vein - ANS Erythema at the insertion site is correct. Erythema is a reddened
area at the insertion site and is a manifestation of phlebitis.
Warmth at insertion site is correct. Responses to inflammation include warmth and redness of the
affected tissue.
Streak formation along the vein is correct. Streak formation is a classic indicator of advanced phlebitis.
Damp dressing over the insertion site is incorrect. A damp dressing is associated with infiltration.
Blistering around the insertion site is incorrect. This is a manifestation of extravasation.
Pt taking perphenazine. what should include in teaching?
"Your provider will discontinue the medication if you experience any psychotic episodes."
"You should increase your dietary intake of potassium while taking this medication."
"You can expect to experience unusual movements of your tongue while taking this medication."
"You should change positions slowly while you are taking this medication." - ANS "You should change
positions slowly while you are taking this medication."
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