ATI Capstone Pharmacology Assessment 1

Questions and Answers

What assessment is priority for a nurse caring for a client receiving morphine?

What is the priority to report to the provider for a client using beclomethasone for asthma management?

Bronchospasms

What instruction should a nurse give for using a beclomethasone inhaler?

You should gargle with water after each use of this inhaler

What information should the nurse discuss about anticholinergic adverse effects?

All of the above Signup and view all the answers

What information regarding the action of guaifenesin should the nurse include?

Guaifenesin increases cough production Signup and view all the answers

What outcome should a nurse monitor for as a therapeutic response to verapamil in a client post-myocardial infarction?

Decreased anginal pain Signup and view all the answers

Which statement indicates understanding of levothyroxine teaching?

I might not realize the full effect of the medication for several weeks. Signup and view all the answers

What manifestation should a nurse monitor for as an indication of digoxin toxicity?

Vomiting Signup and view all the answers

What is the priority teaching point for a patient with oral metronidazole?

You should report a rash to your provider Signup and view all the answers

What is the priority instruction for a client prescribed codeine for cough suppression?

Move slowly when standing from a lying down position Signup and view all the answers

What medication may cause chest pain as an adverse effect?

Albuterol Signup and view all the answers

What indicates understanding of instructions for brimonidine to treat open-angle glaucoma?

I can expect to feel some irritation when I put these drops in my eyes. Signup and view all the answers

What should a nurse assess prior to initiating therapy for a client with osteoporosis prescribed raloxifene?

Pregnancy status Signup and view all the answers

What instructions should a nurse give for using transdermal nitroglycerin patches?

Apply a new patch every morning. Signup and view all the answers

What should the nurse include in the teaching for a patient prescribed allopurinol?

Increase your fluid intake Signup and view all the answers

What should the nurse instruct a patient with neuropathic pain using amitriptyline?

Increase fluids while on this medication. Signup and view all the answers

What should a nurse do when caring for a patient who is receiving vancomycin?

Contact the provider for prescription clarification Signup and view all the answers

What should the nurse tell a male client prescribed folic acid regarding its importance?

Folic acid is important for the building of blood cells for adults and children. Signup and view all the answers

What explanation should a nurse provide for a client taking ritonavir and zidovudine?

Taking the two medications together keeps you from becoming resistant to either of them. Signup and view all the answers

What medication should the nurse expect to administer for malignant hyperthermia?

Dantrolene Signup and view all the answers

What indicates understanding of teaching for a client prescribed oxybutynin?

I need to avoid jogging on warm days. Signup and view all the answers

What neutrophil count should a nurse report for a client taking zidovudine?

Neutrophil count 650/mm3 Signup and view all the answers

What finding should the nurse identify as an adverse effect of gemfibrozil?

Muscle tenderness Signup and view all the answers

What should a nurse say to a client experiencing nausea and diarrhea after starting metformin?

Your symptoms are common adverse effects of metformin and should decrease with time. Signup and view all the answers

For which client is misoprostol contraindicated?

A client who might be pregnant Signup and view all the answers

What medication should a nurse prepare for a client with sustained SVT?

Adenosine Signup and view all the answers

What medication should a nurse administer for a client with varicella zoster?

Acyclovir Signup and view all the answers

What medication should a nurse expect to administer for recurrent lower UTIs?

Nitrofurantoin Signup and view all the answers

What should the nurse teach a patient starting subcutaneous leuprolide for prostate cancer?

Increase calcium intake. Signup and view all the answers

What should a nurse tell a client about taking an albuterol inhaler?

I should take this medication 15 minutes before exercising. Signup and view all the answers

What information should a nurse include regarding methyldopa for hypertension?

The medication can cause dizziness. Signup and view all the answers

What expected therapeutic effect should a nurse monitor for in a patient administered bumetanide?

Increased urinary output Signup and view all the answers

What should a patient with a seizure disorder do while taking phenytoin?

Have my blood checked to monitor the medication levels. Signup and view all the answers

What should a nurse monitor as an adverse effect of colesevelam?

Constipation Signup and view all the answers

What should the nurse instruct a female patient taking ciprofloxacin about sun exposure?

I should wear protective clothing when I go outdoors. Signup and view all the answers

What adverse effect should the nurse monitor for in a patient taking delavirdine?

Rash Signup and view all the answers

What indicates understanding of discharge instructions for omeprazole?

The medication reduces stomach acid. Signup and view all the answers

What is the action of HCTZ for treating hypertension?

HCTZ decreases the reabsorption of sodium and water in the distal renal tubule. Signup and view all the answers

What lab test should a nurse monitor for a client starting gentamicin?

Creatinine Signup and view all the answers

What medication should a nurse expect to administer for chemotherapy-induced anemia?

Epoetin alfa Signup and view all the answers

What information should a nurse provide to a patient prescribed buspirone?

Expect to have a full response from buspirone after 3-4 weeks. Signup and view all the answers

What instruction should a nurse provide to an older adult client with HIV beginning medication therapy?

You will be prescribed more than one medication to fight the virus. Signup and view all the answers

What emergency action should a nurse instruct when managing severe hypoglycemia for an unresponsive patient?

Administer glucagon IM to the client. Signup and view all the answers

What action does ranitidine perform in treating Zollinger-Ellison syndrome?

It reduces gastric acid production. Signup and view all the answers

What medication should a nurse expect a patient in the PACU with malignant hyperthermia to receive?

Dantrolene Signup and view all the answers

What medication should a nurse administer for a client experiencing a heparin overdose?

Protamine sulfate Signup and view all the answers

What expected outcome should a nurse monitor for a patient receiving IV mannitol?

Reduced intracranial pressure Signup and view all the answers

What allergy should a nurse ask about before administering acetazolamide?

Sulfa-based meds Signup and view all the answers

What instruction should a nurse give for extended release potassium chloride tablets?

Do not crush this medication. Signup and view all the answers

What therapeutic effect should a nurse expect from alosetron?

A decrease in the frequency of defecation. Signup and view all the answers

What information should a nurse provide about methotrexate for a patient with non-Hodgkin's lymphoma?

Methotrexate can increase the risk for bleeding. Signup and view all the answers

What information should a nurse include for a patient on levodopa/carbidopa for Parkinson's disease?

You should move slowly when you want to stand up. Signup and view all the answers

What symptom should a nurse instruct a patient taking nitrofurantoin to report?

You should stop taking the medication if you develop a cough. Signup and view all the answers

What statement indicates understanding for a patient prescribed montelukast?

I will take the medication every day to control my exercise-induced asthma. Signup and view all the answers

What manifestation should the nurse monitor for a patient receiving blood transfusions?

Dyspnea Signup and view all the answers

Acetylcysteine is prescribed for what condition?

Acetaminophen overdose Signup and view all the answers

What instruction should a nurse provide for immediate-release exenatide?

I will take this medication 1 hour before morning and evening meals. Signup and view all the answers

Study Notes

Pain Management and Respiratory Therapy

Priority assessment for a patient receiving morphine is to monitor respiratory rate (RR).
Beclomethasone can lead to bronchospasms in clients using the medication for asthma; this should be reported to a provider.
Clients using a beclomethasone inhaler should gargle with water post-use to prevent irritation.

Adverse Effects of Medications

Anticholinergic adverse effects include blurry vision, tachycardia, and constipation.
Guaifenesin's action involves increasing cough production, aiding in respiratory symptom relief.
Patients on digoxin should be monitored for vomiting, a sign of potential toxicity.
The nursing staff should note that metronidazole can lead to Stevens-Johnson syndrome; patients must report rashes.

Medication Management and Instructions

Post-operative patients receiving albuterol may experience chest pain as a side effect.
For patients prescribed levothyroxine, full effects can take weeks; instruct them to take it on an empty stomach.
Codeine users should be taught to rise slowly from lying down to prevent orthostatic hypotension.

Pharmacological Interactions and Responses

Ritonavir and zidovudine are often combined to prevent resistance in HIV treatments.
Malignant hyperthermia in the PACU requires dantrolene administration.
Oxybutynin users should be aware of avoiding activities in warm weather due to anticholinergic-induced hyperthermia.

Monitoring and Lab Tests

A low neutrophil count (650/mm3) in patients on zidovudine signals a need for further evaluation.
Muscle tenderness can indicate adverse effects of gemfibrozil, leading to myopathy.
Expected outcomes of IV mannitol administration include reduced intracranial pressure; monitor for efficacy.

Patient Education on Specific Medications

Patients starting oral metronidazole must be mindful to report any rash.
Instruct women of childbearing age about the pregnancy risk category of misoprostol, which can cause abortion.
Leuprolide users for prostate cancer should increase calcium intake to mitigate the risk of bone loss.

Specific Therapies and Their Actions

Nitrofurantoin is indicated for recurrent UTIs, while acyclovir is utilized for varicella zoster virus treatment.
Phenytoin requires blood level monitoring; therapeutic range is 10-20 mcg/mL.
Colesevelam can cause constipation as an adverse effect and should be monitored by healthcare providers.

Education on Administration and Usage

Albuterol should be administered 15 minutes before exercise for optimal effectiveness.
Patients using potassium chloride should never crush their extended-release tablets.
Patients on methyldopa should be informed about potential dizziness as a common side effect.

Important Lab Values and Side Effects

Acetaminophen overdose is treated effectively with acetylcysteine.
Epoetin alfa is prescribed for chemotherapy-induced anemia to stimulate red blood cell production.
Monitor for dyspnea as a sign of circulatory overload when administering PRBCs.

General Patient Compliance and Management

Folic acid is crucial for blood cell formation; it’s not limited to women during pregnancy.
Methotrexate can increase bleeding risk, necessitating close monitoring during treatment.
Extended-release medications such as exenatide should be taken 1 hour before meals for optimal action.

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Description

Test your knowledge with this ATI Capstone Pharmacology assessment focused on critical nursing assessments for medications like morphine and beclomethasone. Each flashcard challenges your understanding of essential patient care concepts and priorities in pharmacology. Get ready to review and reinforce important nursing practices!