ATI Pharmacology Assessment 2 Flashcards

Questions and Answers

Which of the following are correct administration guidelines for the nurse to implement when administering a bisacodyl (Dulcolax) 10 mg suppository? (Select all that apply)

Insert suppository just beyond internal sphincter (correct)

Administer without lubrication

Lubricate index finger (correct)

Use excessive force while inserting

What should a client take with a liquid oral iron supplement to enhance absorption?

orange juice

Which of the following are appropriate references for the nurse to use to ensure safe medication administration? (Select all that apply)

Published journals (correct)

Physicians' Desk Reference (correct)

Personal opinions

Pharmacists (correct)

What increases the chance of phenytoin toxicity?

Alcohol Signup and view all the answers

How often should a client take montelukast (Singulair) to treat asthma?

once a day in the evening Signup and view all the answers

What is the best therapeutic client response after receiving morphine sulfate?

0 rating on pain scale Signup and view all the answers

What client finding should cause the nurse to consult the provider before administering ipratropium bromide?

Visual changes Signup and view all the answers

Why should a nurse withhold senna from a client with a small bowel obstruction?

Laxatives are contraindicated in clients who have a small bowel obstruction. Signup and view all the answers

What is the most common side effect of diphenhydramine (Benadryl)?

sedation Signup and view all the answers

What should a client do to avoid complications when using inhaled beclomethasone?

rinse the mouth after administration Signup and view all the answers

When should a client take ibuprofen to minimize gastric mucosal irritation?

Immediately after a meal Signup and view all the answers

Which of the following findings are associated with phlebitis and should be reported? (Select all that apply)

Warmth at insertion site Signup and view all the answers

What should older adults avoid when taking their medications due to high frequency of food-drug interactions?

grapefruit juice Signup and view all the answers

How does albuterol help with breathing? (Select all that apply)

The medication will decrease coughing episodes Signup and view all the answers

What indicates effective teaching regarding the use of nystatin for oral candidiasis?

I will hold the medication in my mouth for as long as possible. Signup and view all the answers

What action should a nurse take when converting 0.8 grams to milligrams?

Move the decimal point 3 places to the right. Signup and view all the answers

Which of the following should be included in controlled substance guidelines? (Select all that apply)

Count each dose of narcotics in inventory Signup and view all the answers

What comment requires further discussion from a nurse about naproxen use?

I've been buying Tagamet to help with the indigestion I've had. Signup and view all the answers

What is an appropriate response to minimize daytime sedation for a client taking diphenhydramine?

Take most of the daily dose at bedtime. Signup and view all the answers

What is the volume of hydrocodone/acetaminophen (Lortab) 5 mg to administer if it's available in 7.5 mg/500 mg/15 mL elixir?

10 mL Signup and view all the answers

What position should a client be instructed to lie in while administering a rectal suppository?

Sim's position Signup and view all the answers

What is the nurse's response to a client who asks if aspirin can be crushed?

Crushing the pill might cause you to have a stomachache or indigestion. Signup and view all the answers

When is dimenhydrinate (Dramamine) considered effective?

When the client reports relief of nausea. Signup and view all the answers

What should a nurse be concerned about regarding a client taking acetaminophen if they also take Vicodin ES tablets?

I take three or four Vicodin ES tablets a day for severe knee and joint pain. Signup and view all the answers

How should a nurse know a client understands how to use an albuterol inhaler?

by holding a breath for 10 seconds after inhaling the medication. Signup and view all the answers

What develops if a client has been taking morphine sulfate for pain relief and reports that the usual dose is no longer effective?

tolerance to the medication Signup and view all the answers

What is the action of an expectorant in treating coughs?

stimulates secretions Signup and view all the answers

What indicates a need for further instruction by a parent administering oral medication to an infant?

Positions infant in a supine position Signup and view all the answers

What adverse effect might result from theophylline (Theo-24) treatment?

tachycardia Signup and view all the answers

What should a client taking allopurinol (Zyloprim) understand regarding hydration?

I need to drink at least 3 quarts of water a day. Signup and view all the answers

Which herbal supplement should a client with hypothyroidism avoid?

soy isoflavones Signup and view all the answers

What is the priority action for a nurse caring for a child in status asthmaticus?

Administer a short-acting β2-agonist. Signup and view all the answers

Which medications put an older adult client at risk for orthostatic hypotension? (Select all that apply)

Phenelzine sulfate (Nardil) Signup and view all the answers

What result should the nurse expect if the dose of levothyroxine (Synthroid) has been adequate?

a decrease in thyroid stimulating hormone (TSH) Signup and view all the answers

What medication should be given pre-transfusion to prevent urticaria?

diphenhydramine (Benadryl) Signup and view all the answers

What indicates a client understands the information about taking docusate sodium (Colace)?

I am to have 1 to 2 soft stools each day. Signup and view all the answers

What is an appropriate technique when opening a glass ampule?

Tap the top of the ampule, place a gauze pad or unwrapped alcohol swab around the ampule neck, and break off the top with a forward motion away from the hands. Signup and view all the answers

What should a nurse document if a client refuses medication?

Document that the client refuses the medication. Signup and view all the answers

What should a client taking ginkgo biloba inform the nurse?

For now, let's just make sure your doctor is okay with you taking it while you're in the hospital. Signup and view all the answers

What is the priority assessment before administering subcutaneous morphine?

respiratory rate Signup and view all the answers

What can help decrease dry mouth associated with diphenhydramine?

Chew on sugarless gum or suck on hard, sour candies. Signup and view all the answers

What adverse effect should a nurse teach an older adult client about aspirin therapy?

bleeding Signup and view all the answers

What manifestation suggests a client might have taken an overdose of levothyroxine?

insomnia Signup and view all the answers

What should be recognized as a primary consideration when determining the schedule of medication administration?

specific characteristics of the medications Signup and view all the answers

What indicates that a client requires more teaching about using cromolyn sodium and albuterol?

I will be sure to take the Intal four times a day before using the Proventil. Signup and view all the answers

What finding should the nurse monitor for after administering nalbuphine?

blurred vision Signup and view all the answers

What should a nurse understand about acute pain?

Increased heart rate Signup and view all the answers

What should a nurse assess for if a client reports pain at the IV site during vancomycin infusion?

assess the patency of the IV site Signup and view all the answers

What should be the nurse's priority response to a client taking bisacodyl (Dulcolax) for bowel movement?

How long have you been taking the Dulcolax? Signup and view all the answers

What is the contraindication for a female client taking aspirin?

history of gastric ulcers Signup and view all the answers

What should a nurse recommend to minimize adverse effects of calcium carbonate?

take this medication with water Signup and view all the answers

What medication might be contributing to an older adult client's falls?

alprazolam (Xanax) Signup and view all the answers

What is an appropriate action during the Z-track technique for medication administration?

aspirate for 5 to 10 seconds. Signup and view all the answers

What is a priority action before administering a medication via intramuscular injection?

check the respiratory rate Signup and view all the answers

What should be done if the serum potassium level is 5.2 mEq/L before administering potassium chloride?

Call the prescribing physician and inform her of the client's serum potassium level results. Signup and view all the answers

Study Notes

Medication Administration Guidelines

Bisacodyl (Dulcolax) should be lubricated before inserting just beyond the internal sphincter.
For phenytoin (Dilantin), inform clients that alcohol increases the chance of toxicity.
Administer rectal suppositories in Sim's position.

Iron Supplementation

Instruct clients with anemia to take liquid oral iron with orange juice to enhance absorption.

Safe Medication References

Reliable references for safe medication administration include published journals, pharmacists, and the Physicians' Desk Reference.

Asthma Management

Montelukast (Singulair) should be taken once daily in the evening for asthma.
Albuterol (Proventil) prevents wheezing, opens airways, and decreases coughing.
Cromolyn sodium (Intal) should be taken before albuterol, but not four times daily without consulting a provider.

Pain Management

Monitor pain levels effectively; a 0 rating on the pain scale indicates therapeutic success after morphine sulfate administration.
The usage of nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen should occur after meals to minimize gastric irritation.

Side Effects and Adverse Reactions

Common side effects of diphenhydramine (Benadryl) include sedation; strategies to mitigate it involve dosing at bedtime.
Monitor for signs of phlebitis: erythema, throbbing, warmth at the insertion site, and streak formation.

Medication Interactions

Advise clients to avoid grapefruit juice due to high food-drug interaction risk.
Laxatives are contraindicated for clients with small bowel obstructions.
Aspirin use is contraindicated in clients with a history of gastric ulcers.

Patient Education

Nystatin (Mycostatin) should be held in the mouth as long as possible for effectiveness in treating oral candidiasis.
Hydration is vital while taking allopurinol (Zyloprim); aim for 3 quarts of water a day.
Explain docusate sodium (Colace) is intended to produce 1-2 soft stools per day.

Monitoring and Assessments

Assess respiratory rates before administering medications like morphine and meperidine (Demerol).
Evaluate falling risks in older adults related to medications like alprazolam (Xanax).

Injection and Dosage Calculations

Convert 0.8 grams to 800 mg by moving the decimal three places right.
Calculate correct dosages; for hydrocodone/acetaminophen (Lortab), 10 mL is needed when 5 mg is prescribed from a 7.5 mg/500 mg/15 mL elixir.

Herbal Remedies Awareness

Ginkgo biloba use should be verified with a healthcare provider before hospital admission.

Conclusion of Client Refusals

Document any client refusals of medication to maintain accurate medical records.

Safe Administration Techniques

Use the Z-track technique correctly by aspirating for 5-10 seconds before injection.

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Description

Test your knowledge on essential pharmacology concepts with these flashcards from the ATI Capstone Pharmacology Assessment 2. Each card offers critical guidelines and scenarios related to medication administration, particularly for bisacodyl and other medications for specific patient needs. Ideal for nursing students preparing for exams.