ATI Pharmacology Pre-Assessment Quiz

Pharmacology Pre-Assessment Quiz A client has been prescribed metoclopramide. Which of the following should the nurse include in client education regarding this medication? Select one: a. Notify your provider if you ...

Pharmacology Pre-Assessment Quiz A client has been prescribed metoclopramide. Which of the following should the nurse include in client education regarding this medication? Select one: a. Notify your provider if you experience restlessness or spasms of the face or neck. An adverse effect of Reglan is extrapyramidal symptoms. The client should stop the medication and notify the provider if these occur. b. This medication can cause urinary frequency. c. Decrease your fluid intake while taking this medication. d. This medication can cause insomnia. A 52-year-old client with a history of angina has been prescribed transdermal nitroglycerin. Which of the following adverse effects is not seen with this therapy? Select one: a. Headache b. Orthostatic hypotension c. Tolerance d. Productive cough Correct – Nitroglycerin therapy does not directly have an effect lung function. Physiologically, vasodilation should effect capillary perfusion and decrease lung secretions. A nurse is caring for a client prescribed montelukast. Which of the following should the nurse include in teaching related to this medication? Select one: a. Advise client to take the medication once daily at bedtime. Clients should take montelukast once daily at bedtime. b. If the client forgets to take the medication for a few days he can double up on doses to catch up. c. Avoid dairy products while taking this medication. d. This medication is for acute management of asthma A nurse is caring for a client prescribed ferrous sulfate for the treatment of anemia. Which of the following instructions should be included in client teaching about this medication? Select one: a. Take the medication on an empty stomach to maximize absorption. The nurse should instruct the clients to take iron on an empty stomach, such as 1 hr before meals to maximize absorption. Stomach acid increases absorption. If GI adverse effects occur, the client can take with food to increase adherence to therapy even though absorption is also decreased. b. Take prescribed antacids at the same time as this medication. c. Decrease dietary fiber intake while taking this medication. d. Notify your provider if your stool becomes dark green. A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe? 42 Units Each order of for units of insulin is combined in the same syringe. The nurse should withdraw the regular insulin into the syringe first. A nurse is caring for a client receiving patient-controlled analgesia (PCA). Which of the following interventions should the nurse take while caring for this client? Select one: a. Increase client's 4-hr limit as needed. b. Encourage the client to use the PCA before dressing changes. The nurse should encourage the client to use the PCA prophylactically prior to activities that are likely to augment pain levels. c. Advise the client to use the pump sparingly to prevent addiction. d. Encourage the client's family to administer PCA while client is sleeping. A nurse is reviewing the medication class, benzodiazepines. The nurse would use caution when administering benzodiazepines to which of the below clients? Select one: a. A client with insomnia. b. A client with renal failure. c. A client with hypertension. d. A client with glaucoma. Correct – benzodiazepines can increase intraocular pressure due to the pupil-dilating effects of the Medication. A client has been prescribed lisinopril. Which of the following medication interactions should the nurse instruct this client about? Select one: a. Escitalopram b. Potassium supplements Correct. Potassium supplements and potassium-sparing diuretics increase the risk of hyperkalemia in clients taking ACE inhibitors such as lisinopril. Clients should only take potassium supplements if prescribed by the provider. Clients should also avoid salt substitutes that contain potassium. c. Magnesium supplements d. Ciprofloxacin A client has been prescribed vasopressin for the treatment of diabetes insipidus. What is the expected pharmacological action of this medication? a. To stimulate the pancreas to secrete insulin. b. To increase blood pressure. c. To slow the absorption of glucose in the intestine. d. To increase reabsorption of water in the renal tubules. The expected pharmacological action is to promote reabsorption of water within the kidney A nurse is caring for a client receiving a dopamine infusion via a peripheral IV. Which of the following actions should the nurse take if the IV site appears infiltrated? Select one: a. Apply a warm compress to the site. b. Apply a cold compress to the site. c. Slow the infusion and continue to monitor the site. d. Stop the infusion. Correct. If infiltration is suspected, the infusion should be stopped. Necrosis can occur from extravasation of high doses of dopamine. Extravasation can be treated with local injection of an alphaadrenergic blocking agent, such as Phentolamine. A nurse is caring for a client newly prescribed doxazosin mesylate. Which of the following instructions should the nurse include in client education regarding taking the first dose of this medication? Select one: a. There is no need to avoid normal activities. b. Change positions slowly and lie down if dizziness occurs. First-dose orthostatic hypotension can occur with Cardura. The nurse should instruct clients to change positions slowly and to lie down if feeling dizzy, lightheaded or faint. c. Do not eat green leafy vegetables. d. Avoid dairy products while taking this medication A nurse have provided education to a client regarding prescribed levothyroxene sodium. What of the following client statements demonstrates understanding of medication administration? Select one: a. "I should take my medication as needed to alleviate symptoms." b. "I should take the medication on a full stomach." c. "I should take the medication in the morning to prevent insomnia." Synthroid should be taken once in the morning to preventinsomnia. d. "I should take the medication in divided doses to ensure therapeutic drug levels." A 55-year-old client has levothyroxine ordered. Which of the below past medical history concerns may contraindicate with her medication management of hypothyroidism? Select one: a. Peripheral Vascular Disease b. Osteoporosis Correct: There is an increased risk for fractures, especially in older adults. c. Asthma d. Scleroderma A nurse is preparing to administer an intramuscular injection to an adult client. At what angle should the nurse administer the medication using the ventrogluteal site? Select one: a. a 45 degree angle b. A 90 degree angle IM injections should be administered at a 90 degree angle. c. a 75 degree angle d. a 60 degree angle