ATI PN Pharmacology Online Practice 2014 B-with verified answers
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1. A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. What is a contraindication to receiving celecoxib? History of myocardial infarction or hea... rt disease Rationale: Celecoxib increases the risk of MI because of increased vasoconstriction and platelet aggregation. 2. A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. What instructions should the nurse include in the teaching? Maintain a consistent sodium intake Rationale: The client should not take lithium on an empty stomach, this will help reduce GI upset. Hypothyroidism and polyuria might occur while taking lithium. The client should maintain a consistent sodium intake while taking lithium. Decreased serum sodium levels cause lithium excretion to decline which can lead to toxicity 3. A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. What action should the nurse take to counteract the adverse affects of this medicine? Help the client to apply sunblock before going outside. Rationale: Chlorpromazine increases skin sensitivity to ultraviolet light and to the risk of sunburn. Applying sunblock will counteract this adverse affect. This drug also causes constipation, excessive sweating. The client should also take with food or fluid to minimize GI upset. 4. A nurse is collecting data from a client who has been taking levodova/carbidopa. What finding should indicate to the nurse that the medication is effective? The client is able to wash his face Rationale: Levodopa works by activating dopamine receptors, restoring nerve transmission for clients who have Parkinson's disease. Carbidopa enhances these effects by inhibiting the breakdown of levodopa in the intestine and periphery. This allows the client to move freely and resume ADL's 5. A nurse is caring for a client who is receiving methylprednisolone sodium succinate. What laboratory values should the nurse plan to monitor? White blood cells, Serum Potassium, Blood glucose Rationale: methylprednisolone sodium succinate can increase the clients risk for infection (WBC) methylprednisolone sodium succinate can cause hypokalemia along with fluid and sodium retention (K) methylprednisolone sodium succinate can cause increased blood glucose levels (blood glucose) 6. A nurse is reinforcing teaching with a client who has a prescription for ciproflaxcin. What instructions should the nurse include in the teaching? The client should drink 8 full glasses of water per day Rationale: The nurse should instruct the client to drink plenty of water while taking this medication. This will keep the client hydrated and prevent crystalluria of the urine. The client should also decrease exposure to sunlight, avoid taking this medication with milk because calcium levels inhibit the absorption of this medication. CONTINUED.... [Show More]
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