ATI Pharmacology Practice Version 4 | 60, Questions and Answers | LATEST
1) A nurse is collecting a med history from a client who has a new prescription for Lithium. The nurse should identify that the client should di
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ATI Pharmacology Practice Version 4 | 60, Questions and Answers | LATEST
1) A nurse is collecting a med history from a client who has a new prescription for Lithium. The nurse should identify that the client should discontinue which of the following over the counter OTC medications?
-Aspirin
Although most NSAIDs interact with lithium to increase lithium levels, aspirin does not interact with lithium.
-Ibuprofen= CORRECT ANSWER
Most NSAIDs can significantly increase lithium levels. Therefore, the client should not take ibuprofen and lithium concurrently.
-Ranitidine
There are no known medication interactions between ranitidine and lithium.
-Bisacodyl
There are no known medication interactions between bisacodyl and lithium.
2) A nurse is providing teaching to a pt who has a prescription for Ergotamine sublingual to treat migraine headaches. Which of the following info should the nurse include in the instructions?
-"Take one tablet three times a day before meals."
Ergotamine, an alpha-adrenergic blocking medication, is not used prophylactically because this can result in ergotamine dependence.
-"Take one tablet at onset of migraine."= CORRECT ANSWER
The client should take one tablet immediately after the onset of aura or headache.
-"Take up to eight tablets as needed within a 24-hour period."
The client can take up to a maximum of three tablets in a 24-hr period. Excessive dosing can lead to ergotism, which can cause peripheral gangrene due to vasoconstriction and ischemia.
-"Take one tablet every 15 minutes until migraine subsides."
The client can take one sublingual tablet every 30 min for a maximum of three tablets in a 24-hr period to manage a migraine.
3) A nurse on the acute care unit is caring for a pt who is receiving Gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication?
-Constipation
Gentamicin, an aminoglycoside used to treat serious infections, can cause several gastrointestinal adverse effects, such as inflammation of the liver and spleen. However, it does not cause constipation.
-Tinnitus= CORRECT ANSWER
Aminoglycosides, such as gentamicin, are ototoxic, which can manifest as tinnitus and deafness. The nurse should monitor the client for high-pitched ringing in the ears and headaches and should notify the provider if these occur.
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