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ATI PHARMACOLOGY COMPLETE SOLUTION: LATEST-2021, COMPLETE GUIDE

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ATI PHARMACOLOGY COMPLETE SOLUTION A nurse is caring for a client with many different medications who is newly prescribed acetazolamide. What medications can interact with acetazolamide? • High-dose aspirin (metabolic acidosis) • Quinidine (can increase risk of toxic effects) o Instruct client to notify provider of concurrent use and to watch for indications of toxicity, such as decreased heart rate • Lithium (decrease blood levels) o Teach clients to watch for increased indications of mania. Monitor lithium levels regularly • Phenytoin (increase osteomalacia) o Teach clients to watch for bone pain or weakness and report symptoms to provider • Sodium bicarbonate (increases risk of kidney stones) o Question clients about use of sodium bicarbonate and other OTC antacids A nurse is preparing to administer ipratropium by metered dose inhaler. What adverse effects should the nurse instruct the client to monitor for? • Local anticholinergic effects (dry mouth, hoarseness) o Advise client to sip fluids and suck on sugar-free hard candies to control dry mouth A client has a new prescription for salmeterol. The nurse is teaching the client about adverse effects of the medication. What instructions should the nurse include in thus education? • Tachycardia, angina o Advise client to observe for chest, jaw or arm pain/palpitations and to notify provider if they occur o Instruct to check pulse and to report an increase of greater than 20-30/bpm o Advise to avoid caffeine o Dosage might need to be reduced • Tremors o Usually resolve with continued medication use o Dosage might need to be reduced A nurse is caring for a client prescribed the inhaled glucocorticoid beclomethasone (QVAR) for the treatment of asthma. What is a potential adverse effect of this medication and what are two (2) teaching points to discuss to address these adverse effects? • Difficulty speaking, hoarseness, candidiasis o Advise client to rinse mouth or gargle with water after use o Advise client to monitor for redness, sores, or white patches and to report to provider if they occur. Treat candidiasis with nystatin oral suspension

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