ATI Pharmacology Proctor 2019 Study Guide Graded A

A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects

A. urinary health promotion
B. immune system stimulation
C. decreased leg pain from arterial disease
D. prevention of nausea caused by motion sickness - A. urinary health promotion

Saw palmetto is used primarily for manifestations related to prostatic conditions, such as benign prostatic hypertrophy (BPH). Its effectiveness has not been scientifically proven, however. The nurse should teach the client to check with the provider about interactions between saw palmetto and other medications.

A nurse is providing teaching to a group of new parents about medications. The nurse
should include that aspirin is contraindicated for children who have a viral infection due
to the risk of developing which of the following adverse effects?

a. Reye's syndrome
b. Visual disturbances
c. Diabetes mellitus
d. Wilm's tumor - a. Reye's syndrome

A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching?

a. Reduces blood pressure
b. Inhibits clotting of fistula
c. Promotes RBC production
d. Stimulates growth of neutrophils - c. Promotes RBC production

A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer?

a. Ibuprofen (NSAIDS)
b. Naproxen (NSAIDS)
c. Aspirin (NSAIDS)
d. Acetaminophen (anlagesics) - d. Acetaminophen (anlagesics)

A nurse is caring for a client who has prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects?
a. Insomnia
b. Hypotension
c. Bleeding
d. Constipation - c. Bleeding

A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a severe allergy to which of the following medications as contraindication to ceftriaxone?
a. Gentamicin
b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethroprim - c. Piperacillin

A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a
contraindication to this medication?

a. Hyperthyroidism
b. Intestinal obstruction
c. Glaucoma
d. Low blood pressure - b. Intestinal obstruction

A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering?
a. Amantadine
b. Bupropion (aytpical antidepressant)
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine) - a. Amantadine

A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis.
The nurse should monitor the client for which of the following adverse effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia - d. Tachycardia

A nurse is providing teaching to a client who has UTI and new prescription for
phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching?

a. If the phenazopyridine upsets my stomach, I can take it with meals.

b. The phenazopyridine will relieve my discomfort, but the cipro will get rid of the
infections.

c. I need to drink2 liters of fluid per day while I am taking cipro.

d. I should notify my provider immediately if my urine turns an orange color. - d. I should notify my provider immediately if my urine turns an orange color.

A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following
adverse effects?
a. Ecchymosis
b. Decreased urine output
c. Increased blood pressure
d. Dizziness - d. Dizziness

A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of
the following medications?

a. Methimazole
b. Somatropin
c. Levothyroxine
d. Propylthiouracil - c. Levothyroxine

A nurse is providing teaching to a client who has a new prescription for
hydrochlorothiazide 50mg po daily to treat hypertension. Which of the following instructions should the nurse include in the teaching?

a. Take the hydrochlorothiazide as needed for edema

b. Check your weight once each week

c. Take the hydrochlorothiazide on an empty stomach

d. Take the hydrochlorothiazide in the morning. - d. Take the hydrochlorothiazide in the morning.

A nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer?
a. Oxytocin
b. Nifedipine
c. Dinoprostone
d. Misoprostol - b. Nifedipine