ATI Pharm Flashcards
What allergy should the nurse ask prior to administering the influenza vaccine
Allergy to eggs
What allergy should the nurse ask about prior to administering the HPV vaccine
Yeast
What is methadone
Methadone substitution is an oral opioid agonist that replaces the opioid to which the client has a physical dependence,commonly used for withdraw and opioid dependence
What is the antidote for Methadone overdose
Naloxone
What is Buprenorphine
Buprenorphine is an agonist-antagonist opioid used for withdrawal and maintenance.
It is substituted for the opioid to which the client has a physical dependence and prevents withdrawal manifestations.
Decreases feelings of craving and can be effective in maintaining adherence.
Considered safer than methadone due to a decreased risk for respiratory depression and
What is clonidine
clonidine assists with withdrawal effects related to autonomic hyperactivity (diarrhea, nausea, vomiting).
Clonidine therapy does not reduce the craving for opioids.
A nurse is reinforcing teaching a client who has a prescription for clonidine to assist with maintenanceof abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects?
Dizziness
True or false Zoster vaccine: A 2-dose series is recommended for adults 50 years and older. Second doses should be administered 2 to 6 months after the first.
True
A nurse is caring for a client who has a prescription for levothyroxine. Which of the following findings indicates client toxicity and should be reported to the provider?
Nervousness
What is the main manifestation to a penicillin allergic reaction ?
Flushing of the face
What are adverse effects for a patient taking enalapril ?
dry persistent nonproductive cough
A nurse is caring for a client who just started a blood infusion. Which of the following actions should the nurse take when monitoring this transfusion?
Observe the first 15 minutes
A nurse is monitoring a client who is receiving patient-controlled analgesia (PCA) for pain management.
Monitor the amount of medication the patient uses
nurse is caring for a client who is receiving their first dose of intravenous cefazolin. Which of the following should the nurse identify as an allergic reaction to this medication
Wheezing
nurse is caring for a client who is being transferred from acute care to a skilled-care facility. Which of the following information should the nurse provide when reconciling the client’s medications?
A list of medications prescribed upon discharge to the skilled care facility
expected outcomes of hyperthyroidism medication ?
The clients productions of thyroid hormone will be blocked
Manifestations of a allergic reaction to vancomycin
Red mans syndrome
A nurse is reviewing the medication record for a client who has heart failure, is receiving furosemide, and is taking lithium for a history of bipolar disorder. The nurse should monitor the client for which of the following interactions?
hyponatremia.
Explanation:
Furosemide is a loop diuretic, which can cause significant diuresis (increased urination) and electrolyte loss, including sodium. Lithium, while not directly causing hyponatremia, can exacerbate the diuretic effect of furosemide due to its potential to promote polyuria (excessive urination)
A nurse is monitoring a client’s response to oral morphine for pain. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect of the morphine?
Excessive drowsiness
What finding shows that levothyroxine is effective
Weight loss
A nurse is reinforcing teaching with a client who has active pulmonary tuberculosis and is prescribed rifampin and isoniazid PO daily. The client asks the nurse why they have to take two medications. Which of the following responses should the nurse make?
The nurse should inform the client that taking a combination of two or more antituberculosis medications, such as rifampin and isoniazid, decreases the risk for the tuberculosis bacillus becoming resistant to the medication. Using two or more medications also reduces the chance for relapse of the tuberculosis.
A nurse is reinforcing teaching with a client who has a new prescription for enalapril to treat hypertension. For which of the following adverse effects should the nurse instruct the client to monitor?
Swelling of the face
A nurse is collecting data from a client who is taking digoxin. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of the medication?
Im having trouble reading the newspaper. blurred vision is a sign of digoxin toxicity
A nurse is collecting data from a client who has peptic ulcer disease and a new prescription for metronidazole. Which of the following questions should the nurse ask the client prior to initiation of this medication?
Do you drink alcohol
nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. The nurse should instruct the client to notify the provider immediately for which of the following adverse effects?
Anxiety
lithium
Nitroglycerin
A nurse is caring for a client who has a fractured tibia as a result of a fall. The x-ray shows that the bone is splintered into several pieces around the shaft. The nurse should recognize this is a finding for which of the following types of fractures?
Correct. A comminuted fracture involves the bone breaking into multiple fragments or pieces.
A nurse is caring for a client who recently had a permanent pacemaker placed. The nurse is reinforcing teaching following the initial pacemaker check. Which of the following statements by the client indicates understanding?
I will let my dentist know that I have a pacemaker” as it highlights the importance of informing healthcare providers about the device to ensure safe procedures
A nurse is inspecting a lesion on a client who has basal cell carcinoma. Which of the following findings should the nurse expect?
a pearly shinny nodule
A nurse is collecting data on a client who has a femur fracture. Which of the following findings is a manifestation of fat embolism syndrome?
Petechiae over the client’s chest is a manifestation of fat embolism syndrome.
Explanation:
Fat embolism syndrome (FES) occurs when fat globules enter the bloodstream following a traumatic injury, such as a femur fracture. These fat globules can travel to various organs, including the lungs, brain, and skin. One of the characteristic signs of FES is the presence of a petechial rash, which appears as small, red, pinpoint dots on the skin, often seen on the chest and upper body.
A nurse is reinforcing teaching about warfarin with a client who has a new onset of atrial fibrillation.
warfarin helps prevent strokes to clients that have a-fib
A nurse is providing care for a client who is at 28 weeks of gestation. The client has placenta previa and is actively bleeding. Which of the following medications should the nurse expect the provider to prescribe?
What is Methylergonovine?
Methylergonovine is a semi-synthetic ergot alkaloid that causes rapid and sustained contraction of the uterine smooth muscle, helping to control bleeding.
what is dilation for
Dilantin(phenytoin) is one of the first anticonvulsant medications1 as it was developed in the early 1900s. Its major uses are for the prevention of seizures, particularly tonic-clonic seizures (that affect the entire brain) or partial seizures (seizures that affect only half of the brain or one area
A nurse is reinforcing teaching to a client about how to perform fecal occult blood testing for screening of colorectal cancer. Which of the following statements by the client indicates a need for further teaching?
I will continue my low-dose aspirin therapy regimen.
"”I will refrain from eating raw fruits and vegetables.
"”I will avoid steak and other red meats.”
“I will urinate before I collect a stool specimen.”
I will continue my low-dose aspirin therapy regimen.
NSAIDs and aspirin interfere with this testing. This statement indicates a need for further teaching.
