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Pharmacology > ATI Week 4 > Flashcards

ATI Week 4 Flashcards

1
Q

A clients is about to start taking aspirin (NSAID) [Salicylic acid] to prevent cardiovascular events. You should instruct the client to watch for and report which adverse drug reaction of aspirin (NSAID) [Salicylic acid]?

A

Petechiae (purple - red spots)

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2
Q

What is the classification: Ibuprofen

A

NSAID (COX-1 or COX-2

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3
Q

What is the classification: Morphine

A

Opioid analgesic

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4
Q

What is the classification: Naloxone

A

Opioid antagonist (antagonist block the receptor site of a cell and prevent the actions of naturally occurring body substances and hormones)

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5
Q

What is the classification: Prednisone (corticosteroid)

A

Glucocorticoid

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6
Q

A client is about to start taking oral morphine [opioid] to treat acute pain from an injury. Which of the following instructions should you include when talking with the client about taking morphine?

A
  1. Take with food
  2. Rise slowly from sitting or reclining
  3. Increase fluid and fiber intake
  4. Do not take before driving
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7
Q

A provider prescribes prednisone (corticosteroid) for a client who has Type 1 diabetes mellitus. Recognizing the risk for an adverse drug reaction to the prednisone (corticosteroid), which of the following precautions should the PCP take for the client?

A

Increase serum glucose monitoring

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8
Q

A client is about to start taking tramadol to treat moderate pain. Which of the following instruction should you include when talking with the client about taking this drug?

A

Allow 1 hr for it to take effect

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9
Q

A client who is receiving chemotherapy take allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor] prior to the chemotherapy to reduce the risk for which condition?

A

Hyperuricemia (high levels of uric acid)

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10
Q

What is the therapeutic effect: Acetaminophen

A

Fever reduction

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11
Q

What is the therapeutic effect: Morphine

A

Sedation

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12
Q

What is the therapeutic effect: Prednisone (corticosteroid)

A

Prevention of organ rejection

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13
Q

What is the therapeutic effect: Butorphanol

A

Anesthesia adjunct

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14
Q

A client arrives to the emergency room immediately following an acetaminophen overdose. Which drug should you prepare to administer?

A

Acetylcysteine

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15
Q

Butorphanol is an unsafe analgesic choice for clients who:

A

Use a fentanyl patch for chronic pain

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16
Q

A client is about to begin celecoxib (Celebrex) [COX-2] therapy for osteoarthritis. You should instruct the client to watch and report which of the following possible indication of a serious reaction to this drug?

A

Black tarry stools

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17
Q

A nurse is teaching a client who has a new prescription for allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor]. Which of the following instructions should the nurse include?

A

Avoid driving or activities that require mental alertness

18
Q

A nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients?

A

A client who had a cholecystectomy

19
Q

A nurse reviewing the drug list for a client who has a new prescription for allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor]. The nurse should identify that which of the following drugs interacts with allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor]?

A

Warfarin (Coumadin)

20
Q

A nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions?

A
  1. Nausea
  2. Dizziness
  3. Headache
21
Q

A nurse is caring for a client who has a prescription for aspirin (NSAID) [Salicylic acid] to treat an ankle sprain. The nurse should instruct the client to report which of the following adverse drug reactions?

A

Weight gain

22
Q

A nurse is caring for a child who has a viral infection. The nurse should identify that which of the following drugs can increase the risk of Reye Syndrome in children who have viral infections?

A

Aspirin (NSAID) [Salicylic acid]

23
Q

A nurse is teaching a client who has a new prescription for prednisone (corticosteroid). Which of the following instructions should the nurse include:

A
  1. Discontinue the drug gradually
  2. Report illness or infection
  3. Increase intake of calcium and vitamin D
  4. Monitor signs of gastric bleeding
24
Q

A nurse is teaching a client who has a new prescription for allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor]. The nurse should instruct the client to report which of the following adverse drug reactions?

A
  1. Sore throat
  2. Vertigo (sensation of dizziness/spinning)
  3. Bruising
  4. Vision
25
Q

A nurse caring for a client who currently take furosemide and has a new prescription for prednisone (corticosteroid). The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs?

A

HypoKalemia

26
Q

A nurse is reviewing the medical record of a client who has a new prescription for tramadol. The nurse should identify that which of the following condition is a contraindication for tramadol?

A

Seizure disorder

27
Q

A nurse is caring for a client who has a new prescription for celecoxib (Celebrex) [COX-2]. The nurse should tell the client to report which of the following adverse drug reactions?

A

Chest pain

28
Q

A nurse is reviewing the medical record of a client who has a new prescription for celecoxib (Celebrex) [COX-2]. The nurse should identify that which of the following condition is a contraindication to celecoxib (Celebrex) [COX-2]?

A

Sulfonamide allergy (synthetic drugs that prevent pathogenic bacteria from multiplying)

29
Q

A nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity?

A
  1. Diaphoresis (sweating)
  2. Nausea
  3. Diarrhea
30
Q

A nurse is teaching a client who is taking allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor] about minimizing adverse effects. Which of the following instructions should the nurse include?

A

Eat a small meal before taking the drug

31
Q

A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include?

A
  1. Increase fiber and fluid intake
  2. Take the drug with food
  3. Avoid driving after taking the drug
  4. Change positions gradually
32
Q

A nurse is caring for a client who is opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestation of abstinence syndrome?

A
  1. Vomiting
  2. Abdominal cramps
  3. Hypertension
33
Q

A nurse is caring for a patient for a client who is receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions:

A
  1. Urinary retention
  2. Respiratory depression
  3. Sedation
  4. Orthostatic HYPOtension
34
Q

A nurse is caring for a patient who has a new prescription for prednisone (corticosteroid) for long-term treatment of RA. The nurse should monitor the client for which of the following drug reactions?

A

Bone loss (prednisone [glucocorticoid] can cause osteoporosis with long-term use)

35
Q

A nurse is caring for a client who is taking allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor] to treat gout. The nurse should monitor the client for which of the following manifestation of HYPERsensitivity syndrome?

A

Fever

36
Q

A nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following adverse drug reactions:

A
  1. Increased respiratory rate
  2. Increased pain
  3. Ventricular arrhythmias
  4. Hypertension
37
Q

A nurse is planning care for a client who has started taking prednisone (corticosteroid). Which of the following interventions should the nurse include?

A

Monitor the clients blood glucose

38
Q

A nurse is caring for a client who asks about taking acetaminophen. The nurse should identify that acetaminophen is indicated for which of the following conditions?

A
  1. To reduce fever

2. To relieve mild pain

39
Q

A nurse is caring for a client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism?

A
  1. Fever
  2. Tinnitus
  3. Diaphoresis
  4. Dizziness
40
Q

A nurse is caring for a client who takes low-dose aspirin to prevent cardiovascular events. The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis. Which of the following responses should the nurse make?

A

Ibuprofen will reduce the cardioprotective effect of low-dose aspirin

41
Q

A nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is a contraindication for acetaminophen?

A

Alcohol use disorder

Pharmacology (55 decks)

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