ATI Week 4

Question 1

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]?

Answer 1

Petechiae (purple - red spots)

Question 2

What is the classification: Ibuprofen

Answer 2

NSAID (COX-1 or COX-2

Question 3

What is the classification: Morphine

Answer 3

Opioid analgesic

Question 4

What is the classification: Naloxone

Answer 4

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

Question 5

What is the classification: Prednisone (corticosteroid)

Answer 5

Glucocorticoid

Question 6

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?

Answer 6

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

Question 7

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?

Answer 7

Increase serum glucose monitoring

Question 8

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?

Answer 8

Allow 1 hr for it to take effect

Question 9

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?

Answer 9

Hyperuricemia (high levels of uric acid)

Question 10

What is the therapeutic effect: Acetaminophen

Answer 10

Fever reduction

Question 11

What is the therapeutic effect: Morphine

Answer 11

Sedation

Question 12

What is the therapeutic effect: Prednisone (corticosteroid)

Answer 12

Prevention of organ rejection

Question 13

What is the therapeutic effect: Butorphanol

Answer 13

Anesthesia adjunct

Question 14

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

Answer 14

Acetylcysteine

Question 15

Butorphanol is an unsafe analgesic choice for clients who:

Answer 15

Use a fentanyl patch for chronic pain

Question 16

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?

Answer 16

Black tarry stools

Question 17

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?

Answer 17

Avoid driving or activities that require mental alertness

Question 18

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

Answer 18

A client who had a cholecystectomy

Question 19

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]?

Answer 19

Warfarin (Coumadin)

Question 20

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?

Answer 20

1. Nausea
2. Dizziness
3. Headache

Question 21

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?

Answer 21

Weight gain

Question 22

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?

Answer 22

Aspirin (NSAID) [Salicylic acid]

Question 23

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

Answer 23

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

Question 24

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?

Answer 24

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

Question 25

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?

Answer 25

HypoKalemia

Question 26

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?

Answer 26

Seizure disorder

Question 27

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?

Answer 27

Chest pain

Question 28

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]?

Answer 28

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

Question 29

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?

Answer 29

1. Diaphoresis (sweating) 2. Nausea 3. Diarrhea

Question 30

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?

Answer 30

Eat a small meal before taking the drug

Question 31

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

Answer 31

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

Question 32

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?

Answer 32

1. Vomiting 2. Abdominal cramps 3. Hypertension

Question 33

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:

Answer 33

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

Question 34

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?

Answer 34

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

Question 35

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?

Answer 35

Fever

Question 36

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:

Answer 36

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

Question 37

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

Answer 37

Monitor the clients blood glucose

Question 38

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?

Answer 38

1. To reduce fever | 2. To relieve mild pain

Question 39

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?

Answer 39

1. Fever 2. Tinnitus 3. Diaphoresis 4. Dizziness

Question 40

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?

Answer 40

Ibuprofen will reduce the cardioprotective effect of low-dose aspirin

Question 41

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?

Answer 41

Alcohol use disorder