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ATI Capstone Pharmacology | Comprehensive Questions and Answers Latest Updated 2024/2025 W, Exams of Nursing

William Jessup UniversityNursing

A nurse is reinforcing teaching w/ a client who is to start taking enteric-coted naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching? - "It's okay to crush a tablet as long as I make sure it dissolves completely in water before swallowing it." Should not crush an enteric-coated tablet, because this will interfere with the coating and allow the medication to dissolve in the stomach, resulting in gastric irritation. Naproxen tablets have an enteric coating that prevents them from dissolving in the stomach. Instead, the tablets pass into the intestine where they dissolve and the client absorbs it. This prevents gastric irritation. Take the medication with meals to decease gastrointestinal distress. Might not experience the therapeutic effect for 3 to 4 weeks and to continue taking the medication.

Typology: Exams

2024/2025

Available from 01/31/2025

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ATI Capstone Pharmacology | Comprehensive Questions and Answers Latest Updated 2024/2025
With 100% Verified Solutions
A nurse is reinforcing teaching w/ a client who is to start taking enteric-coted naproxen for rheumatoid
arthritis. Which of the following client statements by the client indicates a need for further teaching? -
"It's okay to crush a tablet as long as I make sure it dissolves completely in water before swallowing it."
Should not crush an enteric-coated tablet, because this will interfere with the coating and allow the
medication to dissolve in the stomach, resulting in gastric irritation.
Naproxen tablets have an enteric coating that prevents them from dissolving in the stomach. Instead,
the tablets pass into the intestine where they dissolve and the client absorbs it. This prevents gastric
irritation.
Take the medication with meals to decease gastrointestinal distress.
Might not experience the therapeutic effect for 3 to 4 weeks and to continue taking the medication.
A nurse is collecting data from a client who is to start taking digoxin for heart failure. The nurse should
instruct the client to avoid taking which of the following herbal supplements? - St. John's wort
Taking St. John's wort concurrently with digoxin can increase excretion of the medication and thus
decrease its effectiveness.
A nurse is collecting data from a client who has been taking esomeprazole for several months. Which of
the following client statements should the nurse identify as indicating effectiveness of the medication? -
I don't have pain in my stomach anymore.
Esomeprazole is a proton pump inhibitor that treats gastric ulcers, duodenal ulcers, and
gastroesophageal reflux disease.
Esomeprazole (Nexium) is a proton pump inhibitor that works by decreasing gastric acid secretion,
thereby decreasing the gastric acidity that contributes to the symptoms of GERD. Abdominal distention
can be a result of increased gas production or decreased intestinal peristalsis. If the client states his
abdomen is no longer firm and is soft and flat, it is unlikely that he is experiencing distention. However,
because abdominal distention is not the main symptom of GERD, it is not the best indication that the
medication is working effectively.
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Download ATI Capstone Pharmacology | Comprehensive Questions and Answers Latest Updated 2024/2025 W and more Exams Nursing in PDF only on Docsity!

ATI Capstone Pharmacology | Comprehensive Questions and Answers Latest Updated 2024/ With 100% Verified Solutions A nurse is reinforcing teaching w/ a client who is to start taking enteric-coted naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching? - "It's okay to crush a tablet as long as I make sure it dissolves completely in water before swallowing it." Should not crush an enteric-coated tablet, because this will interfere with the coating and allow the medication to dissolve in the stomach, resulting in gastric irritation. Naproxen tablets have an enteric coating that prevents them from dissolving in the stomach. Instead, the tablets pass into the intestine where they dissolve and the client absorbs it. This prevents gastric irritation. Take the medication with meals to decease gastrointestinal distress. Might not experience the therapeutic effect for 3 to 4 weeks and to continue taking the medication. A nurse is collecting data from a client who is to start taking digoxin for heart failure. The nurse should instruct the client to avoid taking which of the following herbal supplements? - St. John's wort Taking St. John's wort concurrently with digoxin can increase excretion of the medication and thus decrease its effectiveness. A nurse is collecting data from a client who has been taking esomeprazole for several months. Which of the following client statements should the nurse identify as indicating effectiveness of the medication? - I don't have pain in my stomach anymore. Esomeprazole is a proton pump inhibitor that treats gastric ulcers, duodenal ulcers, and gastroesophageal reflux disease. Esomeprazole (Nexium) is a proton pump inhibitor that works by decreasing gastric acid secretion, thereby decreasing the gastric acidity that contributes to the symptoms of GERD. Abdominal distention can be a result of increased gas production or decreased intestinal peristalsis. If the client states his abdomen is no longer firm and is soft and flat, it is unlikely that he is experiencing distention. However, because abdominal distention is not the main symptom of GERD, it is not the best indication that the medication is working effectively.

Report diarrhea while taking esomeprazole because the medication can increase the risk of Clostridium difficile infection. A nurse is planning to instill ear drops to a toddler and must straighten the ear canal by pulling the auricle of the ear. The nurse should plan to pull the auricle in which of the following directions? - Down and backward The nurse should pull the auricle upward and outward to instill eardrops to children older than 4 years and adults. A nurse is reviewing the medical record of a client who has been taking simvastatin for 9 months. The client has an alanine aminotransferase (ALT) 120 units/L and aspartate aminotransferase (AST) 100 units/L. Which of the following data from the client's dietary history should the nurse report to the provider? - The client drinks grapefruit juice every evening. Grapefruit inhibits the drug-metabolizing enzyme CYP3A4. Clients taking statin medications and consuming grapefruit juice can experience medication toxicity, leading to headache, gastrointestinal disturbances, and damage to the muscles and liver. The nurse should report this finding to the provider to prevent further harm to the client. A nurse is caring for a client who has herpes zoster. Which of the following actions should the nurse take? - Prepare to administer acyclovir. Acyclovir is effective in the treatment of herpes zoster, especially if administered within the first 2 to 3 days of the eruption. Systemic corticosteroids can be used for the treatment of herpes zoster to decrease pain and attempt to prevent postherpetic pain. A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the adolescent's parent is the priority for the nurse to address? - He seems to be getting a lot more bumps and bruises lately.

A nurse is reinforcing discharge teaching with a client who has pulmonary TB and is to start taking rifampin. Which of the following info should the nurse include? - Urine and other secretions will turn orange. Rifampin will turn the urine and other secretions a harmless reddish-orange color. This includes sputum, tears, and sweat. Cause fatigue and drowsiness. Take rifampin 1 hr before or 2 hr after meals. If a client has a positive tuberculin skin test, he will always have a positive result to the test. A nurse in an urgent care center is collecting data from a client who reports taking an excessive amount of aspirin. Which of the following findings should the nurse identify as an indication of salicylism? - Tinnitus A client can develop salicylism when aspirin levels exceed therapeutic levels. Clinical manifestations include tinnitus, sweating, headache, dizziness, and hyperventilation. High doses of aspirin lead to stimulation of the respiratory center in the brain. Aspirin can result in acute, reversible renal impairment which can lead to decreased urine output, weight gain, and increased serum creatinine and BUN levels. A nurse is caring for a client who has asthma. The client asks the nurse how albuterol helps his breathing. Which of the following info should the nurse include in the response? - Prevent wheezing Open airways Decrease coughing episodes A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for prednisone. Which of the following statements indicates an understanding of the teaching? - I should expect to feel hungrier while on this medication. Prednisone causes immunosuppression. The client should be instructed that any sign of infection, including fever or sore throat, needs to be reported to the provider.

Prednisone, a glucocorticoid, might increase glucose levels. A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The nurse should reinforce to the client to take which of the following dietary supplements with this medication? - Iron Epoetin alfa treats anemia by stimulating the production of red blood cells. Supplemental iron is needed for the production of hemoglobin and red blood cells by the bone marrow. The client should take supplemental iron when taking epoetin alfa. A nurse is preparing to administer ceftriaxone 3 mL IM to an adult client. Which of the following actions should the nurse plan to take? - Locate the ventrogluteal site. When administering ceftriaxone IM, it should be injected deeply into a large muscle. The ventrogluteal site is preferred when more than 1 mL of medication is to be injected. This site contains no large nerves or blood vessels and has less subcutaneous fat than other parts of the buttock area. A 21- or 22-gauge needed should be chosen to administer ceftriaxone IM. 1.5-inch needle to administer this medication IM for most adult clients. For obese clients, a 2-inch needle might be needed to inject the medication safely into the muscle. A nurse mistakenly administers a dose of metformin within 1 hr of the previous dose. Which of the following findings should alert the nurse that the client is experiencing an adverse effect from the medication error? - Diaphoresis and tachycardia Diaphoresis and tachycardia are early manifestations of hypoglycemia. Irritability, tremulousness, anxiety, and hunger are other early manifestations of hypoglycemia. Confusion and lethargy are late manifestations of hypoglycemia. Nausea, abdominal cramping, rapid and deep respirations are manifestations of hyperglycemia. A nurse is caring for an older adult client who has a new prescription for spironolactone. Which of the following lab values should the nurse monitor for this client? - Potassium

Inject 20 units of air into the NPH insulin vial, and then withdraw the needle. Draw up 10 units of air into the syringe. Inject 10 units of air into the regular insulin vial, and then withdraw 10 units of insulin. Withdraw the needle. Reinsert needle into NPH insulin, withdraw 20 units. A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client? - Sublingual Onset of 1-3 min Transdermal patch: 30-60 min Suspended release: 20-45 min Topical: 30-60 min A nurse is reinforcing teaching with a client who is prescribed ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching? - I will expect dark, tarry stools. Ferrous sulfate is an iron supplement used to treat clients with iron deficiency anemia. A nurse is reinforcing teaching with a client who has a new prescription for codeine. Which of the following info should the nurse include in the teaching? - Change positions slowly. Codeine is an opioid analgesic that causes CNS depression and orthostatic hypotension. The client should change positions slowly to avoid the risk of falls. Can cause constipation, n/v Avoid alcohol

A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication? - White coating in the mouth Beclomethasone, an inhaled glucocorticoid, might cause oropharyngeal candidiasis. The client should gargle after each use, use a spacer to reduce the amount of the medication in the mouth and throat, and report any white patches inside the mouth or on the tongue. Tremors: oral beta2 adrenergic agonist, such as albuterol. Nausea: theophylline. Dry mouth: anticholinergic medication such as ipratropium. A nurse is caring for a client who is receiving warfarin therapy to prevent a DVT. Which of the following medications should the nurse have available in the event of an overdose? - Vitamin K Protamine: heparin Atropine: bradycardia Epinephrine: anaphylaxis A nurse is caring for a client who is schedules for surgical repair of a femur fracture and has a prescription for lorazepam preop. Which of the following statements by the client should indicate to the nurse that the medication has been effective? - I feel very sleepy. Preop doses of benzodiazepines such as lorazepam relieve anxiety and promote sedation. A nurse is caring for a client who is taking sumatriptan for migraine headaches and reports a positive pregnancy test. Which of the following responses should the nurse make? - You should discuss with your provider other migraine medications that may be safer during pregnancy. Sumatriptan is a migraine abortive medication that acts by causing vasoconstriction of cranial arteries. Sumatriptan is a category C medication in pregnancy.