Post-Assessment ATI 2

Terms in this set (2)

Pharmacology Post Assessment Answers

What class of medication is amitriptyline (Elavil) and why is this medication used as an adjuvant medication for pain?

ANSWER 1
Part 1- Amitriptyline is a tricyclic atidepressant.
Part 2- It is indicated for chronic pain syndromes such as fibromyalgia, neuropathic/chronic pain, headache, and low back pain.
(Davis's Drug Guide for Nurses 14th Edition)

​What are anticholinergic adverse effects and what are nursing interventions/client education points related to these?

ANSWER 2
Part 1- Anticholinergic effects are a result of the muscarinic receptor blockade. Most effects are seen in the eyes, smooth muscles, exocrine glands, and the heart.
Part 2- Teach clients how to manage these effects. Dry mouth can be relieved by sipping on liquids. Photophobia can be managed by use of sunglasses. Urinary retention may be reduced by urinating before taking the medication.
(RN Pharmacology for Nursing 6.0 Chapter 5)

​A nurse is preparing to administer gentamicin to a client. What are three (3) contraindications/precautions for this medication?

ANSWER 3
1.) Impaired renal function
2.) Previous allergic reaction
3.) Pregnancy
(Mayo Clinic)

​A nurse is preparing to administer lorazepam (Ativan) to a client. List three (3) indications for the use of this medication.

ANSWER 4
1.) Seizure disorders
2.) Insomnia
3.) Muscle spasm
(RN Pharmacology for Nursing 6.0 Chapter 7)

​A client has been prescribed the bisphosphonate medication, ibandronate (Boniva) for the treatment of postmenopausal osteoporosis. What information should the nurse provide regarding the prevention of esophagitis when taking this medication?

ANSWER 5
-Instruct client to sit upright or ambulate for 30 minutes after taking this medication orally.
-Remain upright and do not ingest food or other medications for 1 hour after taking the medication.
-Instruct client to take tablets with at least 8 ounces of water and liquid formulation with at least 2 ounces.
(RN Pharmacology for Nursing 6.0 Chapter 34)

​An oncology client has been prescribed fluorouracil (Adrucil) therapy. What is a potential adverse effect of this medication and nursing interventions to monitor for this effect?

ANSWER 6
Bone marrow suppression(low WBC count or neutropenia, bleeding caused by thrombocytopenia or low platelet count, and anemia or low RBC's)
-Monitor WBC, absolute neutrophil count, platelet count, HgB, and Hct.
-Assess clients for bruising and bleeding gums.
-Instruct clients to avoid crowds and contact with infectious individuals.

GI discomfort (nausea and vomiting)
-Administer antiemetic such as ondansetron in combination with dexamethasone or metoclopramide before beginning chemotherapy.
(RN Pharmacology for Nursing 6.0 Chapter 42)

​A client has been prescribed leuprolide (Lupron) for the treatment of prostate cancer. What are three (3) potential adverse effects of leuprolide and nursing interventions/client education related to these effects?

ANSWER 7
Hot flushes, decreased libido, and gyecomastia
-Warn clients about adverse effects. Adverse effects may be transient.
Decreased bone density
-Advise clients to increase calcium and vitamin D intake.
-Advise client to increase bone mass with weight-bearing exercises.
Arrhythmias, pulmonary edema
-Monitor for arrhythmias and assess breath sounds.
(RN Pharmacology for Nursing 6.0 Chapter 42)

​A nurse has administered desmopressin (DDAVP) to a client with diabetes insipidus. What is the expected outcome of this medication?

ANSWER 8
-Prevention of nocturnal enuresis
-Maintenance of appropriate body water content in diabetes insipidus
-Control of bleeding in certain types of hemophilia or von Willebrand's disease
(Davis's Drug Guide for Nurses 14th Edition)

​A client has been prescribed timolol (Timoptic). What are three (3) possible adverse effects of this medication and nursing interventions/client education related to these effects?

ANSWER 9
Reports of temporary stinging discomfort in the eye immediately after drop is instilled.
-Educate clients that this effect is transient.
Occasional conjunctivitis, blurred vision, photophobia, dry eyes
-Instruct client to report these effect to the provider.
Systemic effects of beta blockade on heart and lungs may occur.
-Warn clients that overdose could cause or increase the chance of systemic effects.
-When taking beta1 blockers, clients should monitor pulse rate for bradycardia.
-Use beta1 blockers for clients who have chronic respiratory disease.
(RN Pharmacology for Nursing 6.0 Chapter 14)

​A client has been prescribed sulfasalazine (Azulfidine) for the treatment of irritable bowel syndrome. What are potential adverse effects of this medication?

ANSWER 10
-Blood disorders including agranulocytosis, hemolytic and macrocytic anemia
-Nausea, cramps, rash, arthralgia
(RN Pharmacology for Nursing 6.0 Chapter 29)

​An oncology client is prescribed filgrastim (Neupogen). What are the indications for this therapy?

ANSWER 11
-Prevention of febrile neutripenia and associated infection in patients who have recieved bone marrow-depressing antineoplastics for the treatment of nonmyeloid malignancies
-Reduction of time for neutrophil recovery and duration of fever in patients undergoing induction and consolidation chemotherapy
-Mobilization of hematopoietic progenitor plantation
-Management of severe chronic neutropenia
(Davis's Drug Guide for Nurses 14th Edition)

​A nurse is placing an IV line on an older adult client. List three (3) considerations the nurse should take when placing an IV line in this client?

ANSWER 12
-Use a smaller gauge needle such as a size 22.
-Use minimal tape to avoid irritating or traumatizing the skin.
-Use an arm board for restless or confused patients.
(ATI Module Intravenous Therapy)

​A client receiving methyldopa (Aldomet) for blood pressure control. List three (3) adverse effects of this medication.

ANSWER 13
-Drowsiness and sedation
-Dry mouth
-Rebound hypertension if abruptly discontinued
(RN Pharmacology for Nursing 6.0 Chapter 20)

​A client is prescribed metoprolol (Lopressor) for hypertension. List three (3) expected pharmacological actions of metoprolol (Lopressor)?

ANSWER 14
-Decreased heart rate
-Decreased myocardial contractility
-Decreased rate of conduction through the AV node
(RN Pharmacology for Nursing 6.0 Chapter 20)

​A critical care client is in need of adenosine (Adenocard). What is the indication of this medication and how is this medication administered?

ANSWER 15
Part 1- Decrease electrical conduction through the AV node
Part 2-It should be administered through intravenous bolus, flushed with saline following administration.
(RN Pharmacology for Nursing 6.0 Chapter 23)
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