ATI Pharmacology 2019 B STUDYGUIDE

working practice solution 2020

1) A nurse is caring for a pt who is receiving Haloperidol. The nurse should identify which of the following findings as an adverse

effect of the med?

-Akathisia = CORRECT ANSWER

An adverse effect associated with haloperidol is the development of extrapyramidal manifestations such as dystonia,

pseudoparkinsonism, and akathisia.

-Paresthesia

Haloperidol, an antipsychotic neuroleptic medication, can cause CNS adverse effects such as seizures, confusion, and

neuroleptic syndrome. However, paresthesia is not an adverse effect of haloperidol.

-Excess tear production

Haloperidol has anticholinergic properties that can cause sensory adverse effects such as increased intraocular pressure,

blurred vision, and dry eyes.

-Anxiety

Haloperidol can be prescribed to treat severe agitation as well as psychotic manifestations.

2) A nurse is providing teaching to a pt who is to start taking Sumatriptan. Which of the following adverse effects should the nurse

instruct the pt to monitor for and report to the provider?

-Chest pressure= CORRECT ANSWER

Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The client should report

chest pressure or heavy arms to the provider.

-White patches on the tongue

White patches on the tongue can indicate a fungal infection, which is not an adverse effect of sumatriptan.

-Bruising

Ecchymosis can indicate thrombocytopenia, which is not an adverse effect of sumatriptan.

-Insomnia

Sumatriptan can cause drowsiness and sedation as an adverse effect of the medication.

3) A nurse is teaching a pt who is starting to take Amitriptyline. Which of the following findings should the nurse include in the

teaching as an adverse effect of the med?

-Diarrhea

Constipation is an adverse effect of amitriptyline.

-Cough

Developing a cough is not an adverse effect of amitriptyline.

-Urinary retention = CORRECT ANSWER

The nurse should instruct the client that amitriptyline causes the anticholinergic effect of urinary retention.

-Increased libido

A decrease in libido is an adverse effect of amitriptyline.

4) A nurse is assessing a pt who is taking Tamoxifen to treat breast cancer. Which of the following findings is the priority for the

nurse to report to the provider?

-Hot flashes

The client is at risk for hot flashes as an adverse effect of tamoxifen; however, another finding is the priority to report to the

provider. The nurse should encourage the client to avoid caffeine and spicy foods to prevent hot flashes.

-Gastrointestinal irritation

The client is at risk for gastrointestinal irritation (GI) as an adverse effect of tamoxifen; however, another finding is the

priority to report to the provider. The nurse should administer the medication with food or fluids to reduce GI irritation.

-Vaginal dryness

The client is at risk for vaginal dryness as an adverse effect of tamoxifen; however, another finding is the priority to report

to the provider. The nurse should encourage the client to use vaginal moisturizers if dryness occurs.

-Leg tenderness = CORRECT ANSWER

The greatest risk to this client is the development of a thromboembolism, which is an adverse effect of tamoxifen. The

nurse should also monitor the client for other manifestations of a thromboembolism, including leg tenderness, redness,

swelling, and shortness of breath