ATI Pharmacology Proctored Exam

 Qwivy | Qwivy.com | www.qwivy.com

Nurse notes MD has doubled previous dose

- Check w/MD

Meds given on regular schedule

- Routine order

Client diagnosed with malignant hyperthermia caused by (Anectine) succinylcholine

should be given...

- Dantrium, to slow the metabolic activity of the muscles

Side effect of Epogen

- Hypertension

Given to correct clotting disorders

- Fresh Frozen Plasma

K+ levels

- 3.5 - 5.0

Abrupt withdrawal from baclofen cause...s

- Seizures

Ditropan treats:

- Urge to void

nocturia 

Valium

- Monitor for respiratory depression

Minimize risk of catheter embolism

- Once in vein, never put stylet back through the catheter

Symptoms of fluid overload

- Shortness of breath

 Qwivy | Qwivy.com | www.qwivy.com

- crackles in lungs

- distended neck veins

Concurrent use of coumadin and aspirin.....

- Increases risk of bleeding

First dose of penicillin, client says rash developed last time they took it....

- Withhold and notify MD

When administering antihypertensives, teach the client,

- Change positions slowly (orthostatic hypotension)

Fewer protein-binding sites (infant)...

- Medication effects will be increase w/greater potential of toxicity

A client taking Buspar for 3 days calls and says not helping to sleep or w anxiety. Nurse

response...

- Initial response to Buspar takes 1 week. Several weeks to reach therapeutic

peak 

Client taking Paxil complains of teeth grinding (Bruxism). Nurse response...

- Add Buspar

- use a mouthguard

 Qwivy | Qwivy.com | www.qwivy.com

- any SSRI caused bruxism, so change class

Client taking Nardil for depression should be monitored for...

- Orthostatic hypotension (all maois can cause orthostatic hypotension)

Side effects of Elavil

- Orthostatic hypotension

- Dry mouth

Drug glass that interacts with tyramines

- Moais

Adverse effect of Prozac

- Sexual dysfunction

Signs of serotonin syndrome

- Change in mental status, tremors, hyperreflexia

Lithium level

- 0.4 - 1.0

Nsaids interact with...

- Lithium

 Qwivy | Qwivy.com | www.qwivy.com