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ATI NURS 180 PHARMACOLOGY QUIZ

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Total Questions : 24

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Question 1:

A charge nurse is teaching a group of nurses about the antagonist action of reversal medications. For each medication listed below, click to specify the expected reversal agent.

Answer and Explanation

Explanation

Digoxin: The correct reversal agent for digoxin toxicity is Digibind (also known as digoxin immune Fab). This agent binds directly to digoxin, forming an inactive complex that the kidneys excrete, effectively reducing digoxin’s toxic effects.

Warfarin: Vitamin K acts as an antidote to warfarin by promoting clotting factor synthesis in the liver, counteracting warfarin’s anticoagulant effects. This reversal is particularly important in cases of bleeding or excessively high INR.

Beta blockers: Glucagon is used as a reversal agent in beta blocker overdose, as it increases heart rate and myocardial contractility by activating a pathway independent of beta-adrenergic receptors, which helps to mitigate severe bradycardia and hypotension.

Heparin: Protamine sulfate serves as the antidote for heparin, neutralizing its anticoagulant effect. Protamine binds with heparin to form a stable complex, reducing the risk of bleeding in cases of heparin overdose.


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Question 2:

The nurse is caring for a client who suffers from frequent blood clots and is currently taking argatroban. Which of the following conditions in the client's medical history would require them to take argatroban?

Answer and Explanation

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Question 3:

A client presents to the emergency healthcare setting and diagnosed with a life-threatening ventricular dysrhythmia. Which of the following medications would the nurse begin to prepare?

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Question 4:

The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which response by the nurse is the most appropriate?

Answer and Explanation

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Question 5:

A client with hypertension and benign prostate hyperplasia is prescribed doxazosin (Cardura). Which of the following statements below would the nurse emphasize regarding doxazosin (Cardura)?

Answer and Explanation

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Question 6:

The nurse is educating a client on the possible side effects associated with quinapril. Which of the following side effects are associated with this medication classification?
(Select All that Apply)

Answer and Explanation

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Question 7:

A client who has just experienced a pulmonary embolism is administered alteplase (Activase). Which of the following side effects associated with this medication would the nurse assess for?

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Question 8:

The nurse is caring for a client with a history of hypertension who has experienced uncontrollable non-productive cough related to an ACE inhibitor. Which alternative medication would the nurse anticipate administering?

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Question 9:

The nurse is caring for a client who is taking atorvastatin to assist in lowering his LDL cholesterol. Which lab value must be routinely done with this medication to prevent complications?

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Question 10:

A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation digoxin toxicity? (Select all that apply.)

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