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ATI PN Pharmacology 2023
Total Questions : 45
Showing 10 questions, Sign in for moreA nurse is preparing to administer vaccines to an 11-year-old child who is up to date on immunizations. Which of the following vaccines should the nurse plan to administer?
0800-
Client reports frequent cough, wheezing, and tightness of chest. Bilateral breath sounds with scattered inspiratory and expiratory wheezes
1000
Reinforced teaching about newly prescribed medications
Click to highlight the instructions the nurse should reinforce to the client. Prescribed
Medication Albuterol
Nursing Instructions
"Take your albuterol when you are having difficulty breathing."
"Hold your breath for 20 seconds when taking your albuterol."
Salmeterol
"Take the salmeterol 5 minutes before the albuterol when you need both medications."
“Take the salmeterol 2 times each day."
Fluticasone
"Rinse out your mouth after taking the fluticasone."
Take the fluticasone as needed for an asthma attack."
Explanation
Albuterol belongs to a class of medications known as beta-adrenergic agonists, specifically beta-2 selective agonists. When inhaled, albuterol binds to beta-2 adrenergic receptors located on the smooth muscle cells lining the airways in the lungs. Activation of these receptors leads to relaxation of the smooth muscles surrounding the bronchial tubes, causing them to widen (bronchodilation). By dilating the airways, albuterol helps to reduce airway resistance and increase airflow into and out of the lungs, making it easier to breathe during an asthma attack.
One should hold breath for 5 to 10 seconds after inhalation of the puff.
Salmeterol is a long-acting beta-adrenergic agonist (LABA) bronchodilator commonly used for the maintenance treatment of asthma and chronic obstructive pulmonary disease (COPD). Salmeterol is usually prescribed for twice-daily dosing.
One should wait for 2 minutes between two puffs.
Fluticasone is a corticosteroid medication that is inhaled into the lungs to reduce inflammation in the airways. If these particles remain in the mouth, they can increase the risk of developing oral thrush, which is a fungal infection caused by Candida albicans. Rinsing the mouth with water after using the inhaler helps to remove any residual medication particles, reducing the risk of oral thrush.
A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?
A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?
A nurse is collecting data from a client who has taken an overdose of oxycodone. Which of the following findings should the nurse expect?
A nurse is reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?
A nurse is reinforcing teaching about phenytoin with a client who had a tonic-clonic seizure. Which of the following information should the nurse include in the teaching?
A nurse is reinforcing teaching with a client who has a prescription for sildenafil to treat erectile dysfunction. Which of the following statements by the client indicates an understanding of the teaching?
A nurse working in an urgent care clinic is collecting data from a client who takes montelukast. Which of the following is an expected therapeutic effect of this medication?
A nurse is planning to administer a tuberculin skin test to a client who has had an exposure to tuberculosis. Which of the following actions should the nurse plan to take?
Judith: i have seen nurses do on arm with tattoos too ~ 6mos ago
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Mina: That's the answer I chose. Good! ~ 6mos ago