Questions 45

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ATI Pharmacology NRSG 106 Fletcher Exam Questions

Question 1 of 5

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

Correct Answer: A

Rationale: Theophylline, a methylxanthine, stimulates the heart, potentially causing tachycardia, a key adverse effect to monitor, making option A correct.

Question 2 of 5

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Injecting air into the regular insulin vial first equalizes pressure and prevents contamination of the regular insulin with NPH, ensuring accurate dosing, making option B the correct first step.

Question 3 of 5

A woman visits a health center requesting oral contraceptives. Which laboratory test is most important for the nurse to assess before the patient begins oral contraceptive therapy?

Correct Answer: D

Rationale: A pregnancy test is critical before starting oral contraceptives to rule out pregnancy, as they are contraindicated in pregnant women, making option D the most important test.

Question 4 of 5

A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?

Correct Answer: D

Rationale: Insulin glargine is a long-acting insulin that provides a steady, continuous level of insulin for up to 24 hours, typically administered once daily. The correct duration is 18 to 24 hours, making option D accurate.

Question 5 of 5

A nurse is teaching a client who is to begin taking tamoxifen to treat breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication?

Correct Answer: B

Rationale: Tamoxifen increases the risk of thromboembolic events, such as clots, a serious adverse effect to monitor, making option B the expected finding.

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