ATI CAPSTONE PHARM 1-2 CORRECT QUESTIONS AND ANSWERS

ATI CAPSTONE PHARM 1-2

CORRECT QUESTIONS AND ANSWERS

1.       A nurse is teaching a client who will start using transdermal fentanyl. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

a.       “I can take an oral analgesic for breakthrough pain.”

i.      Fentanyl is a transdermal opioid agonist for managing persistent, moderate to severe chronic pain. It takes up to 24 hours after the client applies the patch for medication levels to reach their peak. Use short-acting analgesics to treat acute or breakthrough pain.

2.       A nurse is teaching a client who has a new prescription for levodopa-carbidopa. Which of the following instructions should the nurse include in the teaching?

a.       Report muscle twitching to your provider

i.      Levodopa-carbidopa can cause dyskinesias with toxicity and to report muscle twitching, tremors and spastic winking

3.       A nurse is caring for a client who has primary hypothyroidism and has been taking levothyroxine for 8 weeks. The current thyroid stimulating hormone (TSH) level is 5.2 microunits/mL. The nurse should expect which of the following prescriptions regarding the client’s medication?

a.       Increase in the dosage

i.      A TSH of 5.2 is above the expected reference range, which indicates the thyroid hormone level is not adequate (so the TSH is trying to increase to compensate and release more thyroid hormone.) Increase the dosage to achieve a therapeutic TSH, undergo lab testing in 6-8 weeks after dosage increase to reassess the TSH level

A nurse is assessing a client who has chronic pain disorder and is requesting pain medication. Which of the following findings should the nurse identify as the most reliable indicator of the client’s