ATI Pharmacology Proctored Review Exam
Patient identifiers – correct answer -Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? – correct answer ■
Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF) - Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN) - 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF - 180-200 mg/dL with (CRF)
■ Serum electrolytes - Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC) - Decreased hemoglobin
What food should you increase when taking Lasix? – correct answer -increased amounts of potassiumrich foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? – correct answer color and temperature
Sumatriptan (treats migraine headaches) adverse effect – correct answer pain, tightness, pressure, or
heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch – correct answer -• Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
- Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night). - Do not cut patches to ensure appropriate
dosage. - Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation. - Wash skin with soap and water and dry
thoroughly before applying new patch.
RBC Blood transfusion – correct answer
What to understand about Parkinson’s Meds? – correct answer -they don’t cure disease, they slow the
process.
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