1.

Complete an ATI Focused Review® and send me a detailed summary (2-3 sentences
each) of 4 concepts that you learned from the focused review.
-Ketorolac is a NSAID that id to be administered IV first, then switched to orally.
Also, it shouldn’t be taken for more than 5 days, due to kidney toxicity
- Celecoxib is a NSAID that’s a second line drug that is contracdicated if client has
allergies to sulfonamides and that it put clients at high risk for M.I. and stroke
- The adverse effects of Acyclovir include phlebitis and inflammation at the site of
infusion, nephrotoxicity, gingival hyperplasia
- Adverse effects of Acetazolamide include severe allergic reaction, serious blood
disorders such as bone marrow depression, GI effects such as nausea and vomiting,
electrolyte depletion, dehydration, altered liver function, flu-like symptoms such as
fever, headache, and body aches, CNS disturbances such as paresthesia of
extremities, and glucose disturbances in patients who have diabetes mellitus.

2. Complete the following questions and review the suggested learning activities. Send me
your answers here.

A nurse is caring for a client prescribed acetaminophen as needed for pain relief. The nurse
knows acetaminophen should not exceed _4___ grams per day. The nurse will monitor for early
signs of toxicity. Name three (3) manifestations of toxicity.
Suggested Pharmacology Learning Activity: Pain Medications
-early signs of toxicity is nausea, vomiting, sweating

What parameter of the cardiovascular system should the nurse monitor when a client is
receiving Albuterol?
Suggested Pharmacology Learning Activity: Anti-Inflammatory Medications- Bronchodilators
-The heartrate should be monitored because tachycardia is caused by albuterol use,
check pulse and report to doctor if its increased 20-30 bpm. Clients should also be
advised to observe for chest, jaw or arm pain, or palpations and notify the provider if they
occur.

What is one common adverse effect of an inhaled anticholinergic, such as ipratropium? Provide
two (2) points for a nurse to include when teaching the client on this medication.
Suggested Pharmacology Learning Activity: Anti-inflammatory Meds - Bronchodilators
-The most common effect s dry mouth, 2 points a nurse can include is to increase fluids
and suck on sugar free candy to help alleviate dry mouth. Teach the patient to rinse
mouth after use to remove the unpleasant taste from the med
A client is prescribed rosuvastatin (Crestor). Identify three (3) adverse effects and lab values the
nurse should monitor.
Suggested Pharmacology Learning Activity: Antilipemic Agents
-hepatotoxicity, myopathy, and rhabdomyolsis. Monitor liver function (AST) and creatine
kinase levels

A client is prescribed digoxin (Lanoxin). What are contraindications/precautions for the use of
digoxin (Lanoxin)?
Suggested Pharmacology Learning Activity: Heart Failure
-pregnancy category C, disturbance in ventricular rhythm, V-fib, V-tach, 2nd and 3rd degree
block. Use cautiously with clients who have partial AV block, hypo K+, advanced HF, and
impaired kidney functions.

A client is receiving IV paclitaxel for treatment of ovarian cancer. Which of the following
assessment data is a priority concern? Bleeding gums, unexplained bruising, Hair loss occurring
8 days after beginning treatment Increase in fatigue, Client complains of chest pain and
shortness of breath
Suggested Pharmacology Learning Activity: Chemotherapy Agents
-bleeding gums, unexplained bruising, hair loss occurring after 8 days of treatment,
increased fatigued, and client complaining of SOB

A nurse is caring for a client prescribed the chemotherapy agent topotecan (Hycamtin). What are
adverse effects of this medication and nursing interventions/client education for this medication?
Suggested Pharmacology Learning Activity: Chemotherapy Agents
-fever 100.4 or higher, SOB, bleeding that doesn’t stop after a few minutes, vomiting more
than 5x a day, black tarry stools, mouth sores.. Advise client to contact the doctor

A client is receiving metformin (Glucophage) for diabetes management. What are three (3)
potential adverse effects and associated nursing measures to address adverse effects of this
medication therapy
- Anorexia, nausea and diarrhea, effects usually subside with use. Monitor for
severity. Discontinue if necessary.
Vitamin B12 and folic acid deficiency, provide supplements as needed.
Lactic Acidosis, withhold medications if symptoms occur and inform the provider
immediately. Severe lactic acidosis can be treated with hemodialysis.
A client has been prescribed diclofenac for osteoarthritis. What would the nurse teach this client
about this medication?
Suggested Pharmacology Learning Activity: Non-opioid Analgesics
-Do not consume 3 or more alcoholic beverages a day and clients that are taking warfarin
increase the risk of bleeding

When administering hydomorphone, what should the nurse monitor to prevent toxicity
associated with this medication?
Suggested Pharmacology Learning Activity: Pain Medications
-shallow breathing, slow heartbeat (less than 12 call doc), cold, clammy skin, confusion,
fainting/ light headed, assess for bladder distension
Keep naloxone near for the reversal of toxicity

A client prescribed beclomethasone inhaler reports hoarseness. What nursing

interventions/client education should be provided?
Suggested Pharmacology Learning Activity: Anti-Inflammatory Medications- Bronchodilators
-advise clients to use spacers, rinse mouth or gargle with water or salt water after use,
monitor for redness, sores or white patches

A nurse is caring for a client experiencing nausea, vomiting and anorexia due to chemotherapy
treatment. What actions should the nurse take to treat this side effect? What client education
should be provided? (Review Med Surg Review Module)
Suggested Pharmacology Learning Activity: Chemotherapy Agents
-administer antiemetics for n/v before and several days after treatment. Like serotonin
blockers (ondansetron), corticosteroids (dexamethasone, methylpredisone), proton pump
inhibitors (omeprazole, ranitidine)… Megestrol is used to increase hunger, drink after
meals.

A client has the diagnosis of gout. What is gout? What is the mechanism of action for the drug
colchicine?
Suggested Pharmacology Learning Activity: Pain Medications
-Gout is inflammatory arthritis that develops in people who have high levels of uric acid
in their blood, the acid forms needle like crystals in the joint and causes sudden , severe
episodes of pain, tenderness, redness, warmth and swelling.
Colchicine helps prevent gout attacks and has to be taken 36 hours before attack in
order to be effective.. It decreases swelling and lessen the buildup of uric acid crystals.

Identify the indications for the following medications: Acyclovir, Ganciclovir, Interferon alfa-2B,
lamivudine, oseltamivir, Ribavirin, Boceprevir and Telaprevir.
Suggested Pharmacology Learning Activity: Viral infections, HIV, and AIDS
-Acyclovir: (oral, topical, IV) used to treat herpes simplex and varicella-zoster
viruses.
-Ganciclovir: (oral, IV) prevents the reproduction of viral DNA and interrupts cell
replication. Treatment and prevention of cytomegalovirus (CMV). Given to HIV/AIDS,
organ transplants and other immunocompressed states.
-Interferon alfa-2B: used to treat hep B and C
-Iamivudine: reduces HIV symptoms by inhibiting DNA synthesis and thus viral
replication. Used to treat Hep B and C
-Oseltamivir: Treats influenza A and B
-Ribavirin: used to treat respiratory syncytial virus, hep C, and influenza
-Boceprevir: protease inhibitor used to treat hep C virus
-Telaprevir: protease inhibitor used to treat hep C virus

Complete 1 Skills Module

 Medication Administration 1
 Medication Administration 2
 Medication Administration 3
 Medication Administration 4

Complete the following practice assessment and Focused Reviews and send me a detailed
summary (2-3 sentences each) of 4 concepts that you learned from the focused
review. This assessment is not the same as the Retake VATI assessment you will take at
the 50% mile-marker.
RN Pharmacology 2016 B
10855591
64A6676R53

Complete 2 Pharmacology Made Easy tutorials

Introduction Gastrointestinal System
Neurological System Part 1 Reproductive and Genitourinary System
Neurological System Part 2 Endocrine System
Musculoskeletal System Immune System
Respiratory System Pain and Inflammation
Cardiovascular System Infection
Hematologic System

When you have completed the above remediation, spend 2 hours on the following
preparation activities found in the Virtual-ATI Review under the Medical Surgical Module:

1. Medical Surgical Concept Maps

2. Quizzes:

 Physiological Adaptations
 Reduction of Risk
 Medical Surgical Alternate Item Format

Complete Learning System found on www.atitesting.com under 'My ATI' under the test tab:

 Dermatological
 Immune and Infectious
 Endocrine
 Oncology
 Gastrointestinal
 Renal and Urinary
 Musculoskeletal
 Respiratory
 Cardiovascular and Hematology
 Neurosensory

When preparation activities are completed, review the Take Assessment section of the
Medical Surgical module prior to starting the assigned Virtual-ATI assessment.