ATI - Pharmacology B

Muscle Pain Fatigue Metallic Taste

A nurse is reinforcing discharge teaching with a client who has type 2 diabetes mellitus and a new prescription for metformin. The nurse should instruct the client to monitor for What should the client monitor for which of the following manifestations as adverse effects of this medication?

The dose should remain constant to prevent breakthrough pain

An older adult client who has terminal cancer reports pain at the level of 5 using a 0 to 10 pain scale. The client has a prescription for morphine 15mg orally every 4 hours. The client's children express concern that the client is receiving too much of the medication. Which of the following responses should the nurse make?

Acyclovir

And nurses caring for a client who has genital herpes. Which of the following medications to the nurse expect administer?

Increase fluid intake

Nurses reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse include in the teaching?

Slurred Speech

A nurse is collecting data from a client who is taking lithium to treat bipolar disorders. Which of the following findings should the nurse report to the provider?

Peripheral edema

A nurse is reinforcing teaching with the client who is newly diagnosed with hypertension and is taking metoprolol. The nurse should instruct the client to report which of the following manifestation's to the provider as an adverse effect of this medication?

Benign prostatic hyperplasia

A nurse is reviewing a clients medical history before administering hydromorphone for post operative pain. The nurse should notify the provider of which of the following findings before administering this medication?

Benign prostatic hyperplasia

A nurse is reviewing the medical record of a client who has a new prescription for dimenhydrinate To treat motion sickness. Which of the following this order is in the clients medical records should the nurse report to the provider?

Furosemide

A nurse is reviewing the medication administration record for a client who has a new prescription for tobramycin to treat pulmonary infection. Which of the following medications should the nurse identify as increasing the risk for ototoxicity while taking tobramycin?

Furosemide

A nurse is reviewing the medication administration record of a client who has a history of Stevens-Johnson Syndrome when taking sulfamethoxazole-trimethoprim. Which of the following medications should the nurse identify as contradicted for this client?

What is your name and date of birth?

A nurse On the medical surgical unit is preparing to administer medications to a client. Which of the following questions should the nurse asked the client to verify the clients identity?

Document the notification of the client's provider

A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should the nurse take when documenting the medication error?

I am allergic to neomycin

A nurse in the community health clinic is preparing to administer the Varicella vaccine a young adult female client who has not previously had chickenpox or it's vaccine. The nurse should withhold the vaccine and collect additional data when the claim makes which of the following statements?

MMR (measles, mumps, rubella)

A nurse is a provider's office is reviewing the immunization records of a 12-month-old infant who is immunocompromised. Which of the following vaccines should the nurse identify as contraindicated for this client?

Hyporeflexia

A nurse is assisting with the care of a client who is preterm labor and is receiving magnesium sulfate by continuous IV infusion which of the following findings indicates magnesium toxicity?

Implement seizure precautions

A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawal. The nurse should identify which of the following interventions as the priority?

Increased Hgb

A nurse is caring for a client who has kidney failure and has been taking epoetin Alfa. Which of the following is a therapeutic affect of this medication?

Improved social interactions

A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. Which of the following manifestations should the nurse monitor to determine whether the treatment is effective?

Albuterol

A nurse is caring for a client who is having an acute asthma attack. Which of the following medications should the nurse administer first?

white blood cell count serum potassium blood glucose

A nurse is caring for a client who is receiving methylprednisolone. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply)

Respiratory depression

A nurse is caring for a client who is taking disulfiram And consumed alcohol 12 hours ago. Which of the following adverse reactions is the priority finding to report to the provider?

Headache

A nurse is collecting data from a client who has angina and has a new prescription for sub lingual nitroglycerin. Which of the following manifestation should the nurse expect as an adverse affect on this medication?

Clear, bilateral breath sounds

A nurse is collecting data from a client who has bacterial pneumonia and is taking ceftriaxone. Which of the following findings indicates a therapeutic effect of the medication?

Vomiting

A nurse is collecting data from a client who has been taking digoxin for one month. The nurse should identify which of the following findings as a manifestation of digoxin toxicity?

The client is able to wash his face

A nurse is collecting data from a client who has been taking levodopa/carbiopa. Which of the following findings should indicate to the nurse that the medication is effective?

Drowsiness

A nurse is collecting data from a client who has multiple sclerosis and a new prescription for baclofen. Which of the following findings should the nurse identify as an adverse effect of this medication?

Abdominal pain

A nurse is collecting data from a client who is taking exenatide to treat diabetes. For which of the following findings should the nurse withhold the exenatide doses and notify the provider immediately?

Diarrhea

A nurse is collecting data from a client who is taking oral amoxicillin to treat a respiratory infection. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

oliguria

A nurse is collecting data from a client who is taking tobramycin. Which of the following findings should the nurse report to the provider immediately?

Take aspirin 30 minutes before taking the medication

A nurse is collecting data from a client who recently began taking niacin to treat hyperlipidemia. The client reports experiencing facial flushing after taking that medication. The nurse should expect the provider to make which of the following recommendations?

Apical pulse 52/min

A nurse is collecting data prior to administering digoxin to a client. For which of the following findings should the nurse withhold this medication and notify the provider?

Hypotension

A nurse is evaluating a client who is receiving amphotericin B via intermittent IV bolus. Which of the following findings indicate an adverse reaction to this medication?

Respiratory rate 11/min

A nurse is monitoring a client who has just returned to the unit following surgery. The client received an additional dose of morphine 5MGIV bolus for pain relief. Which of the following adverse a fax to the nurse report immediately to the provider?

Asked the client to rate her pain level

A nurse is monitoring a client who is two hours post operative and has a prescription for opioids analgesics. Which of the following actions provides the nurse with the priority data to determine the clients need for analgesia?

Dispose the medication with a second nurse as a witness

A nurse is performing the third check before administering hydromorphone To a client. After opening the unit dose pack, the client tells the nurse he does not want to take the medication now. What are the following actions should the nurse take?

50 gtt/min

A nurse is preparing to administer cefazolon 1g in 100mL 0.9% sodium chloride to infuse over 30 min. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/ml?

15 mL

A nurse is preparing to administer phenobarbital 3mg/kg PO twice a day to a school age child who weighs 44 pounds. Available is phenobarbital elixir 20mg/5ml. How many ML should the nurse plan to minister per dose?

Yogurt

A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine. Which of the following foods should the nurse include in the teaching as an appropriate food choice?

Tetanus and diphtheria

A nurse is reinforcing teaching about immunizations with a client who is pregnant. Which of the following vaccines should the nurse include in the teaching as save to administer during pregnancy?

You should chew the gum for a whole 30 minutes before discarding

A nurse is reinforcing teaching about nicotine polacrilex gum with a client who smokes three packs of cigarettes per day. Which of the following statements should the nurse include in the teaching?

Chest Tightness

A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new prescription for sumatriptan. The nurse should instruct the client to report which of the following manifestations to the provider as a averse effect of this medication?

I will look up when putting the medication into my eyes

A nurse is reinforcing teaching with a client who has a new prescription for Timolol Eyedrops to treat glaucoma. Which of the following client statements indicate understanding of the teaching?

I will rinse my mouth after I use this inhaler

A nurse is reinforcing teaching with a client who has a new prescription for a fluticasone inhaler. Which of the following clients statements indicate an understanding of the teaching?

Massage your nose gently after medication administration

A nurse is reinforcing teaching with a client who has a new prescription for vitamin B 12 intranasal to treat malabsorption syndrome. Which of the following instructions should the nurse include in the teaching?

The client wipes the cap with alcohol prior to filling the syringe

A nurse is reinforcing teaching with a client who has type one diabetes and is learning to self administer NPH insulin. Which of the following clients actions indicate an understanding of the teaching?

Dry cough

A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The nurse should instruct the client to monitor for which of the following adverse affects of his medication?

While using the patch, I will be careful when rising from a chair

A nurse is reinforcing teaching with a client who is to start therapy with a nitroglycerin transdermal patch. Which of the following statements by the client indicates an understanding of the teaching?

Sore throat

The nurse is collecting data from a client who has hyperthyroidism and a new prescription for propylthiouracil . The nurse should monitor the client for which of the following manifestation's as an adverse effect of this medication?

Take a slow, deep breath lasting 3 to 5 seconds after releasing the medication

The nurse is reinforcing discharge teaching with a client who has a prescription for a metered dose inhaler. Which of the following information should the nurse include in the teaching?

History of hepatitis B

The nurses assisting the admission have a client reports muscle aches and pains associated with construction work. The provider suggest taking acetaminophen. The nurse should identify the provider about which of the following information obtained from the client?