ATI PN Pharmacology Online Practice 2017 A/B 100%

A nurse is caring for a client who is receiving 0.9% sodium chloride 1000mL to infuse over 8 hours. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should ensure that the manual infusion is set to deliver how many gtt/min?

- 31 ggt/min (Flow rate: (Total volume • drop factor) / (total min) = drops per min)

A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of the following client responses indicated to the nurse an understanding of the teaching? -"I will take the medication with my breakfast" -"I will take the medication with 1 tbsp of an antacid" -"I will lie down for 30 min after taking the medication" -"I will take the medication with 8 oz of water"

- I will take the medication with 8 oz of water

A nurse is reinforcing teaching with a client who has seizures and a new prescription of vampiric acid. The nurse should instruct the client to report which of the following adverse effects of valproic acid immediately to the provider? -abdominal pain -hair loss -weight gain -ataxia

- abdominal pain

A nurse is contributing to the plan of care for a client who has schizophrenia and a new prescription for clozapine. The nurse should include in the plan to monitor the client for which of the following adverse effects of this medication? -hypoglycemia -iron-deficiency anemia -serotonin syndrome -agranulocytosis

- agranulocytosis

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is learning to self administer NPH insulin. Which of the following client actions indicates an understanding of the teaching? -the client shakes the insulin vial prior to drawing up the dose -the client uses the tip of the plunger to measure the correct dose -the client injects air into the vial after inverting it -the client wipes the cap with alcohol prior to filling the syringe

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

A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which of the following actions should the nurse take? -determine the client's daily alcohol intake -tell the client to expect red-orange colored urine -reinforce teaching on a low-calorie diet -instruct the client to have a yearly tuberculin skin test

- determine the client's daily alcohol intake

A nurse is reviewing the medical 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 contraindication for this client? -prednisone -furosemide -lansoprazole -digoxin

- furosemide

A nurse is reinforcing teaching about benzodiazepine withdrawal with an older adult client who discontinued taking lorazepam after taking it for 3 months. Which of the following instructions should the nurse include? -"Increase your fiber intake with each meal" -"Have someone assist you with ADLs" -"Watch for increased drowsiness" -"Limit your daily fluid intake to 1500 mL"

- have someone assist you with ADLs

A nurse is 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? -avoid grapefruit juice -increase salt intake -avoid aged cheese -increase fluid intake

- increase fluid intake

A nurse is collecting data from a client who is taking ferrous sulfate orally. Which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect? -passage of a soft, formed stool daily -decreased number of vital illnesses -improved ability to fall asleep -increased tolerance to exercise

- increased tolerance to exercise

A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. Which of the following actions should the nurse take to counteract the adverse effects of this medication? -suggest that the client apply antiperspirant more frequently -inform the client to apply sunblock before going outside -give the client a list of over-the-counter antidiarrheal medications -recommend that the client take the medication on an empty stomach

- inform the client to apply sunblock before going outside

A nurse is planning to administer metoprolol to a client who has heart failure and a heart rate of 48/min. Which of the following should the nurse take? -ambulate the client before administering the medication -give the medication when the client has an empty stomach -administer one-half of the client's prescribed dose -withhold the client's medication

- withhold the client's medication

A nurse is reinforcing teaching with the parent of a preschooler who has otitis media. The child has had a low-grade fever and irritability for 2 days. Which of the following instructions should the nurse include in the teaching? -"Administer amoxicillin twice a day for 3 days" -"Apply cold packs every 4 hours for relief of pain" -"Give acetaminophen as needed for discomfort and fever" -"Return to the office in 72 hours for a follow up appointment"

-"Give acetaminophen as needed for discomfort and fever"

A nurse in a community health clinic is preparing to administer the varicella vaccine to a young adult female client who has not previously had chickenpox or its vaccine. The nurse should withhold the vaccine and collect additional data when the client makes which of the following statements? -"I am allergic to neomycin" -"I am taking antibiotics for my acne" -"My irritable bowel syndrome has been acting up the last few days" -"I have been taking an oral contraceptive for the last 6 months"

-"I am allergic to neomycin"

A nurse is reinforcing teaching with a client who has HIV and a new prescription for zidovudine. Which of the following client statements should indicate to the nurse an understanding of the teaching? -"I can have unprotected sex after 6 months of taking this medication" -"I can expect to have constipation while taking this medication" -"I will be sure to have my blood tested for anemia" -"My fingers might feel numb after I start therapy"

-"I will be sure to have my blood tested for anemia"

A nurse is reinforcing teaching with a client about the use of sublingual nitroglycerin for chest pain. Which of the following statements by the client indicated an understanding of the teaching? -"I will store my nitroglycerin tablets in my car glove box when traveling" -"I will take a nitroglycerin tablet 60 minutes prior to exercise" -"I will call 911 if my chest pain is not relieved within 5 minutes of taking nitroglycerin" -"If I get a headache after taking a nitroglycerin tablet, I should report it to my doctor immediately"

-"I will call 911 if my chest pain is not relieved within 5 minutes of taking nitroglycerin"

A nurse is reinforcing teaching with a client who has a new prescription for timolol eye drops to treat glaucoma. Which of the following client statements indicated an understanding of the teaching? -"I will rub my eyes for 10 seconds after putting in the medication" -"I will look up when putting the medication into my eyes" -"I will clean my eyes from outer edge toward the nose before putting in the medication" -"I will close my eyes tightly after putting in the 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 a fluticasone inhaler. Which of the following client statements indicates an understanding of the teaching? -"I will administer two puffs of the medication consecutively" -"I will use this inhaler if I feel asthma attack coming on" -"I will avoid intake of dairy products in my diet" -"I will rinse my mouth after I use this inhaler"

-"I will rinse my mouth after using this inhaler"

A nurse is reinforcing teaching with a client who has a new prescription for ethinyl estradiol/norethindrone, an oral contraceptive. Which of the following client statements should indicate to the nurse an understanding of the teaching? -"I should expect my menstrual flow to increase" -"I should monitor my blood pressure for hypotension while taking this medication" -"I will take the medication at the same time each day" -"This type of medication is the most effective because it only contains estrogen"

-"I will take the medication at the same time each day"

A nurse is reinforcing teaching with a client who has a new prescription for vitamin B12 intranasal to treat malabsorption syndrome. Which of the following instructions should the nurse include in the teaching? -"Take this medication once per day" -"Drink a hot liquid after administering the medication" -"Massage your nose gently after medication administration" -"Store this medication in the refrigerator"

-"Massage your nose gently after medication administration"

a nurse is reinforcing discharge teaching with a client who has a prescription for metered-dose inhaler (MDI). Which of the following information should the nurse include in the teaching? -"Wait for 15 seconds between each puff of the same medication" -"Hold your breath for 5 seconds after inhaling the medication" -"Take a slow, deep breath lasting 3-5 seconds after releasing the medication" -"Roll the canister between your hands for 10-15 seconds to mix the medication"

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

An older adult client who has terminal cancer reports pain at a level of 5 using a 0-10 pain scale. The client has a prescription for morphine 15 mg 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? -"Clients who receive this medication orally have a lower risk for addiction" -"Additional doses will not be needed because this medication is given on a fixed schedule" -"The dose should remain constant to prevent breakthrough pain" -"We can switch from oral administration to rectal administration"

-"The dose should remain constant to prevent breakthrough pain"

A nurse on medical-surgical unit is preparing to administer medications to a client. Which of the following questions should the nurse ask the client to verify the client's identity? -"What is your name and date of birth" -"What is your room number and bed number" -"What is your doctor's name" -"What is your diagnosis"

-"What is your name and date of birth"

A nurse is reinforcing teaching with a client who is to start therapy with nitroglycerin transdermal patch. Which of the following statements by the client indicated an understanding of the teaching? -"While using the patch, I will be careful when rising from a chair" -"I should leave the patch in place for 24 hours" -"I should apply the patch to the same location with each application" -"I will apply a new patch if I have chest pain"

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

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? -"You can drink caffeinated beverages while chewing the gum" -"You can chew two pieces of gum when you have the urge to smoke" -"You should chew the gum for a full 30 minutes before discarding" -"You should wait 5 minutes after eating to chew the gum"

-"You should chew the gum for a full 30 minutes before discarding"

A nurse is reinforcing teaching with a female client who has a new prescription for isotretinoin. Which of the following instructions should the nurse include in the teaching? (Select all the apply) -"You will need to have your liver enzymes monitored after 1 month" -"You can have nosebleeds while taking this medication" -"You should report any thoughts of harming yourself" -"You will need to have two negative pregnancy tests prior to starting the medication" -"You will need to take a vitamin A supplement twice daily"

-"You will need to have your liver enzymes monitored after 1 month" -"You can have nosebleeds while taking this medication" -"You should report any thoughts of harming yourself" -"You will need to have two negative pregnancy tests prior to starting the medication"

A nurse is planning to reinforce teaching regarding newborn immunizations with a client who is 24 hr postpartum. Which of the following information should the nurse plan to include? -"Your baby will receive the first hepatitis B vaccine before discharge" -"Your baby will receive the rotavirus vaccine if your blood titer is low" -"Your baby will receive the first influenza virus vaccine at the 4 week checkup" -"Your baby will receive the varicella vaccine if you have a history of chickenpox"

-"Your child will receive the first hepatitis B vaccine before discharge"

A nurse is caring for a client who has a prescription for an IM injection of penicillin G benzathine. The client asks why the injection must be given IM instead of through the IV line. Which of the following responses should the nurse make? -"The medication is more rapidly absorbed when given IM" -"Your medication can't be given IV because it is not water-soluble" -"You will experience less discomfort with an IM injection" -"An IM injection allows more precise control of the medication level in your blood"

-"Your medication can't be given IV because it is not water-soluble"

At 0800 hour a nurse initiated a 1000 mL IV infusion on a client, which is running at 125 mL/hr. It is now 1300 hr. How much is left in the IV bag?

-375 mL

A nurse is collecting data from the parent of an 11 year old child who has previously received all the immunizations in accordance with the CDC Recommended Immunization Schedule. Which of the following immunizations should the nurse plan to administer to this child at this age? -Hepatitis A (HepA) -Human papilloma virus (HPV) -Varicella (VAR) -Inactivated poliovirus (IPV)

-Human papilloma virus (HPV)

A nurse is assisting with the care of a client who is in preterm labor and is receiving magnesium sulfate by continuous IV infusion. Which of the following indicates magnesium toxicity? -urinary output 60 mL/hr -Hyporeflexia -Respirations 14/min -Tachycardia

-Hyporeflexia

A nurse in 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? -Hepatitis A (HepA) -Measles, mumps, rubella (MMR) -Pneumococcal conjugate (PCV13) -Haemophilus B conjugate (Hib)

-MMR

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 safe to administer during pregnancy? -herpes zoster -tetanus and diphtheria (Td) -varicella -measles, mumps, and rubella (MMR)

-Td

A nurse is preparing to administer a PRN medication to a group of clients. Which of the following clients should the nurse administer medication to first? -a client who has GERD and requests and antacid -A client who reports constipation for 3 days and requests a stool softener -a client who has a mild generalized anxiety disorder and requests anti anxiety medication - a client who is attending postoperative physical therapy and requests pain medication

-a client who is attending postoperative physical therapy and requesting pain medication

A nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. For which of the following findings should the nurse withhold the exenatide dose and notify the provider immediately? -loss of appetite -abdominal pain -muscle weakness -heartburn

-abdominal pain

A nurse is caring for a client who has genital herpes. Which of the following medications should the nurse expect to administer? -Levofloxacin -Acyclovir -Ceftriaxone -Metronidazole

-acyclovir

A nurse is preparing to administer diphenhydramine 50 mg PO at 2200 to a client who has difficulty swallowing pills and capsules. Available is diphenhydramine syrup 12.5 mg/5mL PO. Which of the following nursing actions requires the completion of an incident report? -giving medication at 2140 -administering the medication with grapefruit juice -giving the medication when the client's apical pulse is 58/min -administering 25 mL of the syrup.

-administering 25mL of the syrup

A nurse is caring for a client who is having an acute asthma attach. Which of the following medications should the nurse administer first? -beclomethasone -albuterol -cromolyn -prednisone

-albuterol

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? -digoxin level 0.9 ng/mL -blood pressure 142/80 mmHg -Potassium 4.4 mEq/L -Apical pulse 52/min

-apical pulse 52/min

A nurse is monitoring a client who is 2 hr postoperative and has a prescription for opioid analgesics. Which of the following actions provides the nurse with the priority data to determine the client's need for analgesia? -observe the client for signs of restlessness -monitor the client for facial grimacing -watch the client for indication of decreased mobility -ask the client to rate her pain level

-ask the client to rate her pain level

A nurse is reinforcing teaching with a client who has Helicobacter pylori and a new prescription for tetracycline. Which of the following instructions should the nurse include in the teaching? -"Expect your urine to turn orange" -"Take the medication with 240 mL (8oz) milk" -"Watch for excessive bleeding when brushing your teeth" -"Avoid prolonged exposure to sunlight"

-avoid prolonged exposure to sunlight

A nurse is reviewing a client's medical history before administering hydromorphone for postoperative pain. The nurse should notify the provider of which of the following findings before administering this medication? -benign prostatic hyperplasia -history of hypertension -rheumatoid artritis -allergy to aspirin

-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 disorders in the client's medical record should the nurse report to the provider? -major depressive disorder -diabetes mellitus -benign prostatic hyperplasia -meniere's disease

-benign prostatic hyperplasia

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 the apply) -white blood cell count -serum potassium -creatine phosphokinase -blood glucose -amylase

-blood glucose -serum potassium -WBC count

A nurse is collecting data from a client who is receiving digoxin for treatment of heart failure. The nurse should identify which of the following findings as adverse effects of this medication? (Select all that apply) -blurred vision -nausea -hyperactivity -increased appetite -dysrhythmia

-blurred vision -nausea -dysrhythmia

A nurse is reinforcing teaching with a client who experiences migraine and has a new prescription for sumatriptan. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication? -insomnia -photophobia -chest tightness -respiratory depression

-chest tightness

A nurse is collecting data from a client who has bacterial pneumonia and is taking ceftriaxone. Which of the following findings indicated a therapeutic effect of the medication? -white blood cell count 10,500/mm3 -clear, bilateral breath sounds -heart rate 110/min -tolerates small meal servings

-clear, bilateral breath sounds

A client comes to an urgent care clinical and announces with great enthusiasm, "I am an expert at all things medical as they apply to me, and I require zolpidem." The client's pupils are dilated, along with an elevated heart rate and blood pressure level. The nurse should suspect intoxication with which of the following substances? -alcohol -cocaine -barbiturates -heroin

-cocaine

A nurse is collecting data from a client who has Parkinson's disease and is taking levodopa/carbidopa. The nurse should identify which of the following findings as an adverse effect of this medication? -dark urine -hypertension -increased salivation -bradycardia

-dark urine

A nurse is caring for a client who has hyperthyroidism and has been taking methimazole. Which of the following laboratory findings should indicate to the nurse that the medication has had a therapeutic effect? -decreased blood glucose level -increased Hgb -increased platelets -decreased T4

-decreased T4

A nurse is caring for a client who has multiple sclerosis and has a new prescription for baclofen. Which of the following findings indicated to the nurse that the medication is having a therapeutic effect? -decreased muscle spasticity -increased urinary output -increased mental alertness -decreased heart rate

-decreased muscle spasticity

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? -hearing loss -diarrhea -bruising -tendonitis

-diarrhea

A nurse is reinforcing teaching with a client following placement of a cast for a fractured ankle. The client is to take oxycodone for pain management. The nurse should instruct the client that which of the following over-the-counter medications is contraindicated while taking oxycodone? -docusate sodium -ranitidine -diphenhydramine -ibuprofen

-diphenhydramine

A nurse is reinforcing teaching with a client who has a new prescription for etanercept to treat rheumatoid arthritis. Which of the following instructions about self-administering this medication should the nurse include? -discard any solutions that are cloudy -attach a 21-gauge needle to the syringe for injection -self-administer the medication on alternate days -shake the reconstituted solution well before self-administration

-discard any solutions that are cloudy

A nurse is performing the third check before administering hydromorphone to a client. After opening the unit-dose packet, the client tells the nurse he does not want to take the medication now. Which of the following actions should the nurse take? -complete an occurrence report of the incident -encourage the client to take the medication -leave the medication at the client's bedside in case he changes his mind -dispose of the medication with a second nurse as a witness

-dispose of the medication with a second nurse as a witness

A nurse is erroneously administered zolpidem to the wrong client. Which of the following actions should the nurse take when documenting the medication error? -document the completion of the incident report in the medical record of the client who received the zolpidem -administer a dose of naloxone to reverse the effects of the medication -keep a copy of the incident report on the unit -document the notification of the client's provider

-document the notification of the client's provider

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? -diarrhea -weight loss -drowsiness -hypertension

-drowsiness

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 effects of this medication? -hypokalemia -blurred vision -tremors -dry cough

-dry cough

A nurse is reviewing the laboratory results of a client who takes insulin for the management of diabetes mellitus. Which of the following findings should indicate to the nurse the medication is effective? -fasting blood glucose 260 mg/dL -HbA1c 9.2 % -Fasting blood glucose 100mg/dL -HbA1c 3%

-fasting blood sugar of 100 mg/dL

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

-furosemide

A nurse is reviewing medication prescriptions for a group of clients. The nurse should recognize that which of the following prescriptions can result in a medication administration error? -penicillin G benzathine 1.2 million units IM daily -Furosemide 10.0 mg PO daily -Albuterol 2.5 mg 2 inhalations every 6 hrs as needed for shortness of breath -Insulin glargine 15 units subcutaneously daily at bedtime

-furosemide 10.0 mg PO daily -nurse should avoid the trailing zero behind a whole number

A nurse is collecting data from the parent of a toddler who is about to receive the varicella immunization. The nurse should identify that an anaphylactic reaction to which of the following substances is a contraindication for receiving this immunization? -gelatin -penicillin -sulfa -eggs

-gelatin

A nurse is monitoring a client who is receiving repaglinide for type 2 diabetes mellitus. Which of the following laboratory tests should the nurse plan to review to obtain information about the long-term therapeutic effects of this medication? -fasting blood glucose level -1 hr oral glucose tolerance -urinary ketones -glycosylated HbA1c

-glycosylated HbA1c

A nurse is collecting data from a client who has angina and has a new prescription for sublingual nitroglycerin. Which of the following manifestations should the nurse expect as an adverse effect of this medication? -shortness of breath -bradycardia -headache -double vision

-headache

A nurse is caring for a client who has chronic kidney disease and has been receiving epoetin alfa for 2 weeks. Which of the following findings should indicate to the nurse that the client's medication is having the desired therapeutic effect? -albumin is within the expected reference range -urine output increases to 60 mL/hr -hemoglobin rises 0.5 g/dL -blood urea nitrogen level is within the expected reference range

-hemoglobin risese 0.5 g/dL

A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should identify which of the following findings is a contraindication to receiving celecoxib? -hyperglycemia -allergy to penicillin -history of myocardial infarction -peptic ulcer disease

-history of myocardial infarction

A nurse is assisting with the admission of a client who reports muscle aches and pain associated with construction work. The provider suggests taking acetaminophen. The nurse should notify the provider about which of the following information obtained from the client? -history of hepatitis B -cigarette smoker -history of hypertension -allergy of sulfonamides

-hx hep B

A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. The nurse should monitor for which of the following adverse effects of this medication? -hematuria -hypernatremia -hyperkalemia -constipation

-hyperkalemia

A nurse is assisting with the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection and is receiving vancomycin via IV infusion. Which of the following changes in the client's condition should the nurse identify as the priority finding to report to the provider? -nausea -back pain -hypotension -chills

-hypotension

A nurse is evaluating a client who is receiving amphotericin B via intermittent IV bolus. Which of the following findings indicates an adverse reaction to this medication? -serum potassium 5.6 mEq/L -hematocrit 55% -polyuria -hypotension

-hypotension

A nurse is reinforcing teaching with a client who has a new prescription for propranolol. Which of the following information should the nurse include in the teaching? -"If you miss a dose, double the next scheduled dose" -"Discontinue the medication if lightheadedness occurs" -"If your pulse rate is less than 50 bpm, notify your provider" -"The medication can cause heat intolerance"

-if your pulse rate is less than 50 bpm, notify your provider

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? -suggest the client attend a support group -administer naltrexone -implement seizure precautions -assist the client to identify triggers of alcohol use

-implement seizure precaution

A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. For which of the following manifestations should the nurse monitor to determine whether the treatment is effective? -improved social interaction -decreased obsessive-compulsive thoughts -decreased hand tremors -improved urinary control

-improved social interactions

A nurse is caring for a client who has kidney failure and has been taking epoetin alfa. Which of the following is a therapeutic effect of this medication? -decreased BUN -Increased Hgb -Decreased leukocyte production -Increased platelet production

-increased Hgb

A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. Which of the following instructions should the nurse include in the teaching? -take the medication on an empty stomach -monitor for signs of hyperthyroidism -watch for signs of urinary retention -maintain a consisten sodium intake

-maintain consistent sodium intake

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 which of the following manifestations as adverse effects of this medication? (Select all the apply) -muscle pain -fatigue -weight gain -constipation -metallic taste

-metallic taste -fatigue -muscle pain

A nurse is reinforcing teaching with a client about the adverse effects of simvastatin. For which of the following adverse effects should the nurse instruct the client to notify the provider? -muscle pain -fine hand tremors -urinary retention -double vision

-muscle pain

A nurse is caring for a client who has a prescription for a hydromorphone 2 mg immediate release tablet by mouth. The nurse administers a 4mg immediate release tablet by mistake. Which of the following actions should the nurse take first? -document the facts about the error in the medication administration record -obtain the clients vital signs and LOC -prepare an incident report -report the error to the provider and charge nurse

-obtain the client's vital signs and LOC

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? -report of nausea -fever -oliguria -report of headache

-oliguria

A nurse is collecting data from a client who is postoperative and taking morphine for pain. Which of the following findings is the priority for the nurse to report to the provider? -Constipation -Oxygen saturation 87% -Vomiting -Urinary output 25 mL over 1 hr

-oxygen saturation 87%

A nurse is reviewing the history of a client who is to start taking cefotetan to treat a bacterial infection. Which of the following information from the client's medical record should the nurse report to the provider before the client begins receiving this medication? -hearing impairment -milk-protein allergy -tendon repair -penicillin allergy

-penicillin allergy

A nurse is reviewing the medical record of a client who has a new prescription for cephalexin to treat pneumonia. Which of the following data should the nurse report to the provider before client receives this medication? -neomycin sensitivity -egg allergy -alcohol sensitivity - penicillin allergy

-penicillin allergy

A nurse is reinforcing teaching with client who is newly diagnosed with hypertension and is taking metoprolol. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication? -tachycardia -tinnitus -peripheral edema -urinary retention

-peripheral edema

A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of the following actions should the nurse take after instilling the eyedrops? -press a nasolacrimal duct -apply pressure to the upper eyelid -ask the client to blink her eyes several times -tell the client to keep her eyes open for at least 15 seconds

-press the nasolacrimal duct

A nurse is collecting data from a female client who has been taking propylthiouracil (PTU) for 2 months to treat Graves' disease. Which of the following findings should the nurse recognize as an indication that the medication is effective? -weight loss -pulse 82/min -respiratory rate 22/min -decreased menstrual flow

-pulse 82/min

A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. Which of the following adverse reactions is the priority findings to report to the provider? -hyperemesis -severe headache -palpitations -respiratory depression

-respiratory depression

A nurse is monitoring a client who has just returned to the unit following surgery. The client received an initial dose of morphine 5 mg IV bolus for pain relief. Which of the following adverse effects should the nurse report immediately to the provider? -emesis -sedation -respiratory rate 11/min -blood pressure 100/74 mmHg

-respiratory rate 11/min

a nurse is reinforcing teaching with a client who has hypertension and a new prescription for spironolactone. Which of the following instructions should the nurse include in the new prescription for spironolactone. Which of the following instructions should the nurse include in the teaching? -increase food high in zinc -restrict foods high in potassium -restrict food high in vitamin K -increase foods high in magnesium

-restrict foods high in potassium

A nurse is reinforcing teaching about comfort measures with the parent of a 10-year-old child who has a viral infection. The nurse should plan to tell the parents that aspirin is contraindicated because of the risk for which of the following conditions? -juvenile idiopathic arthritis -reye's syndrome -glomerulonephritits -iron-deficiency anemia

-reye's syndrome

A nurse is collecting data from a client who is taking lithium to treat bipolar disorder. Which of the following findings should the nurse report to the provider? -Bloating -WBC count 8500/mm3 -slurred speech -sodium 140 mEq/L

-slurred speech

A 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 manifestations as an adverse effect of this medication? -sore throat -metallic taste -mania -urinary retention

-sore throat

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client's temperature increases to 39.1 C (102.4 F). Which of the following actions should the nurse take first? -obtain urine specimen -administer diphenhydramine -stop the infusion -notify the charge nurse

-stop the infusion

A nurse is reinforcing teaching with a client who has a new prescription for omeprazole oral capsule. Which of the following instructions should the nurse include? -take the medication at bedtime -swallow the medication whole -take the medication with food -avoid antacids when taking the medication

-swallow the medication whole

A nurse is collecting data from a client who recently began taking niacin to treat hyperlipidemia. The client reports experiencing facial flushing after taking the medication. The nurse should expect the provider to make which of the following recommendations? -take aspirin 30 min before taking the medication -lie down 30 min after taking the medication -take the medication on an empty stomach -avoid caffeine while taking the medication

-take aspirin 30 min before taking the medication

a nurse is collecting data from a client who has been taking levodopa/carbidopa. Which of the following findings should indicate to the nurse that the medication is effective? -the client is able to wash his face -the client experiences fewer seizures -the client reports decreased heartburn -the client is able to sleep through the night

-the client is able to wash his face

A nurse is caring for a client who has a new prescription for sumatriptan. The nurse notes that the client take fluoxetine. The nurse should notify the provider that combination of these medications will place the client at risk for which of the following adverse effects? -tremors -renal calculi -dysphagia -hearing loss

-tremors

A nurse is collecting data from a client who has been taking digoxin for 1 month. The nurse should identify which of the following findings as a manifestation of digoxin toxicity? -pulse rate of 100/min -blood pressure 140/90 mmHg -wheezing -vomiting

-vomiting

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? -yogurt -avocado -smoked salmon -pepperoni

-yogurt

A nurse is preparing to administer phenobarbital 3mg/kg PO twice a day to a school-age child who weighs 44 lbs. Available is phenobarbital elixir 20 mg/5 mL. How many mL should the nurse plan to administer per dose? (Round to the nearest whole number)

15 mL

A nurse is preparing to administer cefazolin 1g in 100 mL 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/min? (Round to the nearest whole number)

50 gtt/min