CON Older Adult Exam 2

Ch. 20 Pharm 2) A nurse is teaching a client who has a new prescription for verapamil to control hypertension. Which of the following instructions should the nurse include? A. Increase the amount of dietary fiber in the diet B. Drink grapefruit juice daily to increase vitamin C intake. C. Decrease the amount of calcium in the diet D. Withhold food for 1hr after the medication is taken

A -- increasing dietary fiber intake can help prevent constipation.

CH. 20 Med Surg 5. A nurse is teaching a group of clients about influenza. Which of the following client statements indicates an understanding of the teaching? A. "I should wash my hands after blowing my nose to prevent spreading the virus." B. need to avoid drinking fluids if I develop symptoms." C. "I need a flu shot every 2 years because of the different flu strains." D. "I should cover my mouth with my hand when I sneeze."

A. "I should wash my hands after blowing my nose to prevent spreading the virus."

5. A nurse is providing discharge teaching for client who has heart failure and is on a fluid restriction of 2,000 mL/day. The client asks the nurse how to determine the is an appropriate response by the nurse? are allowed. Which of the following statements appropriate amount of fluids they A. "Pour the amount of fluid 2-liter bottle to keep track of how much you drink." you drink into an empty B. "Each of fluid each day." total of 8 glasses or cups C. "This is the same as 2 quarts, or about coffee." will not take in too much fluid." D. "Take sips of water or ice chips so you

A. "Pour the amount of fluid 2-liter bottle to keep track of how much you drink." you drink into an empty

Ch. 22 Med-Surg 3. A nurse is discharging a client who has COPD he client is concerned about not being able should the nurse make? on continuous oxygen. Which of the to leave the house due to the need for staying following responses A. "There are portable oxygen delivery systems that you can take with you." B. "When you go out, you can remove the oxygen and then reapply it when you get home." C. "You probably will not be able to go out as much as you used to." D. "Home health services will come to you so you will not need to get out."

A. "There are portable oxygen delivery systems that you can take with you."

CH. 70 Med Surg A nurse is performing health screenings at a health fair. Which of the following clients have a risk factor for osteoporosis? Select all that apply. A. 40 y/o client who has been taking prednisone for 4 months B. 30 y/o client who jogs 3 miles daily C. 45 y/o client who take phenytoin for seizures D. 65 y/o client who has a sedentary lifestyle E. A 70 y/o client who has smoke for 50 years

A. 40 y/o client who has been taking prednisone for 4 months C. 45 y/o client who take phenytoin for seizures D. 65 y/o client who has a sedentary lifestyle E. A 70 y/o client who has smoke for 50 years

Ch. 24 Med-Surg 1. A nurse is caring for a group of clients. Which of the following clients are at risk for a pulmonary embolism? (Select all that apply.) A. A client who has a BMI of 30 B. A female client who is postmenopausal C. A client who has a fractured femur D. A client who is a marathon runner E. A client who has chronic atrial fibrillation

A. A client who has a BMI of 30 C. A client who has a fractured femur E. A client who has chronic atrial fibrillation

Ch. 71 Med Surg A nurse is completing discharge teaching to a client who had a wound debridement for osteomyelitis. Which of the following information should the nurse include? A. Antibiotic therapy should continue for 3 months B. Relief of pain indicates the infection is eradicated C. Airborne precautions are used during wound care D. Expect paresthesia distal to the wound

A. Antibiotic therapy should continue for 3 months

Ch. 72 Med Surg 2. A nurse is providing information to a client who has osteoarthritis of the hip and knee. Which of the following information should the nurse include in the information? (Select all that apply.) A. Apply heat to joints to alleviate pain . B. Ice inflamed joints for 30 min following activity. C. Reduce the amount of exercise done on days with increased pain. D. Prop the knees with a pillow while in bed. E. Active range of motion is more effective than passive.

A. Apply heat to joints to alleviate pain. C. Reduce the amount of exercise done on days with increased pain. E. Active range of motion is more effective than passive.

Pharm- ATI CH. 20 1. A nurse is reviewing the health record of a client who propranolol to treat hypertension. The nurse should asks about using recognize which of the following conditions is a contraindication for taking propranolol? A. Asthma B. Glaucoma C. Hypertension D. Tachycardia

A. Asthma

Ch. 20 Pharm- 1. A nurse is reviewing the health record of a client who asks about using propranolol to treat hypertension. The nurse should recognize which of the following conditions as a contraindication for taking propranolol? A. Asthma B. Glaucoma C. Hypertension D. Tachycardia

A. AsthmaA -- Propranolol is a nonselective beta-adrenergic blocker. These receptors in the lungs causes bronchoconstriction

Nutrition Ch. 12 2. A nurse is teaching a client about high-fiber foods that can assist in lowering LDL. Which of the following foods should the nurse include? (Select all that apply.) A. Beans B. Cheese C. Whole grains D. Broccoli E. Yogurt

A. Beans C. Whole grains D. Broccoli

Ch. 20 Med Surg ATI 1. A nurse is monitoring a group increased risk for developing pneumonia. Which of the following clients should the nurse expect to be at risk? (Select all that apply.) A. Client who has dysphagia B. Client who has AIDS C. Client who was vaccinated for pneumococcus and influenza 6 months ago D. Client who is postoperative and has received local anesthesia E. Client who has a closed head injury and is receiving mechanical ventilation F. Client who has myasthenia gravis

A. Client who has dysphagia B. Client who has AIDS E. Client who has a closed head injury and is receiving mechanical ventilation F. Client who has myasthenia gravis

Ch. 21 PHARM ATI Cardiac & Heart Failure 5. A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which of the following instruction should the nurse include in the teaching? A. Contact provider if the HR is less than 60/min B. Check pulse rate for 30 seconds and multiply by 2 C. Increase intake of sodium D. Take with food if nausea occurs

A. Contact provider if the HR is less than 60/min

Ch. 87 Med Surg 3. A nurse is discussing gout with a client who is concerned about developing the disorder. Which of the following findings should the nurse identify as risk factors for this disease? (Select all that apply.) A. Diuretic use B. Obesity C. Deep sleep deprivation D. Depression E. Cardiovascular disease

A. Diuretic use B. Obesity E. Cardiovascular disease

Ch. 17-Med Surg 5. A nurse is caring for a client following a thoracentesis. Which of the following manifestations should the nurse recognize as risks for complications? (Select all that apply.) A. Dyspnea B. Localized bloody drainage on the dressing C. Fever D. Hypotension E. Report of pain at the puncture site

A. Dyspnea C. Fever D. Hypotension

Ch. 72 Med Surg 5. A nurse is providing has a history of low back injury. Which of the teaching for client who low back pain? (Select all that apply.) the client to prevent future problems with following instructions should the nurse give A. Engage in regular exercise including walking. B. Sit for up to 10 hr each day to rest the back. C. Maintain weight within 25% of ideal body weight. D. Create a smoking cessation plan. E. Wear low-heeled shoes.

A. Engage in regular exercise including walking. D. Create a smoking cessation plan. E. Wear low-heeled shoes.

Ch. 21 PHARM ATI Cardiac & Heart Failure 4. A nurse is providing teaching to a client who has a new prescription of digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation digoxin toxicity? Select all that apply. A. Fatigue B. Constipation C. Anorexia D. Rash E. Blurred Vision

A. Fatigue C. Anorexia E. Blurred Vision

Ch. 72 Med Surg 1. A nurse is assessing client who has osteoarthritis of the knees and fingers. Which of the following manifestations should the nurse expect to find? (Select all that apply.) A. Heberden's nodes B. Swelling of all joints C. Small body frame D. Enlarged joint size E. Limp when walking

A. Heberden's nodes D. Enlarged joint size E. Limp when walking

5. A nurse is caring for a client who is to receive thrombolytic therapy. Which of the following factors should the nurse recognize as a contraindication to the therapy? A. Hip arthroplasty 2 weeks ago B. Elevated sedimentation rate C. Incident of exercise-induced asthma 1 week ago D. Elevated platelet count

A. Hip arthroplasty 2 weeks ago

Ch. 22 Med-Surg 2. A nurse is preparing to administer an initial dose of prednisone to a client who has COPD. The nurse should monitor for which of the following adverse effects of this medication? (Select all that apply.) A. Hypokalemia B. Tachycardia C. Fluid retention D. Nausea E. Black, tarry stools

A. Hypokalemia C. Fluid retention E. Black, tarry stools

CH. 71 Med Surg A nurse is teaching a client how to manage an external fixation device upon discharge. Which of the following statement by the client indicates understanding? Select all that apply. A. I will clean the pins more often if drainage from the pins increases B. I will use a separate cotton swab for each pin C. I will report loosening of the pins to my doctor D. I will move my leg by lifting the device in the middle E. I will report increased redness at the pin sites.

A. I will clean the pins more often if drainage from the pins increases B. I will use a separate cotton swab for each pin C. I will report loosening of the pins to my doctor E. I will report increased redness at the pin sites.

Ch. 12 Med surg 5. A nurse is providing teaching for client who has a new diagnosis of dry macular degeneration. Which of the following instructions should the nurse include in the teaching? A. Increase intake of deep yellow and orange vegetables. B. Administer eye drops twice daily. C. Avoid bending at the waist. D. Wear an eye patch at night.

A. Increase intake of deep yellow and orange vegetables.

Pharm- ATI CH. 20 2. A nurse is teaching a client who has a new prescription for verapamil to control hypertension. Which of the following instructions should the nurse include? A. Increase the amount of fiber in the diet. B. Drink grapefruit juice daily to increase vitamin C intake. C. Decrease the amount of calcium in the diet. D. Withhold food for 1 hr after the medication Is taking

A. Increase the amount of fiber in the diet.

CH. 30 Pharm- Vitamins and Minerals 4. A nurse is preparing to administer potassium chloride IV to a client who has hypokalemia. Which of the following actions should the nurse take? Select all that apply. A. Infuse medications through a large-bore needle B. Monitor urine output to ensure at least 20 mL/hr C. Administer medications via direct IV bolus D. Implement cardiac monitoring E. Administer the infusion using an IV pump

A. Infuse medication through a large-bore needle D. Implement cardiac monitoring E. Administer through an IV pump

Ch. 71 Med Surg A nurse is assessing a client who had an external fixation device applied 2 hours ago for a fracture of the left tibia and fibula. Which of the following findings is a manifestation of compartment syndrome? Select all that apply A. Intense pain when the client's left foot is passively moved B. Capillary refill of 3 seconds on the client's left toes C. Hard, swollen muscle in the client's left arm D. Burning and tingling of the client's left foot E. Client report of minimal pain relief following a second dose of opioid medication.

A. Intense pain when the client's left foot is passively moved C. Hard, swollen muscle in the client's left arm D. Burning and tingling of the client's left foot E. Client report of minimal pain relief following a second dose of opioid medication.

Ch. 12 Nutrition 5. A nurse is providing teaching to a client who has vitamin B12 deficiency. Which of the following foods should the nurse instruct the client to consume? (Select all that apply.) A. Meat B. Flaxseed C. Beans D. Eggs E. Milk

A. Meat D. Eggs E. Milk

Ch. 36 ATI Med-surg 5. A nurse is providing discharge teaching for a client PO who has a prescription for furosemide 40 mg daily. The nurse should instruct the client to take this medication at which of the following times of day? A. Morning B. Immediately after lunch C. Immediately before dinner D. Bedtime

A. Morning

Ch. 20 Med Surg ATI 2. A nurse is caring for a client who, upon awakening, was disoriented to person, place, and time. The client reports chills and chest pain that is worse upon inspiration. Which of the following actions is the nursing priority? A. Obtain baseline vital signs and oxygen saturation. B. Obtain a sputum culture. C. Obtain a complete history from the client. D. Provide a pneumococcal vaccine,

A. Obtain baseline vital signs and oxygen saturation.

Ch. 17-Med Surg 4. A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following supplies should the nurse ensure are in the client's room? (Select all that apply.) A. Oxygen equipment B. Incentive spirometer C. Pulse oximeter D. Sterile dressing E. Suture removal kit

A. Oxygen equipment C. Pulse oximeter D. Sterile dressing

Ch. 17-Med Surg 1. A nurse is caring for a client who is scheduled for thoracentesis. the following actions should the nurse take? Prior to the procedure, which of A. Position the client in an upright position, leaning over the bedside table. B. Explain the procedure. C. Obtain ABGS. D. Administer benzocaine spray.

A. Position the client in an upright position, leaning over the bedside table.

CH. 87 Med Surg 1. A nurse is reviewing the plan of care for a client who reports fatigue, joint tenderness, difficulty urinating, and has systemic lupus erythematosus (SLE) Which of the following laboratory findings should the nurse anticipate? (Select all that apply.) A.Positive ANA titer B. Increased hemoglobin C. 2+ urine protein D. Increased serum C3 and C4 E. Elevated BUN

A. Positive ANA titer C. 2+ urine protein E. Elevated BUN

Ch. 70 Med Surg A nurse is planning discharge teaching on home safety for an adult client who has osteoporosis. Which of the following information should the nurse include? Select all that apply. A. Remove throw rugs in walkways B. Use prescribed assistive devices C. Remove clutter from the environment D. Wear soft-bottom shoes E. Maintain lighting of doorway areas.

A. Remove throw rugs in walkways B. Use prescribed assistive devices C. Remove clutter from the environment E. Maintain lighting of doorway areas.

Ch. 32 Mede Surg A nurse is completing the admission assessment of a client who has suspected pulmonary edema. Which of the following manifestations are expected findings? (Select all that apply.) A. Tachypnea B. Persistent cough C. Increased urinary output D. Thick, yellow sputum E. Orthopnea

A. Tachypnea B. Persistent cough E. Orthopnea

Ch. 24 Pharm: Antilipemic Agents 1. A nurse is providing teaching to a client who is starting simvastatin. Which of the following information should the nurse include in the teaching? A. Take this medication in the evening B. Change position slowly when rising from a chair C. Maintain a steady intake of green leafy vegetables D. Consume no more than 1L/day of fluid

A. Take this medication in the evening A.CORRECT: The client should take simvastatin in the evening because nighttime is when the most cholesterol is synthesized in the body. Taking statin medications in the evening increases medication effectiveness.

Ch. 71 Med Surg A nurse is assessing a client who has a casted compound fracture of the femur. Which of the following findings is a manifestation of a fat emboli? A. altered mental status B. Reduced bowel sounds. C. Swelling of the toes distal to the injury. D. Pain with passive movement of the foot distal to the injury.

A. altered mental status

Ch. 32 med surg 2. A nurse is teaching a client who heart failure and new prescriptions for furosemide and digoxin. Which of the following information should the nurse include? (Select all that apply). A. Weigh daily, first thing each morning. B. Decrease intake of potassium. D. Hold digoxin if heart rate is less than 70/min. C. Expect muscle weakness while taking digoxin. E. Decrease sodium intake.

A.Weigh daily, first thing each morning. E. Decrease sodium intake.

Ch. 17-Med Surg 2. A nurse at a provider's office is reviewing information with a client scheduled for pulmonary function tests (PFTS). Which of the following information should the nurse include? A. "Do not use inhaler medications for 6 hr following the test." B. "Do not smoke tobacco for 6 to 8 hr prior to the test." C. "You will be asked to bear down and hold your breath during the test." D. "The arterial blood flow to your hand will be evaluated as part of the test."

B. "Do not smoke tobacco for 6 to 8 hr prior to the test."

Ch. 24 Med-Surg 4. A nurse is caring for a client who has a new prescription for heparin therapy. Which of the following statements by the client should indicate an immediate concern for the nurse? A. "I am allergic to morphine." B. "I take antacids several times a day for my ulcer." C. "I had a blood clot in my leg several years ago." D. "It hurts to take a deep breath."

B. "I take antacids several times a day for my ulcer."

Ch. 36 Med-Surg 4. A nurse is providing teaching for a client who has a new diagnosis of hypertension and new indicates an understanding of the teaching? Which of the following statements prescription for spironolactone 25 mg/day. by the client especially bananas and potatoes." A. "I should eat a lot of fruits and vegetables, B. "I will report any changes in heart rate to my provider." C. "I should replace the salt shaker on my table with a salt substitute." D. "I will decrease the dose of this medication when I no longer have headaches and facial redness."

B. "I will report any changes in heart rate to my provider."

Ch. 32 Med Surg 1. A nurse is caring for a client who has heart failure and reports increased shortness of breath. Which of the following actions should the nurse take first? A. Obtain the client's weight. B. Assist the client into high-Fowler's position. C. Auscultate lungs sounds. D. Check oxygen saturation with pulse oximeter.

B. Assist the client into high-Fowler's position.

Ch. 71 Med Surg A nurse in the emergency department is planning care for a client who has a right hip fracture. Which of the following immobilization devices should the nurse anticipate in the plan of care? A. Skeletal traction B. Buck's traction C. Halo traction D. Bryant's traction

B. Buck's traction

Ch. 25 Meds affecting coagulation 4. A nurse is monitoring a client who takes aspirin PO daily. The nurse should identify which of the following manifestations as adverse effects of daily aspirin therapy? (Select all that apply.) A. Hypertension B. Coffee-ground emesis C. Tinnitus D. Paresthesias of the extremities E. Nausea

B. CORRECT: GI bleeding with dark stools or coffee-ground emesis can be an adverse effect of aspirin therapy. C. CORRECT: Tinnitus and hearing loss can occur as an adverse effect of aspirin therapy E. CORRECT: Nausea, vomiting, and abdominal pain can occur as a result of aspirin therapy.

Ch. 30 Pharm Vitamins and Minerals 5. A nurse is caring for a client who is receiving IV potassium. The nurse should monitor the client for which of the following manifestations as an indications of hyperkalemia? A. Tachycardia B. Dyspnea C. Lethargy D. Increased thirst

B. Dyspnea

Ch. 36 ATI-Med Surg 1. A nurse is screening client for hypertension. The nurse should identify that which of the following actions by the client increase the risk A. Drinking 8 oz nonfat milk daily for hypertension? (Select all that apply.) min/mile pace D. Consuming 36 oz beer daily C. Walking 1 mile daily at 12 B. Eating popcorn at the movie theater E. Getting a massage once a week

B. Eating popcorn at the movie theater D. Consuming 36 oz beer daily

Ch. 12-Med Surg 3. A nurse is caring for a male older adult client who has a new diagnosis of glaucoma. Which of the following should the nurse recognize as risk factors associated with this disease? (Select all that apply.) A. Sex B. Genetic predisposition C. Hypertension D. Age E. Diabetes mellitus

B. Genetic predisposition C. Hypertension D. Age E. Diabetes mellitus

Ch. 20 Pharm: 5) A nurse is planning to administer a first dose of captopril to a client who has hypertension. Which of the following medications can intensify first dose hypotension (select all that apply) A. Simvastatin B. Hydrochlorothiaszide C. Phenytoin D. Clonidine E. Aliskiren

B. Hydrochlorothiaszide D. Clonidine E. Aliskiren

Pharm- ATI CH. 20 5. A nurse is of the following medications can intensify first captopril to a client who has hypertension. Which planning to administer a first dose of dose hypotension? (Select all that apply.) A. Simvastatin B. Hydrochlorothiazide C. Phenytoin D. Clonidine E. Aliskiren

B. Hydrochlorothiazide D. Clonidine E. Aliskiren

Ch. 21 PHARM ATI Cardiac & Heart Failure 3. A nurse is administering a dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication? A. Lowered Heart rate B. Increased urine output C. Decreased conduction through the AV node D. Vasoconstriction of renal blood vessel

B. Increased urine output

Ch. 70 Med Surg A nurse is providing dietary teaching about calcium-rich foods to a client who has osteoporosis. Which of the following foods should the nurse include in the instructions? A. White Bread B. Kale C. Apples D. Brown rice

B. Kale-green leafy vegetables!

CH. 12 Nutrition 4. A nurse is reviewing a client health record that includes a report of abdominal obesity and laboratory findings of elevated blood glucose and elevated triglycerides. These findings meet the criteria of which of the following conditions? A. Anemia B. Metabolic syndrome C. Heart failure D. Hypertension

B. Metabolic syndrome

Ch. 25 Medications affecting coagulation 3. A nurse is planning to administer IV alteplase to a client. Which of the following interventions should the nurse plan to take? A. Administer IV enoxaparin along with alteplase dose B. Obtain the clients weight C. Administer aminocaproic acid IV prior to alteplase infusion D. Prepare to administer alteplase within 8 hours of manifestation onset.

B. Obtain the client's weight

Ch. 12-Med Surg A nurse is caring for a client who has diabetes mellitus and reports a gradual loss of peripheral vision. The nurse should recognize this as a manifestation of which of the following diseases? A. Cataracts B. Open-angle glaucoma C. Macular degeneration D. Angle-closure glaucoma

B. Open-angle glaucoma-This is a manifestation of open-angle glaucoma. A gradual loss of peripheral vision is an association with this diagnosis

Ch. 87 ATI Med Surg 5. A nurse is caring for a client who has SLE and is experiencing an episode of Raynaud's phenomenon. Which of the following findings should the nurse anticipate? A. Swelling of joints of the fingers B. Pallor of toes with cold exposure C. Feet that become reddened with ambulation D. Client report of intense feeling of heat in the fingers

B. Pallor of toes with cold exposure

Ch. 70 Med Surg: 2. A nurse is providing care for a client who had a vertebroplasty of the thoracic spine. Which of the following actions should the nurse take? A. apply heat to the puncture site B. Place the client in a supine position C. Turn the client every 1 hour D. Ambulate the client within the first hour postprocedure

B. Place the client in a supine position

CH. 24 Med-Surg 2. A nurse is assessing a client who has a pulmonary embolism. Which of the following manifestations should the nurse expect? (Select all that apply.) A. Bradypnea B. Pleural friction rub C. Hypertension D. Petechiae E. Tachycardia

B. Pleural friction D. Petechiae E. Tachycardia

Ch. 72 Med Surg 3. A nurse is providing information about capsaicin from osteoarthritis. Which of the following information cream to a client who reports continuous knee pain should the nurse include in the discussion? A. Continuous pain relief is provided. B. Put on gloves before applying the cream to other parts of the body. C. Leave cream on the hands for 10 min following application. D. Apply the medication every 2 hr during the day.

B. Put on gloves before applying the cream to other parts of the body.

Ch. 72 Med Surg 4. A nurse is caring for a client who received lower back injury during a fall and describes sharp pain in the back and down the left leg. In which of the following positions should the nurse plan to place the client to attempt to decrease the pain? A. Prone without use of pillows B. Semi-Fowler's with a pillow under the knees C. High-Fowler's with the knees flat on the bed D. Supine with the head flat

B. Semi-Fowler's with a pillow under the knees

Ch. 24 Antilipemic Agents: 5. A nurse is caring for a client who has a new prescription for alirocumab to reduce cholesterol. The nurse should monitor for which of the following findings as an adverse effect of alirocumab. Select all that apply. A. Muscle aches B. Vasculitis C. Hearing Loss D. Urticaria E. Jaundice

B. Vasculitis D. Urticaria E. Jaundice

Ch. 21 PHARM ATI Cardiac & Heart Failure 2. A nurse is caring for a client who has a new prescription for digoxin and take multiple other medications. The nurse should recognize that concurrent use of the following medications places the client at risk for digoxin toxicity? A. Phenytoin B. Verapamil C. Warfarin D. Aluminum hydroxide

B. Verapamil-this is a calcium-channel blocker, can increase levels of digoxin

Ch. 20 Med Surg ATI 3. A nurse is caring for a client who has pneumonia. Assessment findings include temperature air. 37.8° C (100° 130/76 blood pressure; heart rate 100/min, and SaO2 91% on room respirations 30/min, blood pressure . Prioritize the following nursing interventions. A. Administer antibiotics. B. Administer oxygen therapy. C. Perform a sputum culture. D. Instruct the client to obtain a yearly influenza vaccination. Place these in order

B.- Oxygen therapy C. Perform sputum culture A. Administer antibiotics D. Instruct the client to obtain a yearly influenza vaccination

Ch. 25 Medications Affecting Coagulation 1. A nurse is planning to administer Subcutaneous enoxaparin 40 mg using a prefilled syringe of enoxaparin 40 mg/0.4 ML to an adult client following hip arthroplasty. Which of the following actions should the nurse plan to take? A. Expel the air bubble from the prefilled syringe before injecting. B. Insert the needle completely into the client's tissue. C. Administer the injection in the client's thigh. D. Aspirate carefully after inserting the needle into the client's skin.

B.The nurse should inject the needle on the prefilled syringe completely when administering enoxaparin in order to administer the medication by deep subcutaneous injection.

Ch. 20 Pharm 3) A nurse is caring for a client who a new prescription for captopril for hypertension. The nurse should monitor the client for which of the following adverse effects of this medication? A. Hypokalemia B. Hypernatremia C. Neutropenia D. Bradycardia

C Neutropenia-- is a serious adverse effect that can occur in clients taking an ACE inhibitor.

Ch. 22 Med-Surg 1. A nurse is providing discharge teaching to a client who has COPD and a new prescription for albuterol. indicates an understanding of the teaching? Which of the following statements by the client A. "This medication can increase my blood sugar levels." B. "This medication can decrease my immune response." C. "I can have an increase in my heart rate while taking this medication." D. "I can have mouth sores while taking this medication."

C. "I can have an increase in my heart rate while taking this medication."

Ch. 87 Med Surg 2. A nurse is teaching a client who has SLE about self-care. Which of the following statements by the client indicates an understanding of the teaching? A. "I should limit my time to 10 minutes in the tanning bed." B. "I will apply powder to any skin rash." C. "I should use a mild hair shampoo." D. "I will inspect my skin once a month for rashes."

C. "I should use a mild hair shampoo."

Ch. 22 Med-Surg 5. A nurse is planning to instruct a client on how to perform pursed-lip breathing. Which of the following statements should the nurse include? inhalation." A. "Take quick breaths upon B. "Place your hand over your stomach." C. "Take a deep breath in through your nose. D. "Puff your cheeks upon exhalation."

C. "Take a deep breath in through your nose.

Ch. 32 Med Surg 4. A nurse is talking with a client who has class I heart failure and asks about obtaining a ventricular assist device (VAD). Which of the following statement should the nurse make? A. "VADS are only implanted during heart transplantation." B. "A VAD helps to pace the heart." C. "VADS are used when heart failure is not responsive to medications." D. "A VAD is useful for clients who also have a chronic lung issue."

C. "VADS are used when heart failure is not responsive to medications."

Ch. 24 Med-Surg 3. A nurse is reviewing prescriptions for a client who has acute dyspnea and diaphoresis. The client states, "I am heart rate 117/min, respirations 38/min, temperature anxious and unable to get enough air." Vital signs are 100/54 mm Hg. 38.4° C (101.2° F), and blood pressure Which of the following nursing actions is the priority? A. Notify the provider. B. Administer heparin via IV infusion. C. Administer oxygen therapy. D. Obtain a CT scan.

C. Administer oxygen therapy.

Ch. 12 Med surg 4. A nurse is caring for a client who has a new diagnosis of cataracts. Which of the following manifestations should the nurse expect? (Select all that apply.) A. Eye pain B. Floating spots C. Blurred vision D. White pupils E. Bilateral red reflexes

C. Blurred vision D. White pupils

Ch. 30 Pharm-Vitamins and Minerals 2. A nurse is assessing a client who is receiving magnesium sulfate and notes the client has depressed deep tendon reflexes. The nurse should expect to administer which of the following medications? A. Potassium chloride B. Folic acid C. Calcium gluconate D. Cyanocobalamin

C. Calcium gluconate

Pharm- ATI CH. 20 4. A nurse in an acute care facility is caring for of the following for as an adverse effect of this medication? conditions should the nurse hypertensive crisis. Which a client who is receiving IV nitroprusside for monitor the client A. Intestinal ileus B. Neutropenia C. Delirium D. Hyperthermia

C. Delirium

Ch. 20 Pharm 4) A nurse is an acute care facility is caring for a client who is receiving IV nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication? A. Intestinal ileus B. Neutropenia C. Delirium D. Hyperthermia

C. Delirium-- can alter mental status changes can occur with this drug when high does are given via IV

Pharm- ATI CH. 20 3. A nurse is caring for a client who has a new prescription for captopril for hypertension. nurse should monitor the client for which following as an adverse effect of this medication? A. Hypokalemia B. Hypernatremia C. Neutropenia D. Bradycardia

C. Neutropenia

CH. 36 ATI Med-Surg 3. A nurse is caring for a client who is admitted to the emergency department with a blood of 266/147 mm Hg. The client reports pressure a headache and double vision. The client states. and diltiazem 3 days ago, "I ran out of my am unable to purchase more." Which of the following actions should the nurse take first? A. Administer acetaminophen for headache. B. Provide teaching regarding the importance of not abruptly stopping an antihypertensive. C. Obtain IV access and prepare to administer an IV antihypertensive. D. Call social services for a referral for financial assistance in obtaining prescribed medication.

C. Obtain IV access and prepare to administer an IV antihypertensive.

Ch. 21- Pharm Cardiac Glycosides & Heart Failure 1) A nurse is a provider's office is monitoring serum electrolytes for four older adult client who take digoxin. Which of the following electrolyte values increase a client's risk for digoxin toxicity A. Calcium 9.2 mg/dL B. Calcium 10.3 mg/dL C. Potassium 3.4 mEq/L D. Potassium 4.8 mEq/L

C. Potassium 3.4 mEq/L

Ch 36 Med-Surg ATI 2. A nurse in an urgent care clinic is obtaining a history from a client who has type 2 diabetes mellitus and a recent hypoglycemia. Which of the following client data second time in 2 weeks that the client experienced diagnosis of hypertension. This is the should the nurse report to the provider? A. Takes psyllium daily as a fiber laxative B. Drinks skim milk daily as a bedtime snack C. Takes metoprolol daily after meals D. Drinks grapefruit juice daily with breakfast

C. Takes metoprolol daily after meals

Ch. 12 Nutrition 3. A community health nurse is assessing a client who reports numbness of the hands and feet for the past 2 weeks. This finding is associated with which of the following nutritional deficiencies? A. Folic acid B. Potassium C. Vitamin B12 D. Iron

C. Vitamin B12

Ch. 24 Antilipemic Agents: A nurse is completing a nursing history for a client who currently takes simvastatin (Zocor). The provider recommends adding ezetimibe to the client's medications. Which of the following disorders is a contraindication to adding ezetimibe (Zetia) to the client's medications? A. History of severe constipation B. History of hypertension C. Active hepatitis C D. Type 2 diabetes mellitus

C.CORRECT: Ezetimibe is contraindicated in clients who have an active moderate-to-severe liver disorder, especially if the client is already taking a statin, such as simvastatin.

Ch. 24 Pharm Antilipemic Agents A nurse is collecting data from a client who is taking gemfibrozil (Lopid). Which of the following assessment findings is an adverse reaction to the medication? A. Mental status changes B. Tremor C. Jaundice D. Pneumonia

C.CORRECT: Jaundice, anorexia, and upper abdominal discomfort may be findings in liver impairment, which may occur in clients taking gemfibrozil.

CH. 25 Pharm-Meds affecting coagulation 5. A nurse is caring for a client who has atrial fibrillation and a new prescription for dabigatran to prevent development of thrombosis. Which of the following medications is prescribed concurrently to treat an adverse effect of dabigatran? A. Vitamin K1 B. Protamine C. Omeprazole D. Probenecid

C.Omeprazole or another proton pump inhibitor is prescribed for a client who is taking dabigatran and has abdominal pain and other GI findings that can occur as adverse effects of dabigatran. The nurse should advise the client who has GI effects to take dabigatran with food.

Ch. 25 Medications Affecting Coagulation 2. A nurse is caring for a hospitalized client who is receiving IV heparin for a deep-vein thrombosis. The client begins vomiting blood. After the heparin has been stopped, which of the following medications should the nurse prepare to administer? A. Vitamin K1 B. Atropine C. Protamine D. Calcium gluconate

C.Protamine reverses the anticoagulant effect of heparin.

Nutrition Ch. 12 1. A nurse is recommendations to lower high blood teaching a client about dietary by the client indicates understanding? pressure. Which of the following statements A. "My daily sodium consumption should be 3,000 milligrams." B. "I should consume foods low in potassium." C. "My limit is three cigarettes a day." D. "I should consume low-fat dairy products."

D. "I should consume low-fat dairy products."

Ch. 22 Med-Surg 4. A nurse is instructing a client client indicates an understanding of the teaching? spirometer. Which of the following statements by the on the use of an incentive A. "I will place the adapter on my finger to read my blood oxygen saturation level." B. "I will lie on my back with my knees bent." to create resistance." C. "I will rest my hand over my abdomen D. "I will take in a deep breath and hold it before exhaling."

D. "I will take in a deep breath and hold it before exhaling."

Ch. 87 Med Surg 4. A nurse is assessing a client who has a new diagnosis of SLE. Which of the following findings should the nurse expect? A. Weight gain B. Petechiae on thighs C. Systolic murmur D. Alopecia

D. Alopecia

Ch. 17-Med Surg 3. A nurse is assessing a client following a bronchoscopy. Which of the following findings should the nurse report to the provider? A. Blood-tinged sputum B. Dry, nonproductive cough C. Sore throat D. Bronchospasms

D. Bronchospasms

Ch. 20 Med Surg 4. A nurse in a clinic is Which of the following techniques should the nurse assessing a client who has sinusitis. A. Percussion of posterior lobes of lungs use to identify manifestations of this disorder? B. Auscultation of the trachea C. Inspection of the conjunctiva D. Palpation of the orbital areas

D. Palpation of the orbital areas

Ch. 12-Med Surg A nurse is providing postoperative teaching to a client following cataract surgery. Which of the following statements should the nurse include in the teaching? A. You can resume playing golf in 2 days B. You need to tile your head back when washing your hair C. You can get water in your eyes in 1 day D. You need to limit your housekeeping activities

D. You need to limit your housekeeping activities

Ch. 24 Pharm Antilipemic Agents A nurse is teaching a client who is taking digoxin (Lanoxin) and has a new prescription for colesevelam (Welchol). Which of the following should the nurse include in the teaching? A. Take digoxin with your morning dose of colesevelam. B. Your sodium and potassium levels will be monitored periodically while taking colesevelam. C. Watch for bleeding or bruising while taking colesevelam. D. Take colesevelam with food and at least one glass of water.

D.CORRECT: Colesevelam should be taken with food and at least 8 oz of water.

Ch. 30 Pharm-Vitamins and Minerals 1.A nurse is teaching a client who has anemia and a new prescription for a liquid iron supplement. Which of the following information should the nurse include in the teaching? (select all that apply). A. Add foods that are high in fiber to your diet B. Rinse your mouth after taking the medication C. Expect stools to be green or black in color D. Take the medication with a glass of milk E. Add red meat to your diet

a.) add foods that are high in fiber to your diet b.) rinse your mouth after taking the medication c.) expect stools to be green or black in color e.) add red meat to your diet

CH. 70 Med Surg 1. A nurse is admitting an older adult client who has suspected osteoporosis. Which of following an expected clinical findings? (Select all that apply) a. History of consuming one glass of wine daily b. Loss in height of 2in (5.1cm) c. Body Mass Index (BMI) of 21 d. Kyphotic curve at upper thoracic spine e. History of lactose intolerance

b. Loss in height of 2in (5.1cm) c. Body Mass Index (BMI) of 21 d. Kyphotic curve at upper thoracic spine e. History of lactose intolerance

Ch. 3o Pharm-Vitamins and Minerals 3. A nurse is evaluating a group of clients at a health fair to identify the need for folic acid therapy. Which of the following clients require folic acid therapy? (select all that apply) A. 12 y/o child who has iron deficiency anemia B. 24 y/o female who has no health problems C. 44 y/o male who has hypertension D. 55 y/o female who has alcohol use disorder E. 35 y/o male who has type 2 DM

b.) 24-year-old female who has no health problems d.) 55-year-old female who has alcohol use disorder