pharm ATI questions from the ATI platform

nurse is caring for a client with chronic kidney disease. The kidneys regulate body fluid as well as? A. regulation of acid-base balance B. reabsorption of nutrients for cell growth c. regulation of body temp d. secretion of hormones needed for growth

A.

a nurse is reviewing a clients lab reports. The clients ABG levels are pH 7.5 PaCO2 32 and HCO2 24 the nurse should determine the client has which of the following acid base imbalances? A. respiratory alkalosis B. metabolic acidosis C. respiratory acidosis D. metabolic alkalosis

A. respiratory alkalosis

a nurse is providing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. The client is scheduled for a coloscopy and is currently taking furosemide for hypertension. Which of the following indicate the nurses teaching has been effective? A. I can take my water pills as prescribed b. I can experience an imbalance in my electrolytes from this med c. I should drink 8 ounces of bowel cleanser every 10 min until I drink a total of 4 liters d. I can experience rebound constipation after using this med

B.

a nurse is providing teaching to a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the following statements should the nurse include? A. you can take ibuprofen for headaches while taking this med b. you may experience increased swelling in your lower extremities c. you should eat food high in potassium while taking this med D. you should take this med at bedtime

C.

nurse is caring for a patient who is hyperventilating. The clients ABG is PH 7.50, Paco2 27 and HCO3-25 what acid base imbalance do they have? A. respiratory acidosis B. metabolic acidosis C. respiratory alkalosis D. metabolic alkalosis

C.

A nurse is caring for a client prescribed chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects? A. thrombophlebitis b. Hyperactive reflexes c. Muscle weakness d. Hypoglycemia

C. (due to possibility for hypokalemia.. muscle weakness, cramps and dysrhythmia )

Nurse is reviewing the med record of a client who is receiving hydrochlorothiazide. The nurse should expect to find an improvement in which of the following conditions as a result of this med? A. gouty arthritis B. dehydration c. diabetes insipidus d. hypokalemia

C. (over production of urine)

a nurse is monitoring a client who is receiving terbutaline to suppress preterm labor. Which shows an adverse effect to the med? A. BP of 132/84 B. Blood glucose of 106 c. Decreased deep tendon reflexes D. maternal heart rate above 120

D.

assessing client with deep, rapid respirations. ABG is pH 7.25 paco2 40 HCO3 18 which of the following acid-base imbalances do they have? A. respiratory alkalosis B. Metabolic alkalosis C. respiratory acidosis D. metabolic acidosis

D.

nurse providing teaching to a client who is scheduled to start taking hydrochlorothiazide for hypertension. The nurse instructs the client to eat food rich in potassium. Which of the following statements by the client indicate they understand? A. This medication will not work unless I have enough potassium b. potassium will increase the therapeutic effect of my blood pressure med C. Potassium will lower my blood pressure d. This med can cause a loss of potassium

D.

nurse is providing teaching to a client who has heart failure and is taking spironolactone. Which of the following statements by the client indicate an understanding of the teaching? . I will increase my intake of citrus fruits, bananas and potatoes b. I will use salt substitute on my food c. I will drink as much water as I can while taking this med d. I will watch for increased breast tissue growth while taking this med

D. (I will watch for increased breast tissue growth while taking this med)

nurse is providing discharge teaching to a client who has heart failure and a prescription for digoxin 0.125mg po daily and furosemide 20 mg po daily. Which of the following indicate understanding of the teaching? A. I know that blurred vision is expected to happen while i am taking digoxin B. I will measure my urine output each day and document it c. I will skip a dose of my digoxin if my resting heart rate is below 72 d. I will eat fruit and vegetables that have a high potassium content every day

D. (hypokalemia is an adverse effect of diuretic therapy... if digoxin is not in normal range patient can get digoxin toxicity.

client with COPD can get what acid base imbalance

Respiratory acidosis (build up of co2)

nurse is caring for a client that has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects of this med? A. hypotension b. Diuresis C. increased blood glucose levels d. weight gain

b. Diuresis