ATI B answers

A nurse is teaching a client who has diabetes, mellitus and received 25 units of NPH insulin every morning if her blood glucose is above 200 mg/dl. which of the following information should the nurse include

Expect the NPH insulin to peek and 6 to 14 hours

A nurse is preparing to administer rectal suppository to a client. In which of the following position should the nurse place the client for insertion of the suppository

Sims position

A nurse is teaching a client who has a new prescription for colesevelam to lower his low density lipoprotein level. Which of the following instruction should the nurse include

Take this medication for hours after other medication's

A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?

Take this medication with a full glass of water.

A nurse is providing teaching to a client who has gout in a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching.

"I need to increase my fluid intake while taking this medication."

A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching.

"I should eat more bananas while taking this medication."

A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching.

"I will store the medication at room temperature"

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching.

"I'll call my doctor if I notice any unusual menstrual bleeding."

A nurse is providing discharge, teaching to a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching.

"I'll use my electric razor for shaving."

A nurse is caring for a client who is taking naproxen, following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse.

"I've been taking an antacid to help with indigestion."

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching.

"It might take up to 3 days for the medication to work."

A nurse is administering a unit RBC 350 mL over three hours to a client who has anemia. The nurse it's at the IV pump to deliver how many ML's per hour

117

A nurse is preparing to minister 40 mEq of potassium in 45% sodium chloride 500 ML IV to infuse 10 mEq/hour. The nurse should set the IV pump to deliver how many milliliters/hour.

125

A nurse is preparing to administer hydromorphone 2.5 mg. The amount available is 5 mg per 5 mL of elixir. How many milliliters should the nurse administer

2.5

A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is 10 mg per tablet. How many tablets should the nurse administer per dose

3

A nurse is caring for a client who had Ivy and fluids initiated 0330. The IV fluids are infusing at 120 ML's per hour. The nurse should record how many ML of IV fluid on the intake record at 0600.

300

A nurse is preparing to administer 5% dextrose and a 0.45% sodium chloride 1000 mL IV confused over 12 hours. The nurse it's at the IV pump to deliver how many ML's per hour

83

A nurse is providing instructions about bowel cleansing with polyethylene glycol electrolyte solution for the client who is going to have a colonoscopy. Which of the following information should the nurse include

Abdominal bloating might occur

A nurse is caring for a client who has developed out. Which of the following medication should the nurse prepare to administer

Allopurinol

A nurse is caring for a client who has HIV - one infection and is prescribed zidovudine as a part of antiretroviral therapy. The nurse should monitor the client for which of the following adverse effects of this medication.

Aplastic, anemia

A nurse is assessing a client who has systemic, lupus, erythematosus, and he's taking Hydroxychloroquine. The nurse should report which of the following adverse effects to the provider immediately

Blurred vision

A nurse is reviewing the laboratory results of a client who has liver failure with ascites is receiving spironolactone. Which of the following findings should the nurse expect

Decreased sodium level

A nurse is teaching a client had to drop regular insulin and NPH insulin into the same syringe which of the following instruction should the nurse include

Discard regular insulin that appears cloudy

A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate which of the following information should the nurse include

Drink 2 to 3 L of water per day.

A nurse in a public clinic is planning a health fair for older adult client in the community. And teaching medication, safety, which of the following foods should the nurse advise the client to avoid when taking their prescription

Grapefruit juice

A nurse is caring for a client who is cancer in a new prescription for ondansetron to treat chemotherapy induced nausea for. which of the following adverse effects of the nurse monitor.

Headache

A nurse is caring for a client who is chronic renal disease in receiving therapy with epoetin Alfa. Which of the following laboratory results of the nurse review for an indication of a therapeutic effect of the medication

Hematocrit (Hct)

A nurse is caring for a female client who has rheumatoid arthritis and ask the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the clients history is a contraindication to this medication.

History of gastric ulcers

A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alpha. The nurse instruct the client to increase dietary intake of which of the following substances.

Iron

A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instruction should the nurse include in the teaching

Keep the open vial of insulin at room temperature

A nurse is caring for a client who has acute respiratory distress syndrome and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purpose.

Suppress respiratory effort

A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The nurse include which of the following instructions regarding how to take the medication.

Take one tablet at the first indication of chest pain

A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instruction should the nurse include in the teaching

Take the medication with food

A nurse is providing discharge, teaching to a client who has asthma new prescription for fluticasone salmeterol. For which of the following adverse effects of the nurse instruct the client to report to the provider.

White coating in the mouth

A nurse is teaching a client who has a duodenal ulcer about the new prescription for cimetidine. The nurse include which of the following instructions in the teaching.

Your doctor might need to reduce your Theophylline dose while taking this medication

A nurse is teaching a client who has diabetes, mellitus a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication.

alcohol

A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity.

anorexia

A nurse is caring for a client who is experiencing severe nausea and vomiting after course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations.

metabolic alkalosis

A nurse is preparing to administer amitriptyline 150 mg PO at bedtime. The amount available is 75 mg/tablet how many tablets are the nurse administer per dose

2

A nurse is preparing to administer Clinda myosin 900 mg by intermittent IV bolus over 30 minutes. Available is clindamycin 900 mg in 100 mL dextrose 5%. The nurse it's at the IV pump to deliver how many ML's per hour

200

A nurse is preparing to administer 0.9% sodium chloride 3000 ml iv to infuse over 24 hours. The drop factor on the manual IV tubing is 10 GTTs/ML. The nurse should set the manual IV infusion to deliver. How many GTT/min

21

A nurse is preparing to start an IV infusion of lactate ringers for a client who sustained a burn injury. The client is prescribed 5200 mL of fluid over the first 24 hours. How many milliliters per hour should the nurse at the pump to infuse for the first eight hours.

325 ml/hr

Nursing oncology unit is preparing to administer doxorubicin to a client who has breast cancer. Prior to beginning the infusion. The nurse verifies the clients current cumulative lifetime dose of the medication. For which of the following reasons is this verification necessary

An excess amount of doxorubicin can lead to cardiomyopathy

A nurse is teaching a client who has a new prescription for alprazolam to treat insomnia, which of the following instruction should the nurse include

Avoid activities that require alertness, such as driving

A nurse is receiving a client who is immediately postoperative following a hip arthroplasty. Which of the following medication should the nurse plan to administer for DVT prophylaxis

Enoxaparin subcutaneous

A nurse is teaching a client who has a new prescription for Colchicine to treat gout which of the following instruction should the nurse include

Monitor for muscle pain

A nurse is reviewing the medication list for a client who has a new diagnosis of type two diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance.

Prednisone

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion, which of the following medication should the nurse have available to reverse, heparins effect

Protamine sulfate

A nurse is assessing a client who is on a long-term omeprazole therapy. Which of the following finding should indicate to the nurse the medication is effective.

Reduce dyspepsia

A nurse is taking a health history of a client reports occasionally taking several over the counter medication's, including an H2 receptor antagonist. Which of the following outcomes indicates to H2, receptor antagonist is therapeutic.

Relief of heartburn

A nurse is assessing a client prior to the administration of morphine. The nurse should recognize that which of the following assessment is the priority.

Respiratory rate When using the airway, breathing, circulation approach to client care, the nurse should determine the priority assessment is respiratory rate. Morphine can cause respiratory depression. The nurse should withhold the medication and notify the prescriber if the client has a respiratory rate less than 12/min.

The nurse is preparing a medication for a client in observes. The date of expiration on the vile occurred two months ago. Which of the following action should the nurse take?

Return the medication to the pharmacy

A nurse is caring for a two-year-old child who has seizures and is receiving phenytoin in suspense form. Which of the following action should the nurse take before administering each dose

Shake the container vigorously

A nurse is caring for a client who requires a medication that is package in a single dose glass ampule. Which of the following technique should the nurse use when opening the glass Ampule

Tap the top of the ampul place is sterile gauze pad around the ampoule neck and break off the top by bending it toward the body

A hospice nurse is caring for a client who has a terminal cancer and takes PO morphine for pain relief. The client reports that he had increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for the situation.

The client develop a tolerance to the medication

A nurse is caring for a client who has nausea and prescription for medical provide intermittent IV bolus every four hours as needed. The client asked the nurse how metoclopramide relieve her nausea. Which of the following explanation should the nurse provide

The medication relieves nausea by promoting gastric emptying

A nurse is caring for a client who is bipolar disorder and has been taking with him for one year. Before administering the medication, the nurse should check to see that which of the following tests have been completed.

Thyroid hormone assay

A nurse is teaching a client about the adverse effects of cisplatin. Which of the following adverse effects of the nurse include in the teaching.

Tinnitus

A nurse is teaching a client who has a new prescription for cyclobenzaprine which of the following information should the nurse include in the teaching

avoid driving until effects are known

A nurse is teaching a client who has a new prescription for diazepam which of the following information should the nurse include in the teaching

diazepam can cause drowsiness