ATI pharm 2

c

a nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication? a. Muscle twitching b. Cough c. Urinary retention d. Increased libido

b

1. A circulating nurse is planning care for a client who is scheduled surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care? a. Schedule client for last surgery of the day b. Place monitoring cords and tubes in a stockinet c. Choose rubber injection ports for fluid administration d. Ensure phenytoin IV is readily available

a

1. A nurse is caring for a client who is receiving haloperidol (antipsychotic). The nurse should identify which of the following findings as an adverse effect of the medication? a. Akathisia b. Paresthesia c. Excess tear production d. Anxiety

c

1. A nurse is providing discharge instructions to a client who is to self-administer insulin at home. Which of the following statements indicate to the nurse that the teaching is effective? a. "I should avoid getting rid of the air bubble in the syringe" b. "I should inject the insulin in my thigh for the fastest absorption" c. "I will store my unopened bottles of insulin in the refrigerator" "I need to shake the insulin before using it to make sure it is well mixed"

c

1. A nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. The nurse should identify which of the following statements by the client indicates an understanding of teaching? a. "I will apply the patch once a week for 2 weeks" b. "I will leave the existing patch on for 4 hrs after applying the new patch" c. "I will fold the sticky sides of the old patch together before disposing it" d. "I will apply the patch within 14 days of menses"

a

1. A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor and report to the provider? a. chest pressure b. white patches on tongue c. bruising d. insomnia

a

1. A nurse is teaching a client who has a new prescription for docusate sodium about the medication's mechanism of action. Which of the following information should the nurse include in the teaching? a. Docusate sodium reduces the surface tension of the stools to change their consistency b. Docusate sodium causes rectal contractions c. Docusate sodium acts as a fiber agent, increasing bulk in the intestines d. Docusate sodium stimulates the motility of the intestines

b

A nurse is teaching about zolpidem to a client who has insomnia. The nurse should identify that which of the following statements indicates and understanding of the teaching? a. "I will need to get lab testing prior to refill of this medication" b. "I will use this medication for a short period of time" c. "I will need to take this medication for 1 week before results are seen" d. "I will need to change the medications to prevent building up tolerance"

c

A nurse s assessing a client who has received atropine eye drops during an eye examination. Which of the following findings should the nurse expect as an effect of the medication? a. Difficulty seeing in dark b. Pinpoint pupils c. Blurred vision d. Excessive tearing

c

A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of the following medications should the nurse expect to administer? a. Bupropion b. Disulfiram c. Methadone d. Modafinil

a

A nurse administered digoxin immune Fab to a client who received the incorrect dose of digoxin over a period of 3 days. The nurse should identify that which of the following findings indicates the antidote was effective? a. Normal sinus rhythm b. Digoxin level 2.5 ng/mL c. Decrease blood pressure d. Potassium 3.2 mEq/L

a

A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of the following client findings as an indication that she should complete an incident report? a. Client report SOB b. Client is also taking lisinopril c. Client's pulse rate is 60/min d. Client WBC count is 14,000 mm3

b

A nurse aid ministering baclofen for a client who has a spinal cord inujry. Which of the following findings should the nurse document as a therapeutic outcome? a. Increase in seizure threshold b. Decrease in flexor and extensor spasticity c. Increase in cognitive function d. Decrease in paralysis of the extremities

b

A nurse contacts a clients provider on the telephone to obtain a prescription for pain medication. Which of the following actions should the nurse take? a. Write the order on a prescription ad designated for the client's provider b. Have the provider spell unfamiliar medication names c. Read the prescription back to the provider using abbreviations d. Consult with a second nurse for any questions regarding dosage

d

A nurse in a clinic is caring for a client who is taking aspirin for treatment of arthritis. The nurse should identify which of the following findings as an indication that the client is beginning to exhibit salicylism? a. Gastric distress b. Oliguria c. Excessive bruising d. Tinnitus

a

A nurse in a providers office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately? a. Hyperventilation b. Heartburn c. Anorexia d. Swollen ankles

b

A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first? a. Administer epinephrine 0.5 mL via IV bolus b. Discontinue the medication IV infusion c. Elevate clients legs above level of heart d. Collect a blood specimen for ABGs

a

A nurse is administering diazepam to a client who is having a colonoscopy. Which of the following actions should the nurse take? a. Ensure flumazenil is available to administer for toxicity management b. Monitor the client for an increase in BP c. Expect client to become unconscious within 30 seconds d. Measure capnography level every hour until client is awake and oriented

b

A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor? a. Paresthesia b. Increased BP c. Fever d. Respiratory depression

c

A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? a. Tinnitus b. Urinary frequency c. Dry mouth d. Exophthalmos

a

A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the following findings is the priority for the nurse to report to the provider? a. Hot flashes b. GI irritation c. Vaginal dryness d. Leg tenderness

d

A nurse is caring for a client who has developed hypomagnesemia due to long-therapy with Lansoprazole. The nurse should monitor the client for which of the following manifestations? a. Bradycardia b. Hypotension c. Muscle weakness d. Disorientation

a

A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first a. Perform capillary blood glucose test b. Provide the client with protein-rich snack c. Give the client 120 mL (4 oz) of orange juice d. Schedule an early meal tray

b

A nurse is caring for a client who has heart failure and a prescription for enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication? a. Bradycardia b. Hyperkalemia c. Loss of smell d. Hypoglycemia

c

A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicate that the medication is effective? a. Decreased blood pressure b. Increased hr c. Increased cardiac output d. Decreased serum potassium

b

A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. The nurse should identify that which of the following findings indicates a therapeutic response to the medication? a. Positive Chvostek's b. Client report of decreased paresthesia c. Client report of increased thirst d. Calcium level of 8.8 mg/dL

c

A nurse is caring for a client who has magnesium level of 3. mEq/L. the nurse should expect to administer which of the following medications? a. Magnesium gluconate b. Cinacalcet c. Calcium gluconate d. Regular insulin

d

A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? a. Acetaminophen b. Ipratropium c. Benzonatate d. Doxycycline

a, d, e

A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider? a. Hemoglobin 7.0 g/dL b. Creatinine 1 mg/dL c. RBC 2.4 mill/mm3 d. Platelets 75,000/mm3 e. Potassium 5.2 mEq/L

d

A nurse is caring for a client who is receiving end-of-life care and has a prescription for fentanyl patches. Which of the following information regarding the adverse effects of fentanyl should the nurse plan to give to the client and family? a. Provider will prescribe naloxone at home for resp. depression b. Remove patch to reverse adv rxn immediately c. Expect an increase in urinary output d. Take a stool softener on a daily basis

b

A nurse is caring for a client who is recovering from deep-vein thrombosis and is start taking warfarin. For which of the following findings should the nurse monitor as an adverse effect of warfarin? a. Hypertension b. Low INR c. Constipation d. Bleeding gums

b

A nurse is caring for a client who is refusing to take their scheduled morning furosemide. Which of the following statements should the nurse make? a. "By not taking your furosemide, you might retain fluid and develop swelling." b. "you can double your dose of furosemide this evening if that would be better for you." c. "if you do not take your furosemide, we might get in trouble" d. "ill go ahead and mix the furosemide into your breakfast cereal"

a

A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor? a. Creatinine kinase b. Erythrocyte sedimentation rate c. International normalized ratio d. Potassium

c

A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 moths. Which of the following actions should the nurse plan to take? a. Infuse 0.95 sodium chloride 1,000 mL IV fluid bolus b. Schedule the client for an electroencephalogram c. Obtain WBC with absolute neutrophil count d. Place client on tyramine-free diet

c

A nurse is completing an incident report for a medication error. Which of the following information should the nurse include in the report? a. This could have been avoided if I had double checked the MAR with the clients ID band b. It was easy to get confused because another client is reviewing a similar sounding medication c. Administered propranolol 80 mg PO at 1800 to the client who did not have a prescription for the medication d. While I rarely make medication errors, the client was given 80 mg of propranolol by mistake at 1800

b

A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult who has heart failure. Which of the following findings should the nurse identify as an adverse effect of the medication? a. Hypoglycemia b. Orthostatic hypotension c. Bradycardia d. Conjunctivitis

d

A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in the teaching? a. "this medication increases risk for hypertension" b. "avoid potassium-rich foods in diet" c. "take each dose of medication in the evening before bed' d. "drink a glass of milk with each dose of medication"

a

A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise-induced asthma. Which of the following medications should the nurse plan to instruct the client to use prior to physical activity? a. Cromolyn b. Beclomethasone c. Budesonide d. Tiotropium

a

A nurse is precepting a newly licensed nurse who is caring for four clients. The nurse should complete an incident report for which of the following actions by the newly licensed nurse? a. Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg b. Administers digoxin to a client who has a hr of 92/min c. Administers regular insulin to a client who has a blood glucose of 250 mg/dL d. Administers heparin to a client who has an aPTT of 70 seconds

31 gtt/min

A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV over 8 hr to a client. The drop factor of the manual IV tube is 15 gtt/mL. the nurse should set the manual IV infusion to deliver how many gtt/min?

c

A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells the nurse they're allergic to penicillin. Which of the following actions should the nurse take first? a. Update client's medical record b. Notify the provider c. Withhold medication d. Inform pharmacist of clients allergy to penicillin

c

A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of the following actions should the nurse take prior to administering the medication? a. Ask client to drink 8 oz of water b. Review client's most recent Hgb level c. Obtain client's blood pressure d. Determine if the client is allergic to NSAIDs

d

A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthyroidism during surgery. Which of the following actions should the nurse take? a. Admin the reconstituted medication slowly over 5 min b. Store reconstituted medication in refrigerator c. Use reconstituted medication within 12 hr d. Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent

d

A nurse is preparing to teach a client who is to start a new prescription for extended release verapamil. Which of the following instructions should the nurse plan to include? a. Take meds on empty stomach b. Avoid crowds c. Discontinue medication if palpitations occur d. Change positions slowly

b, d, e

A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching? a. "take second dose at bedtime" b. "increase intake of potassium-rich foods" c. "obtain weight weekly" d. "monitor for muscle weakness" e. "dangle legs from side of bed before standing"

a, b, e

A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? a. "blood glucose levels will need to be monitored during therapy" b. "avoid contact with persons who have known infections" c. "take medication 1 hr before meal" d. "Decrease intake of foods containing potassium" e. "grapefruit juice can increase blood levels of medication"

b

A nurse is providing teaching to a client who has a new prescription for ferrous sulfate. The nurse should instruct the patient to take the medication with which of the following to promote absorption? a. Vitamin E b. Orange juice c. Milk d. Antacids

c

A nurse is providing teaching to a client who has a prescription or trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching? a. Take medication with food b. Expect a fine, red rash as transient effect c. Drink 8 to 10 glasses of water daily d. Store medication in refrigerator

d

A nurse is providing teaching to a client who has depression and a new prescription of fluoxetine. Which of the following statements by the client indicates an understanding of the teaching? a. "I should start to feel better within 24 hours of starting this medication" b. "I will be sure to follow a strict diet to avoid foods with tyramine" c. "I will continue to take St. Johns Wort to increase the effects of the medication" d. "I should take acetaminophen instead of ibuprofen for my headaches while taking this medication"

d

A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider? a. Dry cough b. Pedal edema c. Bruising d. Yellow-tinged vision

d

A nurse is teaching a client who is starting to take diltiazem. Which of the following statements should the nurse identify as an indication that the client understands the teaching? a. "I will stop taking the medication if I get dizzy" b. "I should not drink orange juice with this medication" c. "I should expect to gain weight while this medication" d. "I will check my heart rate before I take the medication"

d

A nurse is reviewing laboratory results for a client who is to receive dose of ceftazidime via intermittent IV bolus. Which of the following laboratory findings is the priority for the nurse to report to the provider before administering the medication? a. Total bilirubin 0.4 mg/dL b. Alanine aminotransferase 26 units/L c. Platelet count 360,000 d. Creatinine 2.6 mg/dL

d

A nurse is reviewing the la results of a client who is taking carbamazepine for a seizure disorder. Which of the following findings should the nurse report to the provider? a. Potassium 4.1 mEq/L b. 24-hr urine glucose 300mg/day c. Carbamazepine level 7 mcg/mL d. WBC 3,5000/mm3

b

A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication for receiving propranolol? a. Cholelithiasis b. Asthma c. Angina pectoris d. Tachycardia

b

A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following lab tests should the nurse review before administering the medication? a. Troponin b. Total cholesterol c. Creatinine d. Thyroid stimulating hormone

c

A nurse is teaching a client who is taking allopurinol for treatment of gout. Which of the following information should the nurse include in the teaching? a. Plan to increase the dosage each week by 200 mg increments b. Prolonged use of medication can cause glaucoma c. Drink 2 L of water daily d. A fine red rash is transient and can be treated with antihistamines

b

A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching? a. "I will stop taking ranitidine when my stomach pain is gone" b. "I know smoking makes ranitidine less effective" c. "I will take ranitidine anytime my stomach hurts" d. "I know that ranitidine will turn my stools black"

c

A nurse is teaching about a new prescription for ciprofloxacin to a client who has a UTI. The nurse should identify which of the following statements as an indication that the client understands the teaching? a. "I will take this medication with an antacid to prevent GI upset" b. " I will stop taking this medication when I no longer have pain upon urination" c. "I will report any signs of tendon pain or swelling" d. "I will take this medication with milk"

c

A nurse is teaching about self-admin. of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates an understanding the teaching? a. "I can apply the patch to a chest area that has hair" b. "I can take this medication while using an ED product" c. "I will remove the patch after 14 hours" d. "I need to apply a new patch to the same area every day"