ATI Pharm Pain and Misc. Practice

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

History of gastric ulcers

A nurse is caring for a client who is dying of metastatic breast cancer. she has a prescription for an opioid medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the patient's death. Which of the following ethical principles should the nurse use to support the decision to administer the medication?

Nonmaleficence

A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include?

Use contraception while taking this medication

A nurse is caring for a child who has influenza. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome?

"I give my child aspirin to reduce his fever."

A nurse is teaching a client who has a new prescription for sumatriptan tablets to treat migraine headaches. Which of the following instructions should the nurse include?

"Report swelling of eyelids after dosage"

A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?

Jaundice

A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering this medication, the nurse should complete which priority assessment?

respiratory rate

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of anti tubercular medications. Which of the following information should the nurse include in the teaching?

A typical course of treatment involves 6 to 9 months of consistent medication use

A nurse is caring for a client who is at 6 weeks gestation and has pneumonia. While the nurse is obtaining the client's history, the client tells the nurse that she take the herb feverfew for migraine headaches. Which of the following actions should the nurse take?

Explain to the client that she should not take this herb while she is pregnant

A nurse is reviewing the medical record of a client who reports driving three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?

Aspartate aminotransferase (AST)

A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?

Bleeding

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects?

Body secretions turning a red-orange color

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 decussate 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 suspects that a coworker is diverting opioid analgesics. Which of the following is an adverse effect of opioid medications?

Euphoria

A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?

Blood pressure 80/56 mmHg

A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is morphine sulfate 10 mg/mL. How many mL should the nurse administer per dose?

0.2 mL

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose?

0.3 mL

A nurse in the emergency department is caring for a client who has acute toxicity from acetaminophen overdose. The nurse should prepare to administer which of the following medications?

Acetylcysteine

A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as 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 preparing a client for surgery. Prior to administering the prescribed hydroxyzine, the nurse should explain to the client that the medication is for which of the following indications?

Controlling emesis Diminishing anxiety Reducing the amount of narcotics needed for pain relief Drying secretions

A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?

Determine the location of the pain

A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multi drug therapy. Which of the following precautions should the nurse take to transport the client safely to the radiology department for a chest x-ray?

Have the client wear a mask

A nurse is caring for a client who is withdrawing from opioids. Which of the following medications should the nurse prepare to administer?

Methadone

A nurse is caring for a client who has opioid toxicity and a respiratory rate of 6/min. Which of the medications should the nurse plan to administer?

Naloxone

A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?

Pulse oximetry changed from 98% to 96%

A nurse is monitoring a client who took an overdose of acetaminophen 72 hr ago. The nurse should identify which of the following findings as a manifestation of acetaminophen poisoning?

Vomiting

A nurse in the emergency department is preparing to administer naloxone 0.4 mg IV bolus to a client who has opioid induced respiratory depression. Available is naloxone injection 0.2 mg/mL. How many mL should the nurse administer per dose?

2 mL

A nurse is preparing to administer aspirin 650 mg PO every 12 hr. The amount available is aspirin 325 mg tablets. How many tablets should the nurse administer?

2 tablets

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5mL. How many mL should the nurse administer?

5.3 mL