ATI Practice 2

A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?

"Chew on sugarless gum or suck on hard, sour candies."

A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions?

"Discard the first bead of ointment before each application."

A nurse is providing teaching for a client who is newly diagnosed with type 2 DM and has a prescription for glipizide. Which of the following statements by the nurse best described the action of glipizide?

"Glipizide stimulates your pancreas to release insulin."

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 performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

"I'll be glad when I can stop taking this medicine."

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 for a client who has schizophrenia and a new prescription for fluphenazine. Which of the following information should the nurse provide?

"Sleepiness should subside within a week."

A nurse is teaching a client who has bipolar disorder and a new prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicates an understanding of the teaching?

"Vomiting is an indication of toxicity."

A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?

"Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level."

A nurse is teaching a client who has a UTI and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client?

"You should report any tendon discomfort you experience while taking this medication."

A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?

a client received gentamicin intermittent IV bolus over 1 hr

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication for the client to receive cefoxitin and report to the provider?

a severe allergy to amoxicillin

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?

adrenocortical insufficiency

A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast?

alendronate

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 caring for a client who has HTN and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who has a history of which of the following conditions?

asthma

A nurse is instructing the parents of a client who has a new prescription for methylphenidate. Which of the following instructions should the nurse include?

avoid activities that require alertness such as driving

A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instruction should the nurse provide?

avoid caffeine while taking this medication

A nurse is caring for a client who has E. coli infection and a prescription for gentamicin 5mg/kg/day by intermittent IV bolus every 8 hr. Which of the following manifestations indicate the client is experiencing gentamicin toxicity? Select all that apply. a) insomnia b) tinnitus c) dizziness d) restlessness e) xerostomia

b and c

A nurse in a mental health clinic is caring for a client who has bipolar disorder and a prescription for an antipsychotic medication. The provider and nursing staff suspect the client is not adhering to his medication therapy. Which of the following interventions should the staff use to encourage the client's adherence? Select all that apply. a) perform mouth checks following the administration of the medication b) provide for once-daily dosing c) use sustained-release forms d) engage the client in conversation following medication administration e) rotate staff that administer the medications

b, c and d

A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the client to report to the provider? Select all that apply. a) tinnitus b) jaw pain c) blurred vision d) drowsiness e) dysphagia

b, c and e

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client. What is the sequence of events the nurse should follow? a) add intermediate insulin to syringe b) inspect vitals for contaminants c) inject air into regular insulin vial d) inject air into NPH insulin vial e) roll NPH vial between palms of hands f) withdraw short-acting insulin into syringe

b, e, d, c, f and a

A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?

check the client's vital signs

A nurse is assessing a client after administering a dose of losartan. The client has a hoarse voice, and swollen lips and tongue. In which order should the nurse take the following actions? Move the nursing actions placing them in the selected order of performance. All steps must be used. a) initiate IV access b) administer IV antihistamines c) apply high-flow oxygen d) assess the client's airway e) administer IV epinephrine f) call the emergency response team

d, f, c, a, e and b

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

decrease in level of thyroid stimulating hormone (TSH)

A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?

decreased blood pressure

A nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommendation should the nurse make about taking this medication?

drink a glass of water after taking the medication

A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should the nurse monitor?

headache

A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?

hypotension

A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?

monitor the serum medication levels

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following lab values should the nurse monitor for a therapeutic effect of warfarin?

prothrombin time (PT)

A nurse is caring for a client who has pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

red-colored urine

A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?

specific characteristics of the medications

A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 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 caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

"Crushing the medication might cause you to have a stomachache or indigestion."

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

"Taking the medication between meals will help you absorb the medication more efficiently."

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

"The medication relieves nausea by slowing peristalsis."

A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following lab values should the nurse report to the provider before initiating the medication?

BUN 55 mg/dL

A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?

Isosorbide

A nurse is teaching a client who has a new prescription for cimetidine to treat peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? Select all that apply. a) "I can take this medication with or without food." b) "I will take this medication in the morning." c) "I should expect my stools to turn black." d) "I will take this medication with an antacid." e) "I will take this medication when I need it for pain." f) "I will eat five small meals each day."

a and f

A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? Select all that apply. a) furosemide b) telmisartan c) duloxetine d) clopidogrel e) atorvastatin

a, b and c

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? Select all that apply. a) bounding pulse b) pitting edema c) swelling at the IV site d) urine-specific gravity greater than 1.030 e) crackles upon auscultation

a, b and e

A nurse is providing teaching to a female client who has type 2 diabetes and a new prescription for pioglitazone. Which of the following instructions should the nurse include in the teaching? Select all that apply. a) expect urine to be darkened b) monitor weight daily c) increase calcium intake d) use oral contraceptives to avoid pregnancy e) take tablets whole

b and c

A nurse is preparing to administer bisacodyl suppository to a client. Which of the following actions should the nurse take? Select all that apply. a) don sterile gloves b) lubricate index finger c) use a rectal applicator for insertion d) position client supine with knees bent e) insert suppository just beyond internal sphincter

b and e

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?

decrease the infusion rate on the IV

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose

A nurse is teaching a client who is taking metronidazole. Which of the following sense alterations should the nurse include as an adverse effect of metronidazole?

metallic taste

A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic?

relief of heartburn

A nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse plan to take?

remain with the client for the first 15 mins of the transfusion

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

respiratory rate

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

rinse the mouth after administration

A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 minutes into the infusion of the 3rd dose, the client reports that the IV site itches and that he feels dizzy and SOB. Which of the following actions should the nurse take first?

stop the infusion

A nurse is caring for a client who is receiving a transfusion of packed red blood cells and suspects that the client is experiencing a hemolytic reaction. Which of the following interventions is the priority?

stop the transfusion

A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide?

take the medication with orange juice to enhance absorption

A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the client's distress?

the client consumed alcohol while taking the medication

A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider?

the client has a history of bronchial asthma

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

the client holds his breath for 10 seconds after inhaling the medication

A home health nurse is assessing an older adult client who reports falling a couple of times over the past week. Which of the following findings should the nurse suspect is contributing to the client's falls?

the client takes alprazolam

A nurse is assessing a client prior to administering a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. The nurse should recognize that which of the following findings is a contraindication for the client receiving the live attenuated influenza vaccine (LAIV)?

the client's age is 62

A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?

the medication should be applied on a regular schedule for the rest of the client's life