ATI questions for Pharm test 4
A nurse in a post-anesthesia recovery unit is carng for a client who recieved a nindepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should anticiapte a prescription for which of the following? A. Neostigmine B. Naloxone C. Dantrolene D. Vecurinium
A
A nurse is caring for a client who has a new prescription for phenelzine for the treatment of depression. Which of the following indicates the client has developed an adverse effect of this medication? A. Orthostatic hypotension B. Hearing loss C. GI bleed D. Weight Loss
A
A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for PTSD. Which of the following statements should the nurse include in the teaching? A. "You may have a decreased desire for intimacy while taking this medication." B. "You should take this medication at bedtime to help promote sleep." C. "You will have fewer urinary effects if you urinate just before taking this medication." D. "You'll need to wear sunglasses when outdoors due to the light sensitiity caused by this medication."
A
A nurse is providing information to a client who has early Parkinson's Disease and a new prescription for pramipexole. The nurse should instruct the client to monitor for which adverse effects of this medication? A. Hallucinations BIncreased saliva C. Diahhrea D. Discoloration of urine
A
A nurse is providing instructions to a female client who has a new prescription for zolpidem. Which of the following instructions should the nurse include? A. "Notify the provider if you plan to become pregnant." B. "Take the medication 1 hr before you plan to go to sleep." C. "Allow at least 6hrs for sleep when taking zolpidem." D. "TO increase the effectiveness of zolpidem, take it with a bedtime snack."
A
A nurse is reviewing laboratory findings and notes that a client's plasma lithium level is 2.1mEq/L. Which of the following is an appropriate action by the nurse? A. Preform Immediate gastric lavage B. Prepare the client for hemodyalysis C. Administer an additional oral dose of lithium D. Request a stat repeat of the lab test
A
A nurse is teaching a client who has an obsessive-compulsive disorder and has a new prescription for paroxetine. Which of the following instructions should the nurse include? A. "It can take several weeks before you feel like the medication is helping." B. "Take the medication just before bedtime to promote sleep." C. "You should take this medication when needed for obsessive urges." D. "Monitor for weight gain while taking this medication."
A
A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching? A. "I should avoid eating right before i chew a piece of nicotine gum." B. "I will need to stop using nicotine gum after 1 year." C. " I know that nicotine gum is a safe alternative to smoking if I become pregnant." D. "I must chew the nicotine gum quickly for about 15 min."
A
A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion? (Select All That Apply) A. Lorazepam B. Diazepam C. Disulfiram D. Naltrexone E. Acamprosate
A B
A nurse is caring for a client who has depression and a new prescription for venlafaxine. For which of the following adverse effects should the nurse monitor this client? (Select All That Apply). A. Cough B. Dizziness C. Decreased Libido D. Alopecia E. Hypotension
A B C
A nurse in a provider's office is instructing a parent of a toddler how to administer ear drops, Which of the following instructions should the nurse include? (Select All That Apply). A. "Place the child on his uneffected side when you are ready to administer the medication." B. "Warm the medication by gentally rolling it between your hands for a few minutes." C. "Gently shake medication that is in suspention form." D. "Keep the child on his side for 5 minute after installation of the ear drops." E. "Tightly pack the ear with cotton after instiation of the ear drops."
A B C D
A nurse in the post-anesthesia care unit is caring for a client who is experiencing malignant hyperthermia. Which of the following actions should the nurse take? (Select All That Apply) A. Place cooling blankets on the patient B. Administer O2 at 100% C. Administer iced 0.9% NaCL D. Administer potassium chloride IV. E. Monitor core body temerature
A B C E
A nurse is preforming a follow-up assessment on a client who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement on which of the following manifestations? (Select all that apply) A. Disorganized speech B. Bizarre behavior C. Impaired social interactions D. Hallucinations E. Decreased Motivation
A B D
A nurse is reviewing a new prescription for oxcarbazeoine with a d=female client who has partial seizures. Which of the following instructions should the nurse include? (Select all that apply) A."Use caution if given a prescription for a diuretic medication." B. "Consider using an alternate form od contraception if you are using oral contraception." C. "Chew gum to increase saliva production." D. "Avoid driving until you see how the medication effects you." E. "Notify the provider id you develop a skin rash."
A B D E
A nurse is caring for a client who has a new prescription for valproic acid. The nurse should instruct the client that while taking this medication he will need to have which of the following laboratory test completed periodically? A. Thrombocyte count B. Hematocrit C. Amylase D. Liver function test E. Potassium
A C D
A nurse is caring for a client who takes paroxetine to treat PTSD and reports that he grinds his teeth during the night. The nurse should identify which of the following interventions to manage bruxism? A. Concurrent administration of buspirone B. Administration of a different SSRI c. Use of mouth gaurd D. Changing to a different class of antidepressant medication E . Increasing the dose of paroxetine
A C D
A nurse is providing instructions to a client who has been experiencing insomnia and has a new prescription for temazepam. The nurse should inform the client that which of the following manifestations are adverse effects of temazepam? (Select All That Apply) A. Incoordination B. Hypertension C. Pruritis D. Sleep driving E. Amnesia
A D E
A nurse is assessing a client who takes lithium carbonate for the treatment of bipolar disorder. The nurse should recognize which of the following findings as a possible indication of toxicity to this medication? A. Severe hypertension B. Course tremors C. Constipation D. Muscle spasms
B
A nurse is assessing a male client who recently began taking haloperidol. Which of the following findings is the the highest priority to report to the provider? A. Shuffling gait B. Neck spasm C. Drowsiness D. Impotence
B
A nurse is caring fora client who has been taking sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing serotonin syndrome? A. Bruising B. Fever C. Abdominal pain D. Rash
B
A nurse is instructing a client who has a new prescription for timolol how to insert eye drops. The nurse should instruct the client to press on which of the following areas to prevent systemic absorption of the medication? A. Bony orbit B. Nasolacrimal duct C. Conjunctival sac D. Outer canthus
B
A nurse is providing teaching for a male client who has schizophrenia and is risperidone. Which of the following instructions should the nurse include in the teaching? A. "Add extra snacks to your diet to prevent weight loss." B. "Notify the provider if you develop breast enlargement." C. "You may begin to have mild seizure while taking this medication." D. "This medication is likely to increase libido."
B
A nurse is providing teaching to a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? A. Diarrhea B. Dry Mouth C. Insomnia D. Hypertension
B
A nurse is teaching a client who has a new prescrption for ramelton. The nurse should instruct the client to avoid which of the following foods while taking this medicaton? A. Baked Patato B. Fried chicken C. Whole grain bread D. Citrus fruit
B
A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects? A. Take the medication in the morning to prevent insomnia B. Chew sugarless gum to moisten mouth C. Use cooling measures to decrease fever D. Take an antacid to relieve nausea
B
A nurse working in an emergency department is caring for a client who has a benzodiazepine toxicity did to an overdose. Which of the following actions as the nurses priority? A. Administer flumazenil B. Identify the clients level of orientation C. Infuse IV fluids D.prepare the client for gastric lavage
B
A nurse is teaching a client who has a new prescription for baclofen to treat muscle spasms. What statements by the client indicates an understanding of the teaching? (Select All That Apply) A. "I will stop taking this medication right away if i develop dizziness." B. "I know the doctor will gradually increase my dose of this medication for a while" C. "I should increase fiber to prevent constipation from this medication" D. "I won't be able to drink alcohol while I'm taking this medication" E. "I sjould take this medication on an empty stomach each morning."
B C D
A nurse is preparing a teaching plan for a female client who has bipolar disorder and a new prescription for carbamazepine. Which of the following instructions should the nurse include in the teaching? )Select All that Apply) A. "This medication can be safely taken during pregnancy." B. "Eliminate Grapefruit juice from your diet." C. "You will need to have a CBC and carbazepine levels drawn periodically." D. "Notify the provider if you develop a rash." E. "Avoid driving for the first few days after starting this medication."
B C D E
A nurse is preparing to administer a medication to a client who has absence A. Phenytoin B. Ethosuximide C. Gabapentin D. Carbamazepine E. Valporic Acid F. Lamotrigine
B E F
A nurse in an emergency unit is reviewing the medical record of a client who is being evaluated for angle-closure glaucoma. which of the following findings are indicative of this condition? A. Insidious onset of painless loss of vision B. Gradual reduction in peripheral vision C. Severe pain around eyes D. Intaocular pressure 12mm Hg
C
A nurse in the operating room is caring for a client who received a dose of succinylcholine. During the operation, the client suddenly develops rigidity, and his body temperature begins to rise. The nurse should anticipate a prescription for which of the following medications? A. Neostigmine B. Naloxone C. Dantrolene D. Vecuronium
C
A nurse is caring for a client who has a prescription for bethanechol to treat urinary retention. The nurse should recognize what finding as a manifestation of muscarinic stimulation? A. Dry mouth B. Hypertension C. Excessive perspiration D. Fecal impaction
C
A nurse is caring for a client who is recieving moderate sedation with diazepam IV. The client is oversedated =. Which of the following medications should the nurse anticipate administering to the client? A. Ketamine B. Naltrexone C. Flumazenil D. Fluvoxamine
C
A nurse is providing teaching for a client who is withdrawling from alcohol and has a new prescription for propranolol. Which of the following informatiion should the nurse to include in the teaching? A. Increases risk for seizure activity B. Provides a form of adversion therapy C.. Decreases cravings D. Results in mild hypertension
C
A nurse is teaching a client who has a new prescription for a escitalopram for treatment of generalizing anxiety disorder. Which of the following statements by the client indicates understanding of the teaching? A. "I should take this medication on an empty stomach." B."I will follow a low sodium diet while taking this medication." C. "I need to discontinue this medication slowly." D."I should not crush this medication before swallowing."
C
A nurse is teaching a client who has a new prescription for brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching? A. "This medication can stain your contacts." B. "This medication can cause your pupils to dilate." C. "Tjis medication can absorb into your contacts." D, "THis medication can slow your heart rate."
C
A nurse is teaching a client who has a new prescription for levodopa/ carbidopa for Parkinson;s disease. Which of the following instructions should the nurse include? A. Increase intake of protein-rich foods B. Expect muscle twitching to occur C. Take this medication with food D. Anticipate relief of maifestations in 24hrs.
C
A nurse is providing teaching to a client who has a new prescription for amitriptyline for the treatment of depression. Which of the following should the nurse include in the teaching? A. Expect therapeutic effect within 24-48 hrs B. Discontinue the medication after a week of mood improvement C. Change positions slowly to minimize dizziness D. Decrease dietary fiber intake to control diarrhea E. Chew sugarless gum to prevent dry mouth
C E
A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Which of the following actions should the nurse identify as the priority? A. Administer the clonidine on the prescribed schedule B. Provide ice chips at the client's bed side C. Educate the client on the effects of clonidine D. Obtain baseline vital signs
D
A nurse is caring for a client who has a new prescription for lithium carbonate. When teaching the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following? A. Avoid the use of acetaminophen for headaches B. Restrict intake of food rich in sodium C. Decrease fluid intake to less than 1,500mL daily D. Limit aerobic activity in hot weather
D
A nurse is caring for a client who is admitted to undergo a surgical procedure. Which of the following preexisting conditions can be a contraindication for the use of Ketamine as an IV anesthetic? A. Peptic Ulcer disease B. breast cancer C. Diabetes Mellitus D. Schizophrenia
D
A nurse is providing discharge teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? A. "You should have a high-carbohydrate snack between meals and at bed time." B. You are likely to develop hand tremors if you take this medication for a long period of time." C. You may experience temporary numbness of your mouth after each dose." D. "You should have your white blood cell count monitored every week."
D
A nurse is providing teaching to a client who has a new prescription for buspirone (Buspar) to treat anxiety. Which of the following information should the nurse include? A. "Take this medication on an empty stomach." B. "Expect optimal theraputic effect within 24 hrs." C. "Take this medciation when needed for anxiety." D. This medication has a low risk for dependency."
D
A nurse is reviewing the health care record of a client who reports urinary incontinence and asks about a prescription for oxybutynin. The nurse should recognize that oxybutynin is contraindicated in the presence of which of the following? A. Buritis B. Sinusitis C. Deprssion D. Glaucoma
D
A nurse is teaching a client about preventing otitis externa. Which of the following instructions should the nurse include? A. Clean the ear with a cotton-tipped swab daily B. Place ear plugs in the ears when sleeping at night C. Use a cool water irrigation solution to remove earwax. D. Tip the head to the side to remove water from the ears after showering.
D