ATI QUIZ 6

a nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain peak and trough levels. at which of the following times should the nurse plan to obtain a blood sample to evaluate the gentamicin peak?

1 hour after

a nurse is assessing a 6 month old infant following a cardiac catheterization. which of the following findings should the nurse report to the provider?

BP 86/40 mmHg

a nurse is admitting a client who has Afib with a HR of 155/min. the nurse should anticipate a prescription from the provider for which of the following medications?

Diltiazem

a nurse is reviewing the lab reports of a client who has been taking warfarin for Afib. which of the following results should the nurse report to the provider immediately?

INR 5.5

a nurse is assessing a client who is experiencing chest pain. which of the following medications should the nurse expect to administer to suppress the aggregation of platelets?

Nitroglycerin

a nurse on a telemetry unit is caring for a client who had MI. the client states "all this equipment is making me nervous." which of the following response should the nurse offer?

all of this equipment can be frightening

a nurse is caring for a client who had an MI 2 hours ago and is receiving alteplase. which of the following findings should the nurse identify as an adverse effect of receiving this medication?

bleeding

a nurse is assessing for DIC in a client who has septic shock secondary to an untreated foot wound. which of the following findings should the nurse expect?

bleeding at the venipuncture site petechiae on the chest and arms abdominal distension

a nurse is collecting a urine specimen for culture and sensitivity for a client who has a UTI. the client has an indwelling urinary catheter in place. which of the following actions should the nurse take?

clamp the tubing below the collection port

a nurse is caring for a client who requires a dressing change. which of the following actions should the nurse take?

clean the drain site from the center outward

a nurse is monitoring a newborn for indications of septic shock. which of the following findings should the nurse expect if the newborn develops this complication?

decreased blood pressure

a nurse is caring for a client who is 2 days postoperative. which of the following findings indicates that the client is developing an infection?

erythema at the incision site

a nurse is caring for a client with a PICC line. which of the following actions should the nurse take when handling this central venous access device?

flush the line with sterile 0.9% sodium chloride before and after med administration access PICC for blood sampling perform a heparin flush of the line at least daily when not in use

a nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. for which of the following adverse effects should the nurse monitor after giving this medication?

hypotension

a nurse providing discharge teaching to an adult female client who has infective endocarditis about how to prevent recurrence. which of the following statements indicates understanding of the teaching?

i will notify my doctor before i have dental procedures

a nurse is caring for a client who has HF and is prescribed dobutamine hydrochloride by continuous IV infusion. the nurse should identify that which of the following is the therapeutic effect on this medication?

improves cardiac output

a nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. which of the following interventions should the nurse include in the plan?

monitor the child for increased temperature

a nurse is caring for a client who reports crushing chest pain. the nurse reviews the clients ECG results and notes ST changes. which of the following medications should the nurse administer?

nitroglycerin

a client who has thrombocytopenia asks the nurse why platelets are so important. which of the following response should the nurse make?

platelets plug breaks in the blood vessels

a nurse is reviewing the morning laboratory results of an infant who is receiving digoxin and furosemide for the treatment of HF. which of the following findings should the nurse report to the provider?

potassium 3.2 mEq/L

a nurse is caring for a child who has bacterial endocarditis. the child is scheduled to receive moderate-term antibiotic therapy and requires a peripherally inserted PICC. which of the following statements should the nurse include when teaching the child's parent?

the PICC will last several weeks with proper care

a nurse preparing to administer an iV injection to a client. for which of the following reasons should the nurse inject the medication slowly?

to reduce toxicity risk

a nurse is providing teaching to a client who has a new prescription for lisinopril. which of the following should the nurse include in the teaching as an adverse effect of lisnopril

tongue swelling

a nurse is caring for a client with CDiff who has contact isolation precautions in place. which of the following actions should the nurse preform

use dedicated equipment for the client

a nurse is assessing a client who has HF and is receiving digoxin. which of the following should indicate to the nurse that the client is experiencing digoxin toxicity

visual disturbances

a nurse is caring for a client who is receiving TPN through a central line. which of the following actions should the nurse perform?

weight the client daily

a nurse is discussing the plan of care with a client who has osteomyelitis of an open wound on his heel. which of the following information should the nurse include?

your provider might prescribe a central catheter line for longterm antibiotic therapy