ATI Study set

The nurse has been monitoring the patient's progress on a new drug regimen since the first dose and documenting the patient's therapeutic response to the medication. Which phase of the nursing process do these actions illustrate ? A. Nursing Diagnosis B. Planning C. Implementation D. Evaluation

* D. Evaluation

The home care nurse has given instructions to a client who is beginning therapy with digoxin (Lanoxin). The nurse determines a need for further teaching of the instructions if the client makes which statement? 1. "If I miss a dose, I should just take two the next day." 2. "I shouldn't change brands without asking the health care provider first." 3. "I should call the health care provider if my daily pulse rate is under 60 or over 100." 4. "The pills should be kept in their original container so they don't get mixed up with my other medicines."

1. "If I miss a dose, I should just take two the next day."

A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3 mEq/L and is complaining of anorexia. The health care provider prescribes determination of the serum digoxin level to rule out digoxin toxicity. The nurse checks the results, knowing that which value is the therapeutic serum level (range) for digoxin? 1. 0.5 to 2 ng/mL 2. 1.2 to 2.8 ng/mL 3. 3.0 to 5.0 ng/mL 4. 3.5 to 5.5 ng/mL

1. 0.5 to 2 ng/mL

Which medication should be the most appropriate medication for the client who is obese who is trying to quit smoking? 1. Orlistat. 2. Lorcaserin. 3. Bupropion. 4. Phentermine-topiramate.

1. If a client consumes more than 30% of daily calories in fats while taking orlistat (Xenical), a lipase inhibitor, the fats will not be absorbed by the gastrointestinal tract and the result is foul-smelling, frothy, diarrhea stools.

The client diagnosed with neonatal abstinence syndrome (NAS) is irritable, having difficulty feeding, and sleeping poorly. Which interventions should the nurse expect to implement? Select all that apply. 1. Administer morphine orally. 2. Loosely wrap the infant during feedings. 3. Give phenobarbital to control seizures. 4. Collaborate with child protective services. 5. Perform gavage feeding.

1. Oral morphine can be given to reduce the signs of withdrawal. 3. Phenobarbital is effective in the treatment of opioid withdrawal seizures. 4. When a newborn client tests positive for drugs, child protective services becomes involved. 5. Gavage feeding may be necessary in the client unable to coordinate sucking and swallowing with breathing. Additionally, it conserves energy in the client.

71. The client is prescribed orlistat. Which statement by the client indicates the client requires more teaching? 1. "It does not matter what I eat because I will still lose weight." 2. "I will limit the amount of fat in my diet to 30%." 3. "I may need to take a fiber supplement daily with the orlistat." 4. "I will take a daily multivitamin supplement."

1. Orlistat (Xenical), a lipase inhibitor, acts by inhibiting the absorption of fats and cholesterol in the gastrointestinal tract. The client should eat a reduced-calorie diet with no more than 30% of the calories coming from fats. Increasing the fat intake can result in foul-smelling, frothy, diarrhea stools. The client needs more teaching.

The nurse is monitoring a client who is taking digoxin (Lanoxin) for adverse effects. Which findings are characteristic of digoxin toxicity? Select all that apply. 1. Tremors 2. Diarrhea 3. Irritability 4. Blurred vision 5. Nausea and vomiting

2. Diarrhea 4. Blurred vision 5. Nausea and vomiting

The clinic nurse is providing instructions to a client with hypertension who will be taking captopril (Capoten). Which statement by the client indicates a need for further instruction? 1. "I need to change positions slowly." 2. "I need to avoid taking hot baths or showers." 3. "I need to drink at least 4 quarts of water daily." 4. "I need to sit down and rest if dizziness or lightheadedness occurs."

3. "I need to drink at least 4 quarts of water daily."

The nurse is planning to administer hydrochlorothiazide to a client. The nurse understands that which is a concern related to the administration of this medication? 1. Hypouricemia, hyperkalemia 2. Increased risk of osteoporosis 3. Hypokalemia, hyperglycemia, sulfa allergy 4. Hyperkalemia, hypoglycemia, penicillin allergy

3. Hypokalemia, hyperglycemia, sulfa allergy

Lisinopril (Prinivil) has been prescribed for a client. What should the nurse instruct the client to do? 1. Take the medication with food only. 2. Discontinue the medication if nausea occurs. 3. Rise slowly from a reclining to a sitting position. 4. Expect to note a full therapeutic effect immediately.

3. Rise slowly from a reclining to a sitting position.

Prior to administering a client's daily dose of digoxin, the nurse reviews the client's laboratory data and notes the following results: serum calcium, 9.8 mg/dL; serum magnesium, 1.2 mg/dL; serum potassium, 4.1 mEq/L; serum creatinine, 0.9 mg/dL. Which result should alert the nurse that the client is at risk for digoxin toxicity? 1. Serum calcium level 2. Serum potassium level 3. Serum creatinine level 4. Serum magnesium level

4. Serum magnesium level

Which information should the nurse discuss with the client diagnosed with bipolar disorder who is taking carbamazepine? Select all that apply. 1. Instruct the client to use a soft-bristled toothbrush. 2. Encourage the client to get ophthalmic examinations annually. 3. Teach the client to monitor the blood pressure daily. 4. Tell the client to avoid hazardous activities. 5. Teach the client to wear sunscreen when outdoors

4. The client should avoid driving and other hazardous activities until the effects of the anticonvulsant carbamazepine (Tegretol) are known because this medication may cause sedation and drowsiness. 5. The client should wear protective clothing and sunscreen (SPF 30 or higher) when outdoors, as carbamazepine (Tegretol) can make the client more susceptible to sunburn.

During the development of a new drug, which would be included in the study by the researcher to prevent any bias or unrealistic expectations of the new drug's usefulness? A. A placebo B. FDA approval C. Informal consent D. Efficacy information

A. A placebo

A member of an investigational drug study team is working with healthy volunteers whose participation will help to determine the optimal dosage range and pharmacokinetics of the drugs. the team member is participating in what type of study? A. phase I B. phase II C. phase III D. phase IV

A. phase I

The nurse is reviewing facts about pharmacology. The term legend drug refers to which item? A. over the counter drugs B. prescription drugs C. orphan drugs D. herbal products

B. prescription drugs

During discharge patient teaching the nurse reviews prescriptions with a patient. which statement is correct about refills for an analgesic that is classified as Schedule C-III? A. no prescription refills are permitted. B. refills are allowed only by written prescription. C. the patient may have no more than 5 refills in a b month period D. the patient may have no more than 6 refills in a 12 month period.

C. the patient may have no more than 5 refills in a b month period

The nurse is reviewing a list of scheduled drugs and notes that Schedule C-1 drugs are not on the list. Which is a characteristic of Schedule C-1 drugs? A. No refills are permitted B. May be obtained over the counter with a signature C. Are available only by written prescription D. Are used only with approved protocols

D. Are used only with approved protocols

Drug transfer to the fetus is more likely during the last trimester of pregnancy for which reason? A. Decreased Fetal Surface Area B. Increased Placental Surface Area C. Enhanced Placental Blood Flow D. Increased amount of protein bound drug in maternal circulation.

Enhanced Placental Blood Flow

25. The nurse is providing discharge instructions for a client prescribed hydrochlorothiazide. Which instruction(s) should the nurse include? 1. Drink at least 8 to 10 glasses of water a day. 2. Weigh yourself monthly and report the weight to the HCP. 3. Eat bananas or oranges regularly. 4. Try to sleep in an upright position.

Hydrochlorothiazide (Diuril) is a thiazide diuretic. Loop and thiazide diuretics cause the body to excrete potassium in the urine. The client should attempt to replace the potassium by eating potassium-rich foods such as bananas and orange juice.

The nurse is preparing to administer phenytoin IV push (IVP). The client has an IV of D5W 0.45 NS at 50 mL/hr. Which intervention should the nurse implement? 1. Administer the phenytoin undiluted over 5 minutes via the port closest to the client. 2. Dilute the medication with NS and administer over 2 minutes. 3. Flush tubing with NS, administer diluted phenytoin, and then flush with NS. 4. Insert a saline lock in the other arm and administer the medication undiluted.

Phenytoin (Dilantin), an anticoagulant, should be diluted in a saline solution and the IV tubing should be flushed before and after administration because a dextrose solution will cause drug precipitation.

When reviewing the various schedules of controlled drugs, the nurse knows that which description correctly describes schedule II drugs? a. drugs with high potential for abuse that have accepted medication use b. drugs with high potential for abuse that do not have accepted medical use. c. medically accepted drugs that may cause moderate physical or psychological dependence d. medically accepted drugs with very limited potential for causing mild physical or psychological dependence

a. drugs with high potential for abuse that have accepted medication use

The nurse is reviewing the therapeutic effects of nonsteroidal antiinflammatory drugs (NSAIDs), which include which effect? a.Anxiolytic b.Sedative c.Antipyretic d.Antimicrobial

c.Antipyretic

A patient has been selected as a potential recipient of an experimental drug for heart failure. The nurse knows that when informed consent has been obtained, it indicates that the patient: A. has been informed of the possible benefits of the new therapy. b. will be informed of the details of the study as the research continues. c. will not be sure to receive the actual drug during the experiment. d. has had the study's purpose, procedures, and the risks involved explained to him.

d. has had the study's purpose, procedures, and the risks involved explained to him.