Pharm ATI practice
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 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 med?
bleeding
A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?
increased HR
A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. Which of the following instructions should the nurse include in the teaching?
monitor for tinnitus - salicylism
A nurse is preparing to transfuse one unit of PRBCs to a client who experienced a mild allergic reaction during a previous transfusion THe nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?
urticaria - hives
A nurse is obtaining a medical history from a client who is to start warfarin therapy and currently uses herbal supplements at home. The nurse should inform the client that which of the following herbal supplements can interact adversely with warfarin?
Feverfew - increases anticoagulant effect
A nurse is assessing a client who is receiving a unit of PRBCs. The client appears flushed and reports low-back pain. Which of the following actions is the nurse's priority?
Stop the transfusion
A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?
The client developed a tolerance to the medication
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 - can cause hepatotoxicity
A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that vancomycin is indicated for which of the following infections?
MRSA
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 PRN. Before administering this medication, the nurse should complete which assessment?
RR
A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?
Take the missed dose now, then continue the medication as ordered
A nurse is caring for a client who has osteoporosis and takes a calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain?
Renal stones - calcium buildup causes stones
A nurse is caring for a client who has ARDS and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this med is for which of the following purposes?
Suppress respiratory effort - want to INCREASE chest wall compliance
A nurse is providing education to a client who is in labor and has a prescription for a continuous IV infusion of oxytocin. Which of the information should the nurse include?
Your contractions will become stronger and more frequent
A nurse is assessing a client who is taking oxacillin to treat an infection. The nurse should recognize which of the following findings is a manifestation of an allergic rxn?
pruritus - pruritis --> urticaria --> anaphylaxis
A nurse is providing teaching to a client who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which of the following herbal supplements?
soy - can reduce the effectiveness
