Pharm ATI Practice

A nurse is providing teaching to a client who has MS and a new rx for methylprednisolone. What instructions should the nurse include?

- blood glucose levels will be monitored during therapy - avoid contact with people who have known infections - grapefruit juice can increase the effects of the medication

A nurse is teaching a group of unit nurses about medication reconciliation. What information should the nurse include in the teaching?

A transition in care requires the nurse to conduct medication reconciliation

A nurse is providing discharge teaching about handling medication to a client who is taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. What should the nurse include in the teaching?

Store unused medication sticks in a storage container

A nurse is developing a teaching plan for a client who has a new rx for simvastatin. Which of the following instructions should the nurse include in the teaching? Select all that apply a. report muscle pain to the provider b. avoid taking the medication with grapefruit juice c. take the medication in the early morning d. expect a flushing of the skin as a reaction to the medication e. expect therapy to be lifelong

a, b, e

A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? a. Carbamazepine b. Sumatriptan c. Atenolol d. Glipizide

a. Carbamazepine

A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize what adverse effect of morphine? a. constipation b. drowsiness c. facial flushing d. itching

a. constipation

A nurse is planning to teach a child about the use of a spacer for a fluticasone inhaler to treat chronic asthma. The nurse should include that the spacer decreases the risk for what adverse effect of the medication? a. Oral candidiasis b. Headache c. Joint pain d. Adrenal suppression

a. Oral candidiasis

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? a. administer the medication outside the 2-in radius of the umbilicus b. aspirate for blood return before injecting c. rub vigorously after the injection to promote absorption d. place a pressure dressing on the injection site to prevent bleeding

a. administer the medication outside the 2-in radius of the umbilicus

A nurse is caring for a client in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take FIRST? a. turn the client to a side-lying position b. disconnect the client's oxytocin from the maintenance IV c. apply oxygen to the client by face mask d. increase the client's maintenance IV infusion rate

a. turn the client to a side-lying position

A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking warfarin. Which of the following responses should the nurse make? a. "It is safe to take enteric-coated aspirin" b. "Aspirin will increase the risk of bleeding" c. "Acetaminophen may be substituted for aspirin" d. "The INR lab work must be monitored more frequently if aspirin is taken"

b. "Aspirin will increase the risk of bleeding" aspirin inhibits platelet aggregation and can potentiate the action of the anticoagulant warfarin

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? a. "I should apply a patch every 5 minutes if I develop chest pain" b. "I will take the patch off right after my evening meal" c. "I will leave the patch off at least 1 day each week" d. "I should discard the used patch by flushing it down the toilet"

b. "I will take the patch off right after my evening meal"

A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? a. Vomiting b. Blood in the urine c. Positive Chvostek's sign d. Ringing in the ears

b. Blood in the urine

A nurse is reviewing the ECG of a client who is receiving IV furosemide for HF. The nurse should identify which of the following findings as an indication of hypokalemia? a. Tall, tented T-waves b. Presence of U-waves c. Widened QRS complex d. ST elevation

b. Presence of U-waves

A nurse is planning care for a client with hypertension and is starting to take metoprolol. Which of the following interventions should the nurse include in the plan of care? a. weigh the client weekly b. determine apical pulse prior to admin c. administer medication 30 min prior to breakfast d. monitor the client for jaundice

b. determine apical pulse prior to admin Life-threatening bradycardia is an adverse effect that might affect this client.

A nurse is reviewing the MAR of a client who has hypocalcemia and a new rx for IV calcium gluconate. The nurse should identify that what medication can interact with calcium gluconate? a. felodipine b. guaifenesin c. digoxin d. regular insulin

c. digoxin Calcium gluconate can cause hypercalcemia, which can increase the risk of digoxin toxicity

A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension, and dyspnea. Which medication should the nurse administer FIRST? a. diphenhydramine b. albuterol inhaler c. epinephrine d. prednisone

c. epinephrine the nurse should administer epinephrine first to induce vasoconstriction and bronchodilation during anaphylaxis

A nurse is assessing a client's vital signs prior to administering digoxin. The client's BP is 144/86, the heart rate is 55/min, and the respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which finding? a. diastolic BP b. systolic BP c. heart rate d. respiratory rate

c. heart rate

A nurse is providing teaching to a client who has a gastric ulcer and a new rx for famotidine. Which of the following instructions should the nurse include? a. take the medication on an empty stomach for full effectiveness b. you may discontinue this medication when stomach discomfort subsides c. report yellowing of the skin d. you will be taking this medication for 2 weeks

c. report yellowing of the skin this drug can be hepatotoxic and cause jaundice

A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching? a. "Take beclomethasone to avoid an acute attack" b. "Use beclomethasone 5 minutes before using albuterol" c. "Limit your calcium and vitamin D intake when taking beclomethasone" d. "Rinse your mouth after inhaling the beclomethasone"

d. "Rinse your mouth after inhaling the beclomethasone"

A nurse is reviewing lab results of a client who is taking digoxin for heart failure. Which of the following results should the nurse report to the provider? a. Calcium level 9.2 mg/dL b. Magnesium level 1.6 mEq/L c. Digoxin level 1.1 ng/mL d. Potassium level 2.8 mEq/L

d. Potassium level 2.8 mEq/L

A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which adverse effect? a. weight loss b. increased intraocular pressure c. auditory hallucinations d. bibasilar crackles

d. bibasilar crackles

A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. What information should the nurse include in the teaching?

decreased respirations might occur