Pharmacology A ATI Audio Friendly
A nurse is caring for n older adult client. The client received 0.9% sodium chloride 1L over 4 hr instead of over 8hr as prescribed which of the following entries is appropriate documentation of this occurrence in the clients medical record.
0.9% sodium chloride 1L IV infused over 4 hr. Vital signs stable
A nurse is caring for a client who is to receive 0.9% sodium chloride at a rate of 1L q 8hr. The drip factor shown on the package of IV tubing is 15gtt/mL the nurse should regulate the IV to deliver how many gtt/min (nearest whole)
31 gtt/min
The nurse is preparing to administer amoxicillin 250 mg PO to a school aged child, available is amoxicillin oral suspension 200 mg over 5 mL how many milliliters should the nurse administer. round to the nearest 10th
6.3 250 mg times 5 mL divided by 200 mg
A nurse is preparing to administer hydromorphone for a postoperative client which of the following indicates that the nurse should withhold the next dose of the medication
A clients respiratory rate is eight per minute The clients respiratory rate is below expected reference range there for the nurse should withhold medication
A nurses caring for a client who is receiving haloperidol for which of the following adverse affects of the nurse be observing
Akathisia Akathisia is an extra extrapyramidal symptom that can be caused by haloperidol
And nurses providing teaching for a client who is to begin pharmacological therapy for a new diagnosis of asthma which of the following medications should the nurse instruct the client to use during an acute asthma attack
Albuterol albuterol is a short acting beta 2 adrenergic agonist which causes bronchodilation relieves bronchospasm during acute asthma attacks the nurse should instruct the client to keep medication nearby for emergency use
A nurse in the clinic is talking to a client on the phone who tells the nurse he has not taken any of his morning medications and reports tinnitus the nurse instructs the client to come to the clinic and withhold which of the following medications
Aspirin
A nurse is planning to provide medication education for client to begin a course of therapy with metronidazole which of the following should the nurse instruct the client to avoid during the course of therapy
Beer the combination of metronidazole and alcohol can cause a disulfiram like reaction that can include severe vomiting hypotension and weakness
The nurse is caring for a client who is receiving long term treatment for systemic lupus erythematosus with prednisone the nurse should inform the client to expect to undergo which of the following diagnostic test to monitor for long-term complications
Bone density scans adverse effects of glucocorticoids include osteoporosis which is monitored with regular schedule bone density scans
A nurse is planning teaching for a child who has been prescribed fluticasone propionate for chronic asthma the nurse plans to teach the child to use a spacer to minimize the risk for which of the following
Candidiasis of the mouth Side effects of inhaled corticosteroids include dysphonia and oral candidiasis using a spacer and rinsing the mouth after inhalation will minimize the amount of medication remaining in the oropharynx preventing the development of the side effects
A nurse is assessing a client who is taking oral contraceptives which of the following medications will interfere with the effectiveness of oral contraceptives
Carbamazepine
A nurse is teaching a client who is to start a new prescription for verapamil. Which of the following instructions should the nurse plan to include
Change positions slowly Verapamil is given to treat cardiac dysrhythmias, which may cause palpitations. Discontinuing the medication abruptly may cause complications. Instead the client should report this finding to the provider, who may decide to lower or discontinue the medication on a tapered dose.
A nurse Is caring for a client who has just been transferred from the PACU to the medical-surgical unit following colon resection the client reports pain of an eight on a scale from 0 to 10 and has a prescription for morphine sulfate 4 mg IV bolus PRN pain every two hours which of the following actions should the nurse take first
Check the clients PAC you medication record first
A nurses caring for a client who has a new diagnosis of type 1 diabetes mellitus. The nurse administers regular insulin six units subcutaneously at 0700 at 1000 the client reports feeling nauseous and lightheaded which of the following actions should the nurse take first
Check the clients blood glucose level the first action that a nurse should take using the nursing process is to assess the client therefore the nurse should check the clients blood glucose level
A client who has a history of hypertension tells the nurse that he uses over-the-counter oral decongestants for nasal congestion the nurse should advise the client that decongestants
Constrict blood vessels sympathomimetics work by constricting blood vessels which relieves congestion however this vasoconstrictive effects can also increase blood pressure
A nurse is administering baclofen for a client who has a spinal cord injury which of the following should the nurse document as a therapeutic outcome
Decrease in flexor and extensor spasticity baclofen decreases the frequency and severity of muscle spasm's allowing for improved muscle function
A nurse is monitoring clients receiving an IV infusion of magnesium sulfate for preterm labor which of the following findings indicate to the nurse that the client is experiencing magnesium toxicity
Decreased level of consciousness magnesium toxicity results in central nervous system depression
A nurse is caring for a client has heart failure and is discharged with a prescription for furosemide. The nurse should plan to instruct the client that which of the following are potential adverse effects for this medication select all that apply
Dizziness: The diuretic action of furosemide can result in A significant drop in blood pressure causing lightheadedness and dizziness hypokalemia: diuretic action of furosemide promotes the excretion of potassium increasing the clients risk for hypokalemia urinary frequency: The diuretic action of furosemide result in urinary frequency
And nurses providing teaching about insulin glargine to a client who has type one diabetes mellitus which of the following should the nurse include in the instructions
Do not mix this medication in a syringe with other insulins insulin glargine does not cause peaks instead it maintains a study blood level over a 24 hour period which reduces the risk of hypoglycemia
A nurse is caring for a client who has pneumonia the client tells nurse she is pregnant but has not told her provider which of the following medication orders should the nurse question
Doxycycline pregnancy is a contraindication for doxycycline, a tetracycline antibiotic, due to the medications adverse affects on developing bones and teeth
A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence which of the following symptoms should the nurse tell the client to expect. ( all that apply)
Dry mouth blurred vision photophobia Oxybutynin is an anti-cholinergic agents that can cause dry mouth Oxybutynin is an anticholinergic agents that can cause blurred vision Oxybutynin is an anti-cholinergic agent that can cause photophobia
A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following documented findings should the nurse report to the provider immediately
Dyspnea
Nurses planning to teach a client about taking methotrexate for which of the following should the nurse instruct the client to monitor and report to the provider
Fever methotrexate an immunosuppressant can cause bone marrow suppression the nurse should advise the client to monitor any indications of infection such as fever or sore throat
A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for histoplasmosis for which of the following adverse affects of the nurse notify the provider
Fever and chills are signs of an infusion reaction that requires immediate intervention
Nurse is caring for a client who is candidiasis which of the following medications to the nurse expect to administer
Fluconasole Is an antifungal medication effective for treating oral pharyngeal and systemic candidiasis
A nurse is caring for a client to the emergency department following a diazepam overdose the nurse should administer which of the following medications
Flumazenil Is the reversal agent for benzodiazepine toxicity
Nurses providing teaching to a client with peptic ulcer disease and is to start a new prescription for sucralfate theaters explain to the client with medication
Forms a protective barrier over ulcers Sucralfate a mucosal protectant forms a gel like substance coating the ulcer creating a barrier to hydrochloric acid
A nurse is caring for a client to his heart failure and is prescribe enalapril the nurse should monitor the client for which of the following
Hyperkalemia a client taking enalapril can develop hyperkalemia due to potassium retention by the kidneys
Nurses in a providers office is assessing a client who has been taking aspirin daily for the past year which of the following findings should the nurse notify the provider immediately
Hyperventilation
A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching
I should let my dentist know I'm taking this medication
A nurses providing teaching to a client who has depression and is prescribed fluoxetine which of the following statements indicates to the nurse and the client understands the teaching
I should take acetaminophen instead of ibuprofen for my headaches while taking this medication Fluoxetine suppress platelet aggregation, which increases the risk of bleeding when used concurrently with NSAIDs and anticoagulants. therefore clients who are taking fluoxetine should avoid taking NSAIDs.
A nurse is assisting a client who is taking salmeterol. which of the following reports from the client indicates effectiveness of this medication
Improved breathing
A nurse is assessing a client who is taking propylthiouracil for treatment of. Graves' disease which of the following findings indicate the fact of this of this medication
Increase in ability to focus a client who has Graves' disease has difficulty focusing and increased ability to focus indicates effectiveness of the medication
A nurse is assessing a client who is receiving epoetin alpha to treat anemia for which of the following findings should the nurse monitor related to this medication
Increased blood pressure
A nurse is caring for a client who is taking tamoxifen for the treatment of breast cancer the nurse informed the client that which of the following side effects can develop select all that apply
Menstrual irregularities hot flashes bruising Tamoxifen is an anti-estrogen medication
A nurse is assessing a client who has myasthenia gravis and is taking neostigmine which of the following findings should alert the nurse that the client is experiencing an adverse reaction
Nausea Neostigmine is more likely to cause bradycardia
A client is receiving a second dose of IV cefazolin postoperatively. The nurse notes uriticaria, dysrhythmia anxiety and hypotension. Which of the following should the nurse anticipate administering?
Parenteral epinephrine The client findings indicate an allergic reaction to cefazolin therefore the nurse should anticipate administering parenteral epinephrine to induce vasoconstriction and bronchodilation
A nurse is caring for a client who has acute angle closure glaucoma and has been receiving a continuous IV infusion of mannitol 25% for one hour which of the following adverse affects should the nurse report to the provider immediately
Peripheral edema the greatest risk to the client receiving mannitol IV is development of heart failure therefore the nurse should report peripheral edema to the provider immediately
A nurse is assessing laboratory results for client to use prescribe oprelvekin for management of adverse effects of chemotherapy which of the following findings by the nurse indicates a therapeutic effect of the medication
Platelet count is 350,000 mm platelet count 150,000 to 400,000 platelets per microliter (mcL) within the expected reference range indicates the medication is effective oprelvekin is a thrombopoietic Factor
A client is receiving a heparin infusion for deep vein thrombosis the nurse should discontinue the medication infusion for which of the following client findings
Platelets 96,000 per millimeter cube A platelet count less than 100,000 mm cube while receiving heparin may indicate heparin-induced thrombocytopenia this would require stopping in fusion
A nurse is caring for a client is experiencing acute alcohol withdrawal for which of the following is a client prescribed chlordiazepoxide
Prevent delirium tremens the client should take chlordiazepoxide to prevent delirium tremens for client experiencing acute alcohol withdrawal A treatment of the benzodiazepine group used to treat anxiety and alcohol withdrawal
A nurse is assessing a client whose taking indomethacin which of the following should the nurse monitor to evaluate the medications effectiveness
Reduced pain indomethacin is a nonsteroidal anti-inflammatory medication which reduces pain and inflammation
Nurse is caring for a client who recently began taking oral amoxicillin and clavulanate potassium and reports urticaria which of the following intervention should the nurse take
Request a change in the type of antibiotic
A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery for which of the following address affection of the nurse monitor
Sedation metoclopramide has multiple effects on the central nervous system including sedation fatigue restlessness headache sleeping is dystonia
At 0900 a nurse is preparing the clients medications based on the chart findings which of the following medications should the nurse administer first
Sodium polystyrene sulfate
A nurse is caring for a client who is to start therapy with benztropine for which of the following findings should the nurse monitor
Tachycardia benztropine is an anti-cholinergic agent can develop tachycardia due to parasympathetic blockade of the heart
A nurse Is providing teaching to a client who is diagnosed with migraine headaches the client is prescribed something ergotamine sublingual which of the following should the nurse include in her instructions
Take one tablet at onset of migraine one tablet should be taken immediately after the unsent of aura or headache
And nurses providing teaching to a client who is taking tetracycline PO and reports gastrointestinal distress which of the following should the nurse include in the teaching
Take the medication with applesauce to reduce gastrointestinal distress the client should take the medication with food such as applesauce
A nurses providing teaching to a client regarding the administration of Ferrous sulfate which of the following instruction should the nurse include in the teaching
Take the tablet on an empty stomach black stools are a common and harmless side effect of oral iron administration
A nurse administers ceftazidime to a client who has severe penicillin allergy which of the following client findings requires an incident report
The client reports shortness of breath Severe penicillin allergy is a contraindication for ceftazidime, a cephalosporin antibiotic, due to the potential for cross sensitivity shortness of breath can indicate the development of anaphylaxis
A nurse administers ceftazidime to a client who has a severe penicillin allergy. Which of the following requires and incident report
The client reports shortness of breath Severe penicillin allergy is a contraindication for ceftazidime, a cephalosporin antibiotic, due to the potential for cross sensitivity. Shortness of breath can indicate anaphylaxis
A client is just diagnosed with tuberculosis and is prescribed a for medication regimen of isoniazid , pyrainamide, rifampin, and ethambutol
This regimen will eliminate various combinations of resistant strains of TB
A client newly diagnosed with hypothyroidism is prescribed levothyroxine 0.25 mg PO daily after six weeks of treatment the nurse determines that the medication was effective if the
Thyroid stimulating hormone level is 2 microunits/milliliter Measuring TSH is the most sensitive method for determining thyroid activity a TSH level 2 micro units per milliliter indicates appropriate thyroid activity
A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma for which of the following adverse affects should the nurse instruct the client to monitor and report
Tingling of fingers
Nurse is caring for a client who is 24 hour post operative following abdominal surgery and has been taking morphine sulfate PRN for incisional pain the nurse should assess the client for which of the following adverse affects
Urinary retention morphine increases bladder sphincter and detrussor muscle tone as well as dulling the clients ability to perceive bladder fullness resulting in urinary retention
A Client is taking trimethoprim/ sulfamethoxazole which of the following findings should the nurse reports the provider
Vesicular, crusty rash This is a sign of Steven Johnson syndrome and adverse affect the nurse should report to the provider
Nurse is caring for a client who is starting a new prescription for warfarin which of the following medication should the nurse plan to administer if the clients experiences bleeding
Vitamin K acetylcysteine is the antidote for acetaminophen toxicity
A nurse is providing teaching about clindamycin to a client which of the following is an adverse effects of this medication that the nurse should instruct the client to report to the provider
Watery diarrhea An adverse effect of clincamycin because it can cause C. Diff. associated diarrhea which manifests as watery diarrhea without treatment this adverse affects can be fatal
A nurses providing teaching to a client who is to start therapy with digoxin which of the following should the nurse instruct the client to monitor and report
Yellow tinged vision The nurse should instruct the client to monitor for and report yellow tinged vision which is a sign of digoxin toxicity and should be reported to the provider
A nurses caring for a client taking Atorvastatin which of the following should the nurse monitor for the client
creatinine kinase (CK) Mild injury causing muscle weakness or aches develops in some clients taking statins and this occasionally progresses to creatinine kinase (CK) levels rise in response to enzyme is released with muscle injury
The nurses providing teaching to a client who takes Valproic acid for which of the following should the nurse instruct the client to monitor and report to the provider
jaundice