ATI Learning System 3.0 Pharm PN

A nurse is reinforcing teaching with a client who has a new prescription for ferrous sulfate syrup to treat iron deficiency anemia. Which of the following statements should the nurse make?

"You should dilute this medication in water and drink it through a straw."

A nurse is reinforcing teaching with a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the following statements should the nurse include in the teaching?

"You should eat foods high in potassium while taking this medication."

A nurse is preparing to administer meperidine 100 mg IM to a client who has a BMI of 23. Which of the following needle lengths should the nurse use to administer the medication?

1 1/2 inch

A charge nurse is reinforcing teaching with a newly licensed nurse about the purpose of a client being prescribed a transdermal fentanyl patch. Which of the following clients should the charge nurse include in the teaching as a client who requires this medication?

A client who is opioid tolerant

A nurse in a provider's office is collection data from a client who has been taking amoxicillin for 10 days and reports diarrhea and cramping. The nurse should recognize that these manifestations occur secondary to which of the following adverse effects?

Alterations in gastrointestinal flora

A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider?

Aspirin EC 325 mg per NG tube daily

A nurse is caring for a client who has chronic renal failure and has developed anemia. Which of the following medications should the nurse expect the provider to prescribe?

Erythropoietin

A nurse is collecting data from a client who is receiving ropinirole to treat restless leg syndrome. Which of the following findings should indicate that the client is having a potential allergic reaction to the medication?

Mild rash

The nurse is assisting with the care of a client who has been in the PACU for more than 1 hour. He has a respiratory rate of 9/min and is difficult to arouse. The nurse should expect a prescription for which of the following medications?

Naloxone

A nurse in a providers office is collecting data from a client who reports dysmenorrhea. Which of the following over the counter prescriptions should the nurse expect the provider to suggest?

Naproxen

A nurse is reinforcing teaching a client who has ADHD and is starting therapy with amphetamine/dextroamphetamine mixture. Which of the following manifestations should the nurse instruct the client to indentify as an adverse effect and report to the provider?

Palpitations

A nurse is caring for a client who received spinal anesthesia 30 minutes ago. The client reports feeling dizzy, and the nurse notes that the client's blood pressure is 84/54. Which of the following actions should the nurse take?

Place the client in the head down position

A nurse is collecting data from an infant during a routine checkup. The parent ask the nurse about the infant's immunization schedule. Which of the following responses should the nurse make?

" It is recommended that your infant receives 6 immunizations at 2 months of age."

A nurse is reinforcing teaching with a client who has a new prescription for enteric coated aspirin as stroke prophylaxis. The client ask the nurse why the provider prescribed an enteric coated medication. Which of the following responses should the nurse give?

"Enteric coated medications cause less gastric irritation"

A nurse is caring for a client who has multiple sclerosis and neurogenic bladder and is receiving bethanechol. The nurse should identify that which of the following client statements indicates a therapeutic action if the medication?

"I am able to urinate more freely"

A nurse is reinforcing teaching about lithium toxicity with a client who has a new prescription for this medication. Which of the following statements by the client indicates an understanding of the teaching.

"I can develop lithium toxicity if I experience vomiting or diarrhea

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin via a transdermal patch. Which of the following client statements indicates an understanding of the teaching?

"I need to rotate the location of my patch every few days"

A nurse is reinforcing teaching with a female client who has a new prescription for misoprostol to treat peptic ulcer disease. Which of the following client statements should indicate to the nurse that the teaching was effective?

"I should avoid becoming pregnant while taking this medication."

A nurse is reinforcing teaching with a client who has a urinary tract infection and a new prescription for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching?

"I should notify my provider immediately if my urine turns orange."

A nurse is teaching a client who has a new prescription for amitriptyline to treat depression. Which of the following client statements indicates an understanding of the teaching

"I should take this medication before bedtime"

A nurse is reinforcing teaching with a client who has a new prescription for sucralfate for duodenal ulcer. Which of the following statements indicates an understanding of the teaching?

"I should wait at least 30 minutes before taking this medication after I take an antacid."

A nurse is reinforcing teaching with a client who has gout and a prescription for allopurinol. Which of the following statements by the client should indicate to the nurse that the teaching was effective?

"I will increase my fluid to at least 2 liters per day."

A nurse is reinforcing teaching with a client who is about to start taking propylthiouracil to treat hyperthyroidism. Which of the following statements should the nurse identify as an indication that the teaching has been effective?

"I will need laboratory test to check my liver function."

A nurse is teaching a client who has osteoporosis and a new prescription for alendronate. Which of the following client statements indicates that the teaching was effective?

"I will sit upright for 30 minutes after taking the medication."

A nurse in a provider's office is reinforcing teaching with a client who has hyperthyroidism and a new prescription for methimazole. Which of the following statements by the client indicates an understanding of the teaching?

"I will stay away from crowds while taking this medication"

A nurse is reinforcing teaching about adverse effects of ergotamine with a client who has migraine headaches. Which of the following client statements should indicate and understanding of the teaching?

"If I overuse this medication, I might become addicted to it."

A nurse is reinforcing teaching with a client about taking tetracycline PO. Which of the following statements should the nurse include in the teaching?

"Limit your consumption of dairy products while taking this medicine."

A nurse is reinforcing teaching with a client who has chronic constipation and a new prescription for psyllium. Which of the following instructions should the nurse provide?

"Mix this medication with water and follow with an additional glass of liquid."

A nurse is collecting data from a client who has been taking simvastatin to treat hyperlipidemia. Which of the following statements by the client indicates an adverse effect of the medication that should be reported to the provider immediately?

"My legs feel weak and achy."

A nurse is caring for a client who is receiving chlorpromazine to treat schizophrenia. Which of the following statements by the client should prompt the nurse to notify the provider immediately?

"My tongue keeps moving like a worm."

A nurse is administering the first dose of sucralfate to a client. Which of the following explanations should the nurse provide about the action of sucralfate?

"Sucralfate forms a gel-like substance that protects ulcers"

A nurse is teaching a client about a new prescription for extended release oxycodone for pain management. Which of the following statements should the nurse include in the teaching?

"Swallow this medication whole."

A nurse is reinforcing teaching with a client who has a new prescription for human chorionic gonadotropin (HCG) to treat infertility. Which of the following statements should the nurse make?

"This hormone is extracted from the urine of women who are pregnant."

A nurse is reinforcing teaching with a client who is scheduled to start taking hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods that are rich in potassium. Which of the following statements by the clients indicates an understanding of the teaching?

"This medication can cause a loss of potassium."

A nurse is reinforcing teaching with a client who has a new diagnosis of peptic ulcer disease (PUD) and a prescription for bismuth subsalicylate. The client ask the nurse "How will this medication help my ulcer?" Which of the following statements should the nurse make?

"This medication can decrease bacteria in the GI tract."

A nurse is administering an enteric coated tablet to a client and explaining the pharmaceutical preparation. Which of the following statements should the nurse make?

"You are less likely to have an upset stomach with this pill because of the coating on the tablet."

A nurse is reinforcing teaching with a client who has allergic rhinitis about a new prescription for brompheniramine. Which of the following pieces of information should the nurse include in the teaching?

"You might find that you develop a dry mouth."

A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen PO. Which of the following pieces of information should the nurse include?

"You should change positions slowly while taking this medication"

A nurse is reinforcing teaching about the adverse effects of morphine with a client who has acute pain. Which of the following statements should the nurse include in the teaching?

"You should increase your fluid intake."

A nurse is caring for an 18 month old toddler has Kawasaki disease. The child is receiving intravenous immune globulin. The guardian ask the nurse to administer the child's scheduled measles, mumps, and rubella (MMR) vaccine before discharge. Which of the following statements should the nurse provide?

"Your child will not be able to receive the MMR vaccine for at least 3 months after discharge."

A nurse is caring for a client who has asthma and a prescription for zileuton. Which of the following laboratory values should the nurse monitor while the client is taking this medication?

ALT

A nurse is reviewing the laboratory data for a client who is receiving clozapine for schizophrenia. The nurse should identify which of the following findings as a potential adverse effect of the medications?

Absolute neutrophil count 1200 mm^3

A nurse is evaluating how a client who is pregnant is responding to a medication. Which of the following physiological effects of pregnancy should the nurse take into consideration?

Accelerated excretion of fluids

A nurse is assisting with preparing to administer a hydromorphone IV infusion to a client for pain. Which of the following actions should the nurse take?

Administer the medication over 4 to 5 minutes

A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client?

Albuterol

A nurse is assisting in teaching a group of nurses about the manifestations of progestin deficiency for clients who take a combination oral contraceptive. Which of the following findings should the nurse include in the teaching as an indication of progestin deficiency?

Amenorrhea

a nurse is care for a client who is receiving lidocaine for localized pain. The nurse should recognize that which of the following actions will help prevent systemic toxicity of this medication?

Applying the medication to intact skin

A nurse working in the emergency department is admitting a client who has a gastric ulcer and gastrointestinal (GI) bleeding. Which of the following factors in the client's medical history should the nurse report to the provider?

Arthritis treated with ibuprofen every 8 hours as needed

A nurse is collecting data from a client who is to receive the hepatitis B vaccine. Which of the following allergies is a contraindication to receiving this vaccine?

Bakers yeast

A nurse is caring for a client who is taking an agonist medication. The nurse should expect which of the following actions from this type of medication?

Binds to receptors and mimics regulatory molecules

A nurse is collecting data from a client who is to start taking bethanechol for urinary retention. Which of the following should the nurse identify as a contraindication for taking this medication?

Blood pressure 112/70

A nurse is reinforcing discharge teaching with a client who has major depressive disorder and a new prescription for phenelzine. Which of the following food should the nurse include in the plan as safe for the client to consume while taking phenelzine?

Broiled beef steak

A nurse is reviewing the medical history of a client who has a respiratory infection. The nurse notes the client has a severe penicillin allergy. Which of the following class of antibiotics is also contraindicated for this client?

Cephalosporins

A nurse is caring for a client and realizes after administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse take first?

Check the client's apical pulse

A nurse is reinforcing teaching with a client who has hypothyroidism and is taking levothyroxine. The nurse should instruct the client to report which of the following manifestations to the provider?

Chest pain

A nurse is caring for a client who is receiving sumatriptan for cluster headaches. Which of the following findings should the nurse expect as an adverse effect?

Chest pressure

A nurse discovers that a client received an incorrect dosage of a morning medication. Which of the following actions should the nurse take first?

Collect data from the client to determine the client's condition

A nurse is assisting with the administration of an epiniphrine IV bolus to a client. Which of the following should the nurse verify before initiating the IV medication?

Concentration of the formulation

A nurse is reviewing the laboratory data for a client who has Alzheimer's disease and a new prescription for memantine. The nurse should identify that which of the following findings increases the client's risk for reduced clearance of the medication?

Creatinine clearance 35 mL/min

A nurse is preparing to administer raloxifene to a client. Which of the following conditions is a contraindication for the administration of this medication?

DVT

A nurse is administering brimonidine eye drops to a client who has glaucoma. Which of the following ocular effects should the nurse expect?

Decreased IOP

A nurse is caring for a client who takes ginkgo biloba daily at home. Which of the following effects should the nurse expect from the use of this herbal supplement?

Decreased platelet aggregation

A nurse is caring for a client who is receiving continuous cardiac monitoring. Which of the following medications should the nurse anticipate administering to treat atrial fibrillation?

Diltiazem

A nurse is collecting data from a client who is taking varenicline for smoking cessation. Which of the following findings is nurse's priority?

Erratic behavior

A nurse is caring for a female client who has been taking clomiphene to treat infertility. Which of the following findings should indicate to the nurse that the medication has been effective?

Follicular enlargement and conversion to corpus luteum after ovulation

A nurse is collecting data preoperatively from a client who is about to undergo an aneurysm clipping. The nurse should identify a risk for increased bleeding when the client reports taking which of the following dietary supplements?

Garlic

A nurse is reinforcing teaching with a client who has severe generalized rheumatoid arthritis and is scheduled to start taking prednisone for long term therapy. The nurse should instruct the client to report which of the following as an adverse effect of prednisone?

Gastric Ulceration

A nurse is collecting data from a client who is taking vasopressin for diabetes insipidus. Which of the following findings should the nurse identify as a minifestation of water intoxication associated with the medication?

Headache

A nurse is reinforcing discharge teaching with a client who has a new prescription for amlodipine. For which of the following findings should the client notify the provider?

Heart rate of 48/min

A nurse is preparing to administer dantrolene to a client who has muscle spasticity. Which of the following findings from the clients medical history should the nurse identify as a contraindication to the administration of this medication?

History of cirrhosis

A nurse is caring for a client who is taking fludrocortisone. Which of the following findings indicates the the nurse that the client is experiencing an adverse effect of the medication?

Hypokalemia

A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication?

INR 3.0

A nurse is caring for a client who has a prescription for an oral contraceptive to prevent pregnancy. The nurse should identify that which of the following actions is the purpose of this medication?

Inhibition of ovulation

A nurse is monitoring a client with pneumonia who has received penicillin G intramuscularly (IM). Which of the following findings should the nurse plan to evaluate first?

Laryngeal edema

A nurse is administering a medication to a client. The nurse should identify that which of the following medication distibution factors facilitates the effective passage of the medication across the clients cell membranes?

Lipid solubility

A nurse is collecting data from a client who has tuberculosis and a prescription for ethambutol. The nurse should inform the client that he is likely to develop which of the following alterations as an adverse effect of this medication?

Loss of red/green color discrimination

A nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump. Which of the following actions by the newly licensed nurse requires intervention?

Maintaining the client on bed rest while the PCA pump is in use

A nurse is collecting data on a client who is postoperative and received a dose of morphine 15 minutes ago. The client now has a respiratory rate of 8/min and is unresponsive. Which of the following medications should the nurse prepare to administer?

Naloxone

A nurse is administering a prescription for nifedipine to a client who is pregnant. Which of the following pieces of information related to nifedipine should the nurse monitor and document?

Number of uterine contractions

A nurse is teaching a client who has type 1 diabetes mellitus about a new subcutaneous insulin infusion pump. Which of the following pieces of information should nurse reinforce in the teaching?

Plan to use a type short duration insulin in the infusion pump

A nurse is reviewing new medication prescriptions for 4 clients. Which of the following prescriptions should the nurse verify with the provider?

Ranitidine 300 mg PO, on call from surgery

A nurse is reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of the following events should the nurse expect to be reported in the clients medical history?

Recent MI

A nurse is collecting data from a client who has a clostridium difficile infection and is receiving vancomycin via intermittent IV bolus over 60 minutes. The nurse should document the absence of which of the following conditions as a positive response to this slowed administration rate?

Red man syndrome

A nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin. The nurse should identify that the provider has prescribed these medications for which of the following reasons?

Short term use to control urogenital atrophy

A nurse is caring for a school aged child who has cystic fibrosis (CF) and has been using a corticosteroid inhaler for long term treatment. Which of the following findings should the nurse identify as an adverse effect of long term use of this medication?

Small stature for age

A nurse is reinforcing teaching with a client who has a new prescription for sertraline. The client ask the nurse if he should continue to take St. John's Wort for depression. Which of the following instructions should the nurse give the client?

Stop taking the herbal supplement while taking the medication.

A nurse in a provider's office is collection data from a client who has been experiencing migraine headaches. Which of the following medications should the nurse expect the provider to prescribe for abortive therapy of migraine headaches?

Sumatriptan

A nurse is collecting data from a client who has cystic fibrosis. Which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement?

The client is having 1-2 bowel movements per day.

A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of the following adverse effects should the client be taught to monitor and notify the provider if it occurs?

Tinnitus

A nurse is assisting with the administration of 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 caring for a client who has developed MRSA in a surgical incision. Which of the following medications should the nurse expect the provider to prescribe?

Vancomycin

A nurse is caring for a client who asks about taking orlistat for weight loss. The nurse should inform the client that this medication can intensify the effects of which of the following medications or supplements?

Warfarin

A nurse is caring for a client who has cancer involving the lumbar vertebrae and has been prescribed gabapentin. Which of the following therapeutic effects should the nurse identify for the client when taking this medication?

Reduced cramping, aching, and burning neuropathic pain

A nurse is caring for a client who has rheumatoid arthritis and a new prescription for etanercept. Which of the following values should the nurse review prior to the administration of the medication?

Results of the last purified protein derivative (PPD) test

A nurse is caring for a client who has asthma and requires long term treatment. The nurse should identify that which of the following medications used for long term treatment places the client at an increased risk of asthma related death?

Salmeterol

A nurse is caring for a client who has had a levonorgestrel releasing intrauterine device (IUD) in place for 1 year. Which of the following findings should indicate that the client is experiencing an adverse effect?

Spotting in between menses cycles

A nurse is preparing to administer medication to a preschooler. The nurse should use which of the follow measurements to calculate the medication dosage for this client?

Weight

A nurse is collecting data from a client who uses an albuterol inhaler to treat asthma. For which of the following findings should the nurse withhold the medication and notify the provider?

Wheezing

A nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate at which of the following times?

Within 3 months of the initial diagnosis

A nurse is caring for a client who has severe asthma and allergic rhinitis. The client is taking theophylline. Which of the following medications should the nurse identify as being incompatible with theophylline?

Zafirlukast