ATI PHARM Practice Exam FOCUSED 📝

A nurse is reinforcing teaching to with a female client who has a new prescription for isotretinoin. Which of the following information should the nurse include in the teaching? Select all that apply. A. You will need to have your liver enzymes monitored after 1 month B. You can have nosebleeds while taking this medication C. You should report any thoughts of harming yourself D. You will need to have two negative pregnancy tests prior to starting this medication E. You will need to take a vitamin A supplement twice daily

A, B, C, and D RATIONALE: D/t the drying effects of isotretinoin, nosebleeds are very common. Other S/S: depression, birth defects, liver issues and isotretinoin toxicity

A nurse is reinforcing teaching with a client who has seizures and a new prescription for valproic acid. The nurse should instruct the client to report which of the following adverse effects f valproic acid to the provider immediately? A. Abdominal pain B. Hair loss C. Weight gain D. Ataxia

A. Abdominal pain RATIONALE: The greatest risk to the client is hepatotoxicity and pancreatitis, which causes abdominal pain. The client should notify the provider immediately if s/s: decrease in appetite, nausea, abdominal pain or yellowing of skin

A nurse is reinforcing teaching with a client who has a new prescription for colchicine to manage gouty arthritis. Which of the following manifestations should the nurse include as an adverse effect of this medication? A. Abdominal pain B. Wheezing C. Excessive urination D. Tinnitus

A. Abdominal pain RATIONALE: Abdominal pain indicates cell dmg to the GI tract. The nurse should notify the MD, and the client should d/c the med immediately

A nurse is reviewing a client's medical history before administering hydromorphine for postoperative pain. The nurse should notify the provider of which of the following findings before administering this medication? A. Benign prostatic hyperplasia B. History of hypertension C. Rheumatoid arthritis D. Allergy to aspirin

A. Benign prostatic hyperplasia RATIONALE: A client who has BPH has an increased risk for developing urinary retention while taking opioids. An allergy to aspirin is not an contraindication for receiving hydromorphone

A nurse is collecting data from a client who is receiving digoxin for treatment of heart failure. The nurse should identify which of the following findings as adverse effects of this medication? Select all that apply. A. Blurred vision B. Nausea C. Hyperactivity D. Increased appetite E. Dysrhythmia

A. Blurred vision, B. Nausea, and E. Dysrhythmia

A nurse is collecting data from a client who has Parkingson's disease and is taking levodopa/carbidopa. The nurse should identify which of the following findings as an adverse effect of this medication? A. Dark urine B. Hypertension C. Increased salivation D. Bradycardia

A. Dark urine RATIONALE: Levodopa/carbidopa is one of the medication that causes changes in urine color, sweat, and saliva

A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. Which of the following adverse reactions is the priority finding to report to the provider? A. Hyperemesis B. Severe headache C. Palpitations D. Respiratory depression

A. Hyperemesis

A nurse is instilling Timolol eyedrops for a client who has glaucoma. Which of the following actions should the nurse take after instilling the eyedrops? A. Press the nasolacrimal duct B. Apply pressure to the upper eyelid C. Ask the client to blind their eyes several times D. Tell the client to keep their eyes open for at least 15 seconds

A. Press the nasolacrimal duct RATIONALE: The nurse should press the client's nasolacrimal duct after instilling the eye drops to prevent the medication from absorbing into systemic circulation

A nurse is caring for a client who has a new prescription for sumatriptan. The nurse notes that the client takes fluoxetine. the nurse should notify the provider that the combination of these medications will place the client at risk for which of the following adverse effects? A. Tremors B. Renal calculi C. Dysphagia D. Hearing loss

A. Tremors RATIONALE: Combo use of sumatriptan and fluoxetine leads to serotonin syndrome. The client can experience tremors, confusion and hallucinations

A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine. Which of the following foods should the nurse include in the teaching as an appropriate food choice? A. Yogurt B. Avocado C. Smoked salmon D. Pepperoni

A. Yogurt RATIONALE: Clients should avoid taking tyramine containing foods (causes HTN). Yogurt has little to no tyramine

A nurse is planning to reinforce teaching about newborn immunizations with a client who is 24 hr postpartum. Which of the following information should the nurse plan to include? A. Your baby will receive the first hepatitis B vaccine before discharge B. Your baby will receive the rotavirus vaccine if your blood tiger is low C. Your baby will receive their influenza vaccine at the 4-week checkup D. Your baby will receive the varicella vaccine if you have a history of chickenpox

A. Your baby will receive the first hepatitis B vaccine before discharge RATIONALE: The newborn should receive the first hepatitis B vaccine at birth, with the next dose at age 1-2 months

A nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. For which of the following findings should the nurse withhold the exenatide dose and notify the provider immediately? A. Loss of appetite B. Abdominal pain C. Muscle weakness D. Heartburn

B. Abdominal pain RATIONALE: The greatest risk to the client is pancreatitis as ADR of exenatide; the nurse should notify the MD for abdominal pain. S/S: severe persistent abdominal pain with emesis

A nurse is caring for client who is having an acute asthma attack. Which of the following medications should the nurse administer first? A. Beclomethasone B. Albuterol C. Cromolyn D. Prednisone

B. Albuterol RATIONALE: Medication for asthma attacks

A nurse is collecting data from a client who is taking oral amoxicillin to treat at respiratory infection. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication? A. hearing loss B. Diarrhea C. Bruising D. Tendonitis

B. Diarrhea RATIONALE: ADR of antibiotics are diarrhea Hearing loss: ADR from ahminoglycosides Bruising: ADR from cephalosporins/ceftriaxones Tendonitis: ADR from ciprofloxacin

A nurse is reviewing the medication administration record of a client who has a history of Stevens-Johnson syndrome when taking sulfamethoxazole-trimethoprim. Which of the following medications should the nurse identify as contraindicated for this client? A. Prednisone B. Furosemide C. Lansoprazole D. Digoxin

B. Furosemide RATIONALE: A client with a hx of Stevens-Johnson syndrome when taking sulfonamides is at risk for allergic reaction to furosemide because these meds are chemically related. Client should also avoid taking thiazide diuretics

A nurse is reviewing medication prescriptions for a group of clients. The nurse should recognize that which of the following prescriptions can result in a medication administration error? A. Penicillin G benzathine 1.2 million units IM daily B. Furosemide 10.0 mg PO daily C. Albuterol 2.5 mg 2 inhalations every 6 hrs as need for shortness of breath D. Insulin glargine 15 units subcutaneous daily at bedtime

B. Furosemide 10.0 mg PO daily RATIONALE: The nurse should avoid using a trailing zero following a WHOLE # because it can result in prescription error d/t nurse seeing dosage as 100 mg instead of 10 mg. The decimal place is not always recognized

A nurse is caring for a client who is taking phenylephrine. The nurse should plan to monitor the client for which of the following manifestations as an adverse effect of this medication? A. Increased drowsiness B. Increased heart rate C. Decreased blood pressure D. Decreased WBC count

B. Increased heart rate RATIONALE: Due to cardiac effects, phenylephrine causes tachycardia and dysrhythmias. Other s/s of phenylephrine: insomnia, and hypertension.

A nurse is reinforcing teaching with a client who has hypertension and a new prescription for Spironolactone. Which of the following instructions should the nurse include in the teaching? A. Increase foods high in zinc B. Restrict foods high in potassium C. Restrict foods high in vitamin K D. Increase foods high in magnesium

B. Restrict foods high in potassium RATIONALE: The nurse should instruct the client that Spironolactone is a potassium-sparing diuretic, which can cause hyperkalemia. The client restrict foods that are high in potassium and salt that contain potassium

A nurse is reinforcing teaching with a client who has a new prescription for vitamin B12 intranasal to treat malabsorption syndrome. Which of the following instructions should the nurse include in the teaching? A. Take this medication once per day B. Drink a hot liquid after administering the medication C. Massage your nose gently after medication administration D. Store this medication in the refrigerator

C. "massage your nose gently after medication administration" RATIONALE: To increase absorption of medication - B12 intranasally are given once per week but PO is once daily - Stored at room temp

A nurse is reviewing the medical record of a client who has new prescription for dimenhydrinate to treat motion sickness. Which of the following conditions in the client's medical record should the nurse report to the provider? A. Major depressive disorder B. Diabetes mellitus C. Benign prostatic hyperplasia D. Ménière's disease

C. Benign prostatic hyperplasia RATIONALE: A client with BPH will have urinary retention, and shouldn't take dimenhydramine d/t anticholinergic effects Clients with Ménière's disease can take dimenhydramine for treatment

A nurse is collecting dat a form a client who has multiple sclerosis and a new prescription for baclofen. Which of the following findings should the nurse identify as an adverse effect of this medication? A. Diarrhea B. Weight loss C. Drowsiness D. Hypertension

C. Drowsiness RATIONALE: ADR of baclofen is drowsiness, dizziness, weakness and fatigue

A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking metoprolol. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication? A. Tachycardia B. Tinnitus C. Peripheral edema D. Urinary retention

C. Peripheral Edema -The nurse should instruct the client to monitor for and report the development of peripheral edema because this can be an indication of heart failure, which is an adverse effect of metoprolol.

A nurse is contributing to the plan of care for a client who has schizophrenia and a new prescription for clozapine. The nurse should include in the plan to monitor the client for which of the following adverse effects of this medication? A. Hypoglycemia B. Iron-deficiency anemia C. Serotonin syndrome D. Agranulocytosis

D. Agranulocytosis RATIONALE: The nurse should monitor for WBC being less than 5,000-10,000, HYPERglycemia, hyperlipidemia, and tardive dyskinesia

A nurse is collecting data prior to administrating digoxin to a client. For which of the following findings should the nurse withhold this medication and notify the provider? A. Digoxin level 0.9 ng/ml B. Blood pressure 142/80 mm Hg C. Potassium 4.4 mEq/L D. Apical pulse 52/min

D. Apical pulse 52/min RATIONALE: The nurse should check the apical pulse prior to administering digoxin because it causes bradycardia. If heart rate is below 60/min, the nurse should withhold the med. Digoxin normal levels: 0.5-1.9 ng/ml

A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should the nurse take? A. Document the completion of an incident report in the medical record of the client who received the zolpidem B. Administer a dose of Naloxone to reverse the effects of the medication C. Keep a copy of the incident report on the unit D. Document the notification of client's provider

D. Document the notification of client's provider RATIONALE: In the medical record of the client who received the zolpidem, the nurse should document objective facts of the error, including following-up actions and notification of the provider Naloxone is used to reverse the effects of opioid - the nurse should notify the provider and do additional monitoring

A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Hypokalemia B. Blurred vision C. Tremors D. Dry cough

D. Dry cough RATIONALE: ADR of enalapril is dry cough, hyperkalemia, and dizziness

A nurse is evaluating a client who is receiving amphotericin B via intermittent IV bolus. Which of the following findings indicate an adverse reaction to this medication? A. Serum potassium 5.6 mEq/L B. Hematocrit 55% C. Polyuria D. Hypotension

D. Hypotension RATIONALE: Amphotericin is a high-alert med d/t serious ADRs like hypotension. The nurse should report s/s like nephrotoxicity, hypokalemia and cardiac dysrhythmias

A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse include in the teaching? A. Avoid grapefruit juice B. Increase salt intake C. Avoid aged cheese D. Increase fluid intake

D. Increase fluid intake RATIONALE: Taking methotrexate should increase fluid intake to reduce the risk for renal damage and to increase medication excretion

A nurse is caring for a client who is receiving methylprednisolone. Which of the following laboratory values should the nurse plan to monitor? Select all that apply A. White blood cell count B. Serum potassium C. Creatine phosphokinase D. Blood glucose E. Amylase

A, B, and D RATIONALE: Methylprednisolone increases the client's risk for infection and causes leukocytosis, hypokalemia, and increased blood glucose levels

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about adverse effects of metformin. The nurse should instruct the client to monitor for which of the following findings as manifestations of lactic acidosis? Select all that apply A. Muscle pain B. Hyperventilation C. Weight gain D. Constipation E. Dizziness

A, B, and E

A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which of the following actions should the nurse take? A. Determine the client's daily alcohol intake B. Tell the client to expect red-orange colored urine C. Reinforce teaching about a low-calorie diet D. Instruct the client to have a yearly tuberculin skin test

A. Determine the client's daily alcohol intake RATIONALE: The nurse should instruct to reduce or avoid all use of alcohol use because isoniazid causes liver damage; therefore, its important for the nurse to determine the client's daily alcohol intake

A nurse is reinforcing teaching with a client who has a new prescription for theophylline. The nurse should instruct the client that which of the following is an expected outcome of this medication? A. Dilates bronchioles B. Reduces inflammation C. loosens secretions D. Blocks leukotrienes

A. Dilates bronchioles RATIONALE: Theophylline is a bronchodilator that affects smooth muscle relaxation and leads to open airways

A nurse is reinforcing teaching with a client who has a new prescription for etanercept to treat rheumatoid arthritis. Which of the following instructions about self-administering this medication should the nurse include? A. Discard any solutions that are cloudy B. Attach a 21-gauge needle to the syringe for injection C. Self-administer the medication on alternate days D. Shake the reconstituted solution well before self-administration

A. Discard any solutions that are cloudy. The client should discard any vials or pre-filled syringes that contain solutions that are discolored, cloudy, or have any sediment in them.

A nurse is caring for a client who has a new prescription for risperdone to manage schizophrenia. Which of the following laboratory tests should the nurse plan to obtain prior to administrating the first dose? A. Fasting blood glucose level B. Albumin level C. CD4 T-cell count D. Blood creatinine level

A. Fasting blood glucose level RATIONALE: ADR of risperdone is hyperglycemia. The nurse should obtain a fasting glucose before adm and during tx

A nurse is collecting data form the parent of a toddler who is about to receive the varicella immunization. The nurse should identify that an anaphylactic reaction to which of the following substances is a contraindication for receiving this immunization? A. Gelatin B. Penicillin C. Sulfa D. Eggs

A. Gelatin

A nurse is monitoring a client who has been receiving long-term Hydrochlorothiazide therapy for recurring episodes of heart failure. Which of the following findings should the nurse identify as an adverse effect of this medication? A. Hypokalemia B. Hypermagnesemia C. Hypernatremia D. Hypocalcemia

A. Hypokalemia RATIONALE: Hydrochlorothiazide is a diuretic that causes hypokalemia

A nurse in a community health clinic is preparing to administer the varicella vaccine to a young adult female client who has not previously had chickenpox or its vaccine. The nurse should withhold the vaccine and collect additional data when the client makes which of the following statements? A. I am allergic to neomycin B. I am taking antibiotics for my acne C. My irritable bowel syndrome has been acting up for the last few days D. I have been taking an oral contraceptive for the last 6 months

A. I am allergic to neomycin RATIONALE: A hypersensitivity to neomycin is a contraindication for varicella vaccine

A nurse is caring for a client who has genital herpes. Which of the following medications should the nurse expect to administer? A. Levofloxacin B. Acyclovir C. Ceftriaxone D. Metronidazole

A. Levofloxacin tx cystitis *B. Acyclovir* *Correct* Acyclovir is an antiviral drug C. Ceftriaxone tx Lyme disease D. Metronidazole tx C.diff

A nurse is collecting data from a client who has hyperthyroidism and a new prescription for propylthiouracil. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? A. Sore throat B. Metallic taste C. Mania D. Urinary retention

A. Sore throat RATIONALE: Early indications of agranulocytosis is an ADR of propylthiouracil (PTU), which causes sore throat and fever

A nurse is collecting data from a client who has bee taking levodopa/carbidopa. Which of the following findings should indicate to the nurse that the medication is effective? A. The client is able to wash their face B. The client experiences fewer seizures C. The client reports decreased heartburn D. The client is able to sleep through the night

A. The client is able to wash their face RATIONALE: Levodopa works by activating dopamine receptors, restoring nerve transmission for pts with Parkingson's - therapeutic effect is help client with moving freely and resuming ADLs

A nurse is reinforcing teaching with a client who is start therapy with a nitroglycerin transdermal patch. Which of the following statements by the client indicates an understanding of the teaching? A. While I'm using the patch, I will be careful when rising from a chair B. I should leave the patch in place for 24hrs C. I should apply the patch to same location with each application D. I will apply a new patch if I have chest pain

A. While I'm using the patch, I will be careful when rising from a chair RAT IONALE: Nitroglycerin causes Orthrostatic hypotension, dizziness - instruct client to change positions slowly

A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. Which of the following actions should the nurse take to counteract the adverse effects of this medication? A. Suggest that the client apply antiperspirant deodorant more frequently B. Inform the client to apply sunblock before going outside C. Give the client a list of over-the-counter antidiarrheal medications D. Recommend that the client take the medication on an empty stomach

B. Inform the client to apply sunblock before going outside RATIONALE: Chlorpromazine increases the skin's sensitivity to UV light causing temporary pigmentation changes and increases the risk of sunburn

A nurse in a provider's office is reviewing the immunization records of a 12-month-old infant who is immunocompromised. Which of the following vaccines should the nurse identify as contraindicated for the client? A. Hepatitis A (HepA) B. Measles, mumps, and rubella (MMR) C. Pneumococcal conjugate (PCV13) D. Haemophilus B conjugate (Hib)

B. Measles, mumps, and rubella (MMR) RATIONALE: MMR is contraindicated for immunocompromised

A nurse is reinforcing teaching with a client who has a new prescription for omeprazole oral capsules. Which of the following instructions should the nurse include? A. Take the medication at bedtime B. Swallow the medication whole C. Take the medication with food D. Avoid antacids when taking this medication

B. Swallow the medication whole RATIONALE: Omeprazole, a proton pump inhibitor, blocks the secretion of gastric acid; should be taken whole, not chewed

A nurse is caring for a client who has a prescription for an IM injection for penicillin G benzathine. The client asks why the injection must be given IM instead of through the IV line. Which of the following responses should the nurse make? A. The medication is more rapidly absorbed when given IM B. Your medication can't be given IV because it is not water soluble C. You will experience less discomfort with an IM injection D. An IM injection allows more precise control of the medication level in your blood

B. Your medication can't be given IV because it is not water soluble RATIONALE: The nurse should inform the client of this type of penicillin has poor water solubility and is never administered IV

A nurse is reinforcing teaching with a client who is using phenylephrine nasal spray three times daily and reports rebound congestion. Which of the following instructions should the nurse include to reduce the effects of rebound congestion? A. Decrease the frequency to twice daily B. continue to use for one more week C. Discontinue use in the left nostril, then in the right nostril D. Add oxymetazoline nasal spray to relieve symptoms

C. Discontinue use in the left nostril, then in the right nostril RATIONALE: Discontinuing the medication one nostril at a time can overcome rebound congestion

A nurse is caring for a client who has chronic kidney disease and has been receiving exporting for 2 weeks. Which of the following findings should indicate to the nurse that the client's medication is having the desired therapeutic effect? A. Albumin is within the expected reference reference B. Urine output increases to 60 mL/hr C. Hemoglobin rises 0.5 g/dL D. Blood urea nitrogen level is within the expected reference range

C. Hemoglobin rises 0.5 g/dL RATIONALE: Within 2 weeks of therapy, hemoglobin should be 0.5g/dL. At 2-3 months, hemoglobin levels should be 10-11g/dL

A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should identify that which of the following findings is a contraindication to receiving celecoxib? A. Hyperglycemia B. Allergy to penicillin C. History of myocardial infarction D. Peptic ulcer disease

C. History of myocardial infarction Celecoxib increases the risk of myocardial infarction caused by increased vasoconstriction and unimpeded platelet aggregation. It is contraindicated for a client who has a history of myocardial infarction or heart disease.

A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. The nurse should monitor for which of the following adverse effects of this medication? A. Hematuria B. Hypernatremia C. Hyperkalemia D. Constipation

C. Hyperkalemia RATIONALE: Eplerenone places the client at risk for increased potassium levels because it causes potassium retention

A nurse is assisting with the care of a client who has a methicillin-resistant Straphylococcus aureus (MRSA) infection and is receiving vancomycin via IV infusion. Which of the following changes in the client's condition should the nurse identify as the priority finding to report to the provider? A. Nausea B. Back pain C. Hypotension D. Chills

C. Hypotension RATIONALE: urgent vs not urgent: priority is hypotension. If vancomycin infusion is too rapid, can cause red man syndrome (s/s: tachycardia, hypotension, and urticaria)

A nurse is reinforcing teaching with a client who has a new prescription for regular insulin. Which of the following statements by the client indicates an understanding of the teaching? A. I should eat right before I give myself an insulin injection B. I should shake the vial gently prior to drawing up the insulin C. I should ensure that the insulin is clear prior to drawing it up D. I should inject the insulin deep into a muscle

C. I should ensure that the insulin is clear prior to drawing it up RATIONALE: Regular insulin is clear. Clients should discard the vial and use a new one if the insulin is cloudy

A nurse is reinforcing teaching with a client who has HIV and a new prescription for zidovudine. Which of the following client statements should indicate to the nurse an understanding of the teaching? A. I can have unprotected sex after 6 months of taking this medication B. I can expect to have constipation while taking this medication C. I will be sure to have my blood tested for anemia D. My fingers might feel numb after I start therapy

C. I will be sure to have my blood tested for anemia RATIONALE: Zidovudine can cause severe anemia and neutropenia. The client should have blood tests performed before treatment begins and have continued during tx

A nurse is reinforcing discharge teaching with a client who has a prescription for a metered-dose inhaler (MDI). Which of the following information should the nurse include in the teaching? A. Wait for 15 seconds between each puff of the same medication B. Hold your breath for 5 seconds after inhaling the medication C. Take a slow, deep breath lasting 3 to 5 seconds after releasing the medication D. Roll the canister between your hands for 10 to 15 seconds to mix the medication

C. Take a slow, deep breath lasting 3 to 5 seconds after releasing the medication." RATIONALE: *The client should take a slow, deep breath lasting 3 to 5 seconds to allow the medication to be distributed deeply into the lungs. The client should wait 20-30 seconds between each puff and 2-5mins between administrations The client should wait at least 10 seconds after inhaling med

A client who has terminal cancer reports pain as 5 on a scale of 0 to 10. The client has a prescription for morphine 15 mg orally every 4 hr. The client's adult children express concern that the client is receiving too much of this medication. Which of the following responses should the nurse make? A. Clients who receive this medication orally have a lower risk for addiction B. Additional doses will not be needed because this medication is given on a fixed schedule C. The dose should remain constant to prevent breakthrough pain D. We can switch from oral administration to rectal administration

C. The dose should remain constant to prevent breakthrough pain RATIONALE: Fixed or schedule dosing around the clock offers the best pain control for clients who have severe and persistent pain

A nurse is preparing to administer diphenhydramine 50 mg PO at 2200 to a client who has difficulty swallowing pills and capsules. Available is diphenhydramine syrup 12.5 mg/5 ml PO. Which of the following nursing actions requires the completion of an incident report? A. Giving the medication at 2140 B. Administering the medication with grapefruit juice C. Giving the medication when the client's apical pulse is 58/min D. Administering 25 ml of the syrup

D. Administering 25 ml of the syrup RATIONALE: This dose is higher than the client should receive. The correct dose is 20 ml. Administering an incorrect amount of medication to a client requires an incident report BECAUSE *it's something outside of the norm or expected*

A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of the following client responses indicates to the nurse an understanding of the teaching? A. I will take medication with my breakfast B. I will take the medication with 1 tablespoon of an antacid C. I will lie down for 30mins after taking the medication D. I will take the medication with 8 ounces of water

D. I will take the medication with 8 ounces of water RATIONALE: Alendronate should be taken on an empty stomach with 8 oz of water to ensure it doesn't get stuck in the esophagus, which can cause esophageal ulcerations

A nurse is collecting data from a client who is taking ferrous sulfate orally. Which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect? A. Passing of a soft, formed stool daily B. Decreased number of viral illnesses C. Improved ability to fall asleep D. Increased tolerance to exercise

D. Increased tolerance to exercise RATIONALE: Ferrous sulfate is iron and used to treat iron-deficiency anemia (which causes SOB and fatigue). Increased tolerance to exercise is an indication for ferrous sulfate.

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is learning to self-administer NPH insulin. Which of the following client actions indicates an understanding of the teaching? A. The client shakes the insulin vial prior to drawing up the dose B. T he client uses the tip of the plunger to measure the correct dose C. The client injects air into the vial after inverting it D. The client wipes the cap with alcohol prior to filling the syringe

D. The client wipes the cap with alcohol prior to filling the syringe RATIONALE: The client should wipe the cap with alcohol prior to filling the syringe to reduce the risk for contamination

A nurse is collecting data from a client who has been taking digoxin for 1 month. The nurse should identify which of the following findings as a manifestation of digoxin toxicity? A. Pulse rate 100/min B. Blood pressure 140/90 mm Hg C. Wheezing D. Vomiting

D. Vomiting Rationale: The nurse should identify vomiting as an early manifestation of digoxin toxicity. A. Pulse rate 100/min - A pulse rate of 100/min is within the expected reference range and is not a manifestation of digoxin toxicity. B. Blood pressure 140/90 mm Hg - A blood pressure of 140/90 mm Hg is above the expected reference range. However, hypotension, rather than hypertension, is a manifestation of digoxin toxicity. C. Wheezing - Wheezing is not a manifestation of digoxin toxicity.

A nurse is caring for a client who has multiple sclerosis and a new prescription for baclofen. Which of the following findings indicates to the nurse that the medication is having a therapeutic effect? A. Decreased muscle spasticity B. Increased urinary output C. Increased mental alertness D. Decreased heart rate

Decreased muscle spasticity (The nurse should identify that baclofen is an antispasmodic that decreases muscle spasticity in a client who has multiple sclerosis.)

A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new prescription for sumatriptan. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication? A. Insomnia B. Photophobia C. Chest tightness D. Respiratory depression

c. chest tightness RATIONALE: The nurse should instruct the client to report chest pain or tightness to the MD because s/s of vasospastic response