ATI Pharm Study

A nurse is caring for a client diagnosed with sickle cell anemia who is taking hydroxyurea. Which of the following findings should the nurse report to the provider?

Hemoglobin 4.2 g/dL Platelets 75,000 Neutrophils 1,400

A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider? (select all that apply)

Hemoglobin 7.0 g/dL Platelets 75000/mm3 Potassium 5.2 mEq/L

A nurse is caring for a client who has heart failure and is prescribed enalapril and spironolactone. For which of the following potential side effects should the nurse plan to monitor?

Hyperkalemia

A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately?

Hyperventilation When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is hyperventilation. This indicates the client might have acute salicylate poisoning, which causes respiratory alkalosis in the early stages.

A client who is postoperative has received 2 mg of hydromorphone IV bolus every 2 hr. The client continues to rate his pain at a 7 on a scale from 0 to 10. Which of the following client findings should the nurse attend to first?

Hypotension

A nurse is taking a medication history from a client who has a new prescription for lithium. Which of the following over-the-counter medications should the client discontinue?

Ibuprofen

A nurse is caring for a client who has cancer and has been receiving pegfilgrastim. Which of the following indicate the medication has been effective?

Increase WBC count

A nurse is caring for several clients that report allergies. Which of the following client statements indicates a medication allergy?

"I cannot take celecoxib because of the rash I developed taking trimethoprim/sulfamethoxazole."

An older adult client who has an infection is prescribed gentamicin. Which of the following client statements indicated a side effect of this medication and should be reported to the provider immediately?

" I have to turn the volume up on the TV to hear it."

A nurse is providing teaching about self- administration of transdermal medication for a client who has a new prescription for notroglycerin. which of the following statements made by the client indicates a need for additional teaching?

" I will check my blood pressure before applying the patch."

A nurse is teaching a client who is starting to take ketorolac. Which of the following information should the nurse include in the teaching?

"Check for bruising while taking this medication." The nurse should instruct the client to check for bruising because ketorolac can increase the risk of bleeding by interfering with platelet aggregation.

A nurse is providing teaching about insulin glargine to a client who has type 1 diabetes mellitus. Which of the following information should the nurse include in the instructions?

"Do not mix this medication in a syringe with other insulin." The client should not mix insulin glargine with any other type of insulin in the same syringe, because this procedure can alter the medication's effects.

A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. Which of the following client statements indicates a contraindication for this medication?

"I have tendonitis, so I haven't been able to exercise."

A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescriptions for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication?

"I have tendonitis, so I haven't been able to exercise." The nurse should identify tendonitis is a contraindication for taking ciprofloxacin due to the risk of tendon rupture

A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching?

"I know smoking makes ranitidine less effective." The nurse should instruct the client that smoking decreases the effectiveness of ranitidine by exacerbating the ulcer manifestations.

A nurse is providing teaching to a client who has rheumatoid arthritis and is prescribed methotrexate. Which of the following statements by the client indicates an understanding of the teaching?

"I should call my doctor if I develop sores in my mouth."

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." Phenytoin commonly causes gingival hyperplasia. As a result, the client should notify his dentist.

A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. Which of the following client statements indicates an understanding of the teaching?

"I should sit up for 30 min after taking the risedronate."

A nurse is providing teaching to a client about the use of ethanol estradiol/norelgestromin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?

"I will fold the sticky sides of the old patch together before disposing it." The client should fold the sticky sides of the old patch together and then place it in a childproof container to ensure safe disposal of the patch.

A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?

"I will remove the patch after 14 hours." The client should remove the patch after 12 to 14 hr to prevent tolerance of the medication.

A nurse is providing discharge instruction to a client who is to self-administer insulin at home. Which of the following client statements should indicate to the nurse that the teaching is effective?

"I will store my unopened bottles of insulin in the refrigerator." The client should store unopened vials of insulin in the refrigerator to maintain medication viability. Once opened, the insulin may remain at room temperature for up to 1 month.

A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective?

"I will taper off the medication before discontinuing it." The client should taper off cyclobenzaprine before discontinuing it to prevent the return of the musculoskeletal condition.

A nurse is teaching about zolpidem with a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching?

"I will use this medication for a short period of time." Zolpidem is used for short-term treatment of insomnia. Therefore, the provider should reassess the client before refilling the prescription.

A nurse is teaching a client who has an upper respiratory infection about guaifenesin. Which of the following statements should the nurse include in the teaching?

"Increase your fluid intake to at least 2 liters each day while taking this medication." The nurse should instruct the client to increase fluid intake to at least 2 L per day while taking guaifenesin. An increase in fluid intake facilitates the removal of secretions and helps to create a more productive cough.

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?

"Rinse your mouth after inhaling the beclomethasone" The client should rinse her mouth after using beclomethasone, a glucocorticoid inhaler, to prevent oropharyngeal candidiasis and hoarseness.

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

"Store unused medication sticks in a storage container." The nurse should instruct the client to store unused, used, or partially used medication sticks in the safe storage container that comes in the kit when the medication is initially prescribed.

A client is receiving chemotherapy and tells the nurse that she is trying to get pregnant. Which of the following statements by the nurse is the highest priority?

"There is a high risk of fetal malformations while on chemotherapy."

A nurse is providing teaching for a client who has hypercholesterolemia and has a new prescription for rosuvatatin. Which of the following instructions should the nurse include in the teaching?

"This medication can cause muscle pain or tenderness."

A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report?

0830 The nurse should identify that an antibiotic can be administered 30 min before or after the scheduled time to maintain therapeutic blood levels without requiring an incident report.

A nurse is preparing to administer 0.9% sodium chloride 1,500 ml to infuse over 8 hr to a client who is postoperative. The nurse should set the IV pump to deliver how many mL per hr? ( Round to the nearest whole number.)

188

A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages?

2 months The CDC recommends that newborns receive the first dose of the five-dose series of the DTaP immunization at 2 months of age.

A nurse is caring for a child who has cystitis. The following order has been prescribed. Ciprofloxacin Elixir 15mg/kg PO q 12 hr X 10 days. The client weighs 44 lb/ How many mg should the nurse administer per dose?

300

A nurse is preparing to administer to client 0.9%sodium chloride 1000 mL IV over 8 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

31 gtt/min

A nurse is caring for a client who is postop following a cholecystectomy & is prescribed cefazolin 1 g by intermittent IV bolus Q6H. The amount available is 1 g in 100 ml 0.9% sodium chloride to be delivered in 30 min. The drop factor on the package of IV tubing is 15 gtt/mL. The nurse should set the IV to deliver how many gtt/min. (Round to the nearest whole number.)

50

A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The amount available is amoxicillin oral suspension 200 mg/5 mL. How many mL should the nurse administer per dose?

6.3 ml

A client receiving end-of-life care has been prescribed fentanyl patches topically every 72 hr. Which of the following instructions regarding adverse effects of fentanyl should the nurse plan to give to the client and family?

A stool softener should be taken on a daily basis.

A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication to receiving propranolol?

Asthma Asthma is a contraindication to receiving propranolol. Propranolol is an adrenergic antagonist which blocks the beta2 receptors in the lungs, causing bronchoconstriction and leading to serious airway resistance and possibly respiratory arrest.

A nurse is caring for a client who is prescribed diphenoxylate/atropine. For which of the following adverse effects should the nurse monitor?

Abdominal distention

A nurse is assessing a client who is receiving morphine for pain via secondary IV infusion. The nurse notes that the client respirations are 8/min and shallow. After stopping the morphine infusion, what should the nurse plan to do next?

Administer naloxone

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take?

Administer the medication within a 5-cm radius of the umbilicus The nurse should administer the heparin by subcutaneous injection to the abdomen in an area that is above the iliac crest and at least 2 inches away from the umbilicus.

A nurse in the emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer?

Atropine

A nurse is providing teaching to a client who has hypertension and is to start a new prescription for lisinopril. For which of the following should the nurse instruct the client to monitor and report to the provider?

Dry Cough

A nurse is caring for a client who has had a myocardial infarction and is taking metoprolol. For which of the following should the nurse monitor?

Bilateral crackles in the lungs

A nurse is caring for a client who is recovering from a deep vein thrombosis and is to start taking warfarin. For which of the following findings should the nurse monitor as an adverse effect of warfarin?

Bleeding gums The nurse should monitor the client for bleeding gums, which is an adverse effect of warfarin, an anticoagulant.

A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of the following findings should the nurse expect as an adverse effect of the medication?

Blurred vision Blurred vision is an expected finding following the administration of atropine eye drops. This is due to the cycloplegic effects of the medication, which cause distant objects to appear blurry to the client.

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?

Carbamazepine Carbamazepine causes an accelerated inactivation of oral contraceptives because of its action on hepatic medication-metabolizing enzymes.

A client tells the nurse that he is allergic to penicillins. The nurse should recognize that the client can have a hypersensitivity to which of the following medications.?

Cephalexin

A nurse is planning teaching for a client who is to start a new prescription for captopril. Which of the following instructions should the nurse include?

Change positions slowly

A nurse is providing teaching to a client who is to start taking sumatriptan. For which of the following should the nurse instruct the client to monitor and report to the provider?

Chest pain

A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider?

Chest pressure Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The client should report chest pressure or heavy arms to the provider.

A nurse is caring for a client who has cancer and is taking oral morphine and decussate sodium. The nurse should instruct the client that taking the decussate sodium on a daily basis can minimize which of the following adverse effects of morphine?

Constipation Constipation is a common adverse effect of morphine that will minimize when the client takes docusate sodium, a stool softener that promotes easier evacuation of stool by increasing water and fat in the intestine.

A nurse in the emergency department is caring for a client whose family reports she has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering?

Flumazenil

A nurse is caring for a client who is taking atenolol. Which of the following client reports indicated the medication is effective?

Decrease 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. The client who has a spinal cord injury and takes baclofen can experience a decrease in the frequency and severity of muscle spasms and in flexor and extensor spasticity.

A client is experiencing acute angle closure glaucoma and IV mannitol 25% is prescribed. Which of the following client finding should the nurse recognize as being the best indication that the medication is achieving its therapeutic effect?

Decrease in intraocular pressure

A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first?

Discontinue the medication IV fusion. The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore, the first action the nurse should take is to discontinue the medication IV infusion to prevent the client from receiving more medication. However, the nurse should not remove the IV catheter. Instead, the nurse should change the tubing and administer 0.9% sodium chloride by continuous IV infusion.

A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to receiving which of the following medication?

Doxycycline Doxycycline is a tetracycline antibiotic and is contraindicated for a client who is pregnant because the medication is a category D medication of the FDA pregnancy risk categories, which indicates the medication has fetal risks that can cause fetal damage. The client should only take doxycycline for a life-threatening condition.

A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching?

Drink 8 to 10 glasses of water daily The nurse should instruct the client to increase water intake to 1,920 to 2,400 mL (64 to 80 oz) a day to decrease the chance of kidney damage from crystallization.

A nurse is providing teaching to a client who is prescribed trimethoprim/ sulfamethoxazole. Which of the following instructions should the nurse include in her teaching?

Drink 8 to 10 glasses of water daily.

A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in teaching?

Drink a glass of milk with each dose of medication The client should take furosemide with food or milk to reduce gastric irritation.

A nurse is providing teaching to a client who is to start taking lisinopril. Which of the following findings is an adverse effect that the nurse should instruct the client to monitor and report to the provider?

Dry cough A buildup of bradykinin from taking lisinopril can cause a client to have a dry cough and lead to life-threatening consequences. The client should report the finding to the provider.

A nurse working in a provider's office is taking a health history from a client who has been taking predrisone on the long-term basis for rheumatoid arthritis. The nurse should assess the client for which of the following adverse effects of this medication?

Edema

A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering?

Flumazenil Flumazenil is an antidote and the nurse should administer the medication to reverse benzodiazepines, such as diazepam.

A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (select all that apply)

Grapefruit juice can increase the effects of the medication. ) Blood glucose levels will be monitored during therapy.

A nurse is an oncology clinic is reviewing the laboratory values of a client who is receiving chemotherapy for lung cancer and is taking epoetin alfa. Which of the following laboratory tests is used to determine the effectiveness of the medication?

Hemoglobin

A nurse is caring for a client receiving zidovudine. For which of the following laboratory results should the nurse plan to monitor?

Hemoglobin

A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicates that the medication is effective.

Increase cardiac output Dopamine is an adrenergic that causes a receptor specificity effect, which increases cardiac output and improves perfusion.

A nurse is assessing a client who is experiencing cardiogenic shock and is receiving a continuous IV infusion of dopamine. Which of the following findings indicates the medication is effective?

Increase in blood pressure

A nurse is providing teaching for a client who has a new prescription of spironolactone. The nurse should instruct the client that which of the following is an adverse effect of this medication?

Lethargy

A nurse is caring for a school-age child prescribed methyphenidate for ADHD. The nurse has initiated interventions to minimize adverse effects. Which of the following findings indicates a successful intervention?

Maintains age- appropriate weight

A nurse is caring for a client who is receiving treatment for opioid addiction. Which of the following medications should the nurse expect to administer?

Methadone

A nurse is assessing a client who has myasthenia graves and is taking neostigmine. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect?

Miosis Miosis, which is pupillary constriction, is a common adverse effect of neostigmine due to the excessive muscarinic stimulation that causes difficulty with visual accommodation.

A nurse is planning teaching for a client who has depression and is to start a new prescription for tranylcypromine. Which of the following should the nurse include in the teaching?

Move slowly when changing to a standing position.

A nurse is caring for a client with chronic back pain who is receiving 650 mg acetaminophen every 4 hr for pain. The primary care provide has prescribed oxycodone/acetaminophen every 4 to 6 hr PRN for breakthrough pain. Which of the following actions should the nurse take?

Notify the primary care provider

A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first?

Perform a capillary blood glucose test The greatest risk to this client is injury from hypoglycemia. Therefore, the nurse should perform a capillary blood glucose test to determine the client's blood glucose status. Manifestations of hypoglycemia include weakness, anxiety, confusion, sweating, and seizures.

A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care?

Place monitoring cords and tubes in a stockinet The circulating nurse should place monitoring devices in a stockinet to prevent direct contact with the client's skin.

A nurse is teaching a client who is to start taking temazepan. Which of the following instructions should the nurse include?

Plan to withdraw from the medication gradually. The nurse should include in the teaching to have the client plan to withdraw from taking temazepam gradually to avoid mild withdrawal syndrome.

A client has been prescribed furosemide. Which of the following findings should indicate to the nurse to withhold the medication?

Potassium of 3.1 mEq/L

A nurse is caring for a 20- year-old female client who has been prescribed isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following tests will be required?

Pregnancy Test

A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include int he teaching plan? (select all that apply)

Report muscle pain to the provider is correct. Myopathy is an adverse effect of simvastatin that can lead to rhabdomyolysis, so it should be reported to the provider. Avoid taking the medication with grapefruit juice is correct. When taken with grapefruit juice, simvastatin increases the risk of muscle injury from elevations in creatine kinase Expect therapy with this medication to be lifelong is correct. If medication therapy is discontinued, cholesterol levels will return to their pretreatment range within several weeks to months.

A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should recognize that which of the following medications is used to treat tuberculosis? (Select all that apply)

Rifampicin Isoniazid

A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should identify that which of the following medications are used to treat tuberculosis?

Rifampin Isoniazid

A nurse is caring for a client that has undergone a liver transplant and is taking cyclosporine. Which of the following laboratory findings indicates an adverse effect of the medication?

Serum creatinine 2.5 mg/dL

A nurse is collecting a history from a client who is scheduled for an intravenous pyelography. Which of the following food allergies places the client at risk for an allergic reaction to the contract medium?

Shrimp

A nurse is providing teaching to a client who has a prescription for a MAOI inhibitor. Which of the following foods should the nurse instruct the client to avoid while taking this medication?

Smoked sausage The nurse should instruct the client to avoid eating smoked sausage because it contains tyramine. Tyramine can interact with MAOIs and result in hypertensive crisis.

A nurse is caring for a client who is taking atenolol. Which of the following findings should indicate to the nurse that the medication is effective?

The client has a decrease in blood pressure. Atenolol, abets-adrenergic blocking agent, lowering blood pressure by decreasing peripheral vascular resistance

A client informs the nurse at the primary care provider's office that he received a prescription for timolol to treat glaucoma. Which of the following in the client's history should concern the nurse?

The client has a history of bradycardia

A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of the following client findings as an indication that she should complete an incident report?

The client reports shortness of breath A severe penicillin allergy is a contraindication for taking ceftazidime, a cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness of breath can indicate the client is developing anaphylaxis.

A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report?

Tingling of the fingers The nurse should instruct the client to report the adverse effect of paresthesia, a tingling sensation in the extremities, when taking acetazolamide.

A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication?

Total cholesterol The nurse should review the client's total cholesterol before administering clozapine, because this medication can cause hyperlipidemia.

A client is prescribed amitriptyline. Which of the following adverse effects should the nurse instruct the client to report?

Urinary retention

A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication?

Urinary retention The nurse should instruct the client that amitriptyline causes the anticholinergic effect of urinary retention.

A 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 tests to monitor for long-term complications of prednisone?

bone density scans The client who is taking prednisone, which is a glucocorticoid, should have regularly scheduled bone density scans to monitor for the adverse effects of osteoporosis.

A nurse is preparing to teach a client who is to start a new prescription for extended release verapamil. Which of the following instructions should the nurse plan to include?

change positions slowly The nurse should instruct the client to change positions gradually to prevent orthostatic hypotension and syncope.

A nurse is precepting a newly licensed nurse who is care for four clients. Which of the following actions should be noted in an incident report? The nurse administers

isosorbide mononitrate to a client who has blood pressure 82/60 mm Hg.

A nurse is assessing an older adult client who has Alzheimer's disease who is nonverbal and has experienced frequent falls. To determine whether the client is in pain, the nurse should

observe the client for behavioral effects of pain.

A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. Which of the following findings should the nurse identify as an adverse effect of the medication?

orthostatic hypotension The nurse should identify that hydrochlorothiazide is an antihypertensive thiazide diuretic medication, which can cause orthostatic hypotension and light headedness in clients who are taking the medication. Therefore, the nurse should instruct the client to rise slowly when moving from a recumbent to a standing position.

A nurse is caring for a 20 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgarism. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required?

pregnacy test The client who is pregnant or might become pregnant must not take isotretinoin because this medication has teratogenic effects. Pregnancy testing is mandatory before the initial prescription (two tests) and before monthly refills (one test).

a nurse is teaching a client who is to start taking diltiazem. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

shortness of breath The client who is taking diltiazem, a calcium channel blocker, can experience shortness of breath as an adverse effect and should report the finding to the provider immediately.

A nurse is caring for a client who is receiving oxytocin Iv for post-term pregnancy. Which of the following findings indicates the oxytocin should be discontinued?

Contractions lasting for 2 min. each

A nurse is caring for a client who has a prescription for 5 mg of warfarin. Which of the following findings should the nurse report to the provider prior to administration?

INR of 5

A nurse is caring for a child who has been treated for diarrhea and has a prescription for lactobacillus acidophilus. The nurse should understand that the purpose of this medication is which of the following?

Recolonized the intestinal flora

A client who has diabetes mellitus is receiving insulin lispro and is prescribed metoprolol for hypertension. Which of the following should the nurse observe for in this client as an early indicator of hypoglycemia?

Sweating

A nurse is obtaining the medication history of a client who is starting a new prescription for allopurinol. Which of the following medications should the nurse contact the provider regarding a potential interaction?

Warfarin

A nurse is providing discharge teaching for a client who developed a deep vein thrombosis and has a new prescription for warfarin. Which of the following should the nurse include in the teaching?

"Report stools that appear black to the provider."

A nurse is to administer a new prescription ofamoxicillin/clavulanic acid to a client. The client tells the nurse she is allergic to penicillin. Which of the following actions should the nurse take first?

Definiti Withhold the medication on

A nurse is teaching a client who has a prescription for pilocarpine eye drops. Which of the following client statements should indicate to the nurse a need for additional teaching?

I will stop using the drops as soon as my vision improves

A nurse is providing teaching to a client who has a new prescription for a prefilled epinephrine injector. Which of the following should the nurse include in the teaching?

Massage the site for 10 seconds after the injection

A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer?

Nalaxone The nurse should administer naloxone, an opioid antagonist, to a client who has heroin toxicity to reverse the respiratory depressive effects of the heroin. However, the nurse should not administer naloxone too quickly because naloxone can cause hypertension, tachycardia, nausea, vomiting, and might cause the client to enter a state of opioid withdrawal.

A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. Which of the following actions should the nurse plan to take?

Obtain WBC with absolute neutrophil count The client who takes clozapine can develop lethargy and myalgia caused by the adverse effect of agranulocytopenia. Therefore, monitoring the WBC with absolute neutrophil count weekly for the first 6 months of treatment is recommended. After 6 months, monitoring can be changed to occur every 2 weeks up to 1 year.

A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first?

Obtain the client's blood pressure The first action the nurse should take to prevent injury to the client when using the nursing process is to assess the client for adverse effects of atenolol, such as hypotension.

A nurse is preparing to administer medication to a client who had gout. The nurse discovers that an error was made during to previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first?

Obtain the client's blood pressure.

A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for the treatment of histoplasmosis. Which of the following findings should the nurse identify as an adverse reaction to the medication?

Oliguria Oliguria can indicate renal compromise in a client who is taking amphotericin B. The nurse should report this finding to the provider.

A nurse is providing teaching for a client who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption?

Orange juice The absorption of ferrous sulfate is enhanced by a vitamin C source, such as orange juice. However, increasing the dosage of ferrous sulfate can provide the same benefit to increase the amount of iron uptake.

A nurse is caring for a client who has a new diagnosis for diabetes insipidus and is the start taking desmopressin. Which of the following should the nurse monitor?(Select all that apply)

Urine specific gravity Creatine clearance Serum osmolality

A client diagnosed with acute bronchitis is beginning a short course of prednisone therapy. The client asks the nurse to give him the required vaccinations because he is joining the Peace Corps. The nurse appropriately responds by stating, "You should :

Wait until you have completed your medication therapy before receiving the vaccinations."

A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the following findings should the nurse instruct the client to report to the provider?

Watery diarrhea The client who takes clindamycin can have an adverse effect of watery diarrhea that can lead to Clostridium difficile-associated diarrhea or pseudomembranous colitis. The client should report these findings immediately to the provider.

A nurse is providing teaching to a client who has diabetes mellitus and is learning how to administer NPH insulin and regular insulin in a single syringe. The nurse should instruct the client to take the following steps in which order?

When drawing up insulin, the client should first inject air into the NPH insulin vial, which is intermediate acting. The client should withdraw the needle and then inject air into the regular insulin vial. Then, the client should invert the vial and draw up the regular insulin. Finally, the client should insert the needle into the NPH vial, invert it, and draw up the NPH insulin.

A nurse is caring for a client who is receiving end of life care and has a prescription for fentanyl patches. Which of the following information regarding the adverse effects of fentanyl should the nurse plan to give to the client and family?

take a stool softener on a daily basis. Constipation is an adverse effect of opioid use and stool softeners can decrease the severity of this adverse effect.

A nurse is caring for a client who is 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?

turn the client to a side-lying position The greatest risk to the fetus experiencing late decelerations is injury from uteroplacental insufficiency. Therefore, the priority intervention the nurse should take is to place the client in a lateral position.