ATI Pharmacology Dynamic Quiz Questions

A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV infused over 8 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

21 10gtt/1mL | 1,000 mL/8 hr | 1 hr/60 min = 10,000/480 = 20.83 (round to nearest whole number)

A nurse is preparing to administer cefepime 1g in 5% dextrose in water (D5W) 50 mL over 30 min to a client who has pneumonia. 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?

25

A nurse is preparing to administer cefixime 4mg/kg PO twice daily to a preschooler who weighs 31 lb. How many milligrams should the nurse administer with each dose?

56

A nurse is preparing to administer an enteral feeding through an NG tube at 250 mL over 4 hr. The nurse should set the pump to deliver how many mL/hr?

63

A nurse is caring for a client who is taking acarbose to treat type 2 diabetes mellitus. For which of the following adverse effects of this medication should the nurse monitor the client?

Diarrhea

A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hr to treat a postoperative infection. Which of the following manifestations should the nurse monitor for as an adverse effect of the medication?

Epistaxis

A nurse is reviewing the medical history of a client who has spasticity due to multiple sclerosis and a new prescription for tizanidine. Which of the following comorbidities increases the client's risk of adverse effects while taking this medication?

Hepatitis

A nurse in a provider's office is reviewing a client's medication history. The client asks the nurse if she should begin taking high-dose vitamins as she ages. Which of the following pieces of information should the nurse provide about high doses of vitamin suplements?

High doses of water-soluble vitamins can have adverse effects

A nurse is teaching a group of nurses about the effects of a client receiving spinal anesthesia. Which of the following pieces of information should the nurse include in the teaching?

Hypotension is an adverse effect of spinal anesthesia The local anesthetic can cause the client's blood pressure to decrease due to venous dilation secondary to a sympathetic nervous system response. If hypotension occurs, the nurse should lower the head of the client's bed, increase fluids if applicable, and administer vasoconstrictive medication as indicated by the provider.

A nurse is teaching a client who has a new prescription for alosetron. Which of the following client statements indicates an understanding of the teaching?

I should contact my provider immediately if I experience constipation

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 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 teaching a client who has persistent cancer pain about the adverse effects of opioids. Which of the following statements should the nurse include in the teaching?

Physical dependence is not the same as addiction The nurse should explain that physical dependence can occur in all clients who take opioids, and the client may develop abstinence syndrome if the opioid is abruptly withdrawn. Physical dependence is not the same as addiction, but it can result in addiction. Addiction results when the opioid is continued despite physical or psychological harm.

A nurse is providing teaching about benzodiazepines to a client who is discontinuing long-term alprazolam use. Which of the following pieces of information should the nurse include in the teaching?

Plan to taper the dose slowly over several months

A nurse is reviewing the laboratory values of a client who is receiving continuous IV heparin infusion and has an aPTT of 90 sec. Which of the following actions should the nurse prepare to take?

Reduce the infusion rate

A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combinations should the nurse identify as incompatible?

Theophylline and zileuton

A nurse is teaching a client who has diabetes mellitus about a new prescription for pioglitazone. Which of the following statements should the nurse include in the teaching?

This medication can be taken when using insulin The client can take pioglitazone when using insulin because pioglitazone increases the cellular response to insulin, and insulin is needed in order for the medication to be effective. The client should monitor for hypoglycemia 2 to 4 hours after taking pioglitazone because the medication peaks in 2 to 4 hours after administration. The client can take pioglitazone in the presence of a sulfa allergy because it is not a sulfa-based medication. The client can take pioglitazone for type 2 diabetes mellitus, not type 1 diabetes mellitus. This is because insulin is needed in order for the medication to be effective. Clients who have type 1 diabetes mellitus do not produce insulin.

A nurse is teaching a client who has been taking an NSAID to treat rheumatoid arthritis. During the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. Which of the following statements should the nurse include in the teaching about the purpose of this change in the client's medication?

This medication was added to delay the disease progression

A nurse is preparing to administer levothyroxine 12.5 mg PO daily to a client who has hypothyroidism. Levothyroxine 25 mcg/1 tablet is available. How many tablets should the nurse administer per dose?(numeric value only)

0.5

A nurse is preparing to administer meperidine 10 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?

1½ inch

A nurse is preparing to administer metoclopramide 10 mg IM to a client who is postoperative and nauseated. The amount available is metoclopramide 5mg/1 mL. How many mL should the nurse administer?

2

A nurse is preparing to administer ampicillin 50 mg/kg/day PO divided into 4 equal doses for a toddler who weighs 33 lb. Ampicillin 125 mg/5 mL oral solution is available. How many mL should the nurse administer per dose?

7.5

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 caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medicaiton?

Hypotension

A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem?

Hypotension

A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium meter-dose inhaler. Which of the following statements by the parent indicates the need for further teaching?

I will give my child a dose as soon as wheezing starts

A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should highlight that which of the following conditions is a contraindication to this medicaiton?

Intestinal obstruction Metoclopramide reduces nausea and vomiting by increasing gastric motility and promoting gastric emptying. It is contraindicated for a client who has an intestinal obstruction or perforation.

A nurse is teaching 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 reviewing the medication administration record of a client who is receiving an opioid medication for pain. Which of the following prescriptions should the nurse clarify with the provider?

Lorazepam

A nurse is teaching a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. The client asks 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 providing teaching to a client with chronic bronchitis about administering acetylcysteine using a hand-held nebulizer (HHN). Which of the following client statements indicates an understanding of the teaching?

"I should try to cough productively just before I begin the treatment" A productive cough prior to beginning the treatment will clear sputum from lung surfaces, allowing better absorption of the medication. The nurse should teach the client that an open vial of the medication can be stored in the refrigerator for up to 96 hours. The client should discard any unused medication after that time. The client should drink plenty of fluids, at least 2 to 3 L (67.6 to 101.4 oz) each day, to help thin the secretions. After opening, the medication mixture might develop a light purple color, which is expected and does not alter the potency of the medication. Therefore, the client does not need to discard medication that changes color in this way.

A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (SATA)

- PTT - Aspartate aminotransferase (AST) - Alanine aminotransferase (ALT) Valproic acid can alter coagulation; therefore, PT and PTT should be monitored. It also can cause life-threatening hepatotoxicity; the client should have baseline liver function tests (LFTs) before starting this medication, and LFTs should be repeated at regular intervals during therapy. ALT is a liver enzyme that is measured as a component of liver function tests. Levels of the enzyme identify liver damage.

A nurse is caring for a client who receives gastrostomy tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. At which of the following times should the nurse plan to administer insulin lispro subcutaneously?

0645

A nurse is preparing to administer dextrose 5% in water (D5W) 1,000 mL to infuse over 12 hr. The drop factor of the manual IV tubing is 10 gtt/mL. the nurse should set the manual IV infusion to deliver how many gtt/min?

14

A nurse is preparing to administer azithromycin 150 mg liquid suspension PO every 12 hr to a client. The amount available is azithromycin 50 mg/5mL. How many mL should the nurse administer per dose?

15

A nurse is preparing to administer iron dextran IV to a client. Which of the following actions should the nurse plan to take?

Administer a small test dose before giving the full dose.

A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take?

Administer the medication into the client's abdomen

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

Administer the medication over 4 to 5 minutes

A nurse is caring for a client who has COPD and has been taking fluticasone via inhaler for many years. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medicaiton?

Anorexia and weakness

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?

Aspiring EC 325 mg per NG tube daily

A nurse is caring for a client who has multiple medication allergies. During which of the following steps of the nursing process should the nurse identify the client's allergies?

Assessment

A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication?

Asthma The nurse should identify that asthma is a contraindication to receiving timolol. Timolol is a beta-blocker that can cause blocking of the beta2-receptors, causing bronchospasm. A client who has a history of asthma is a candidate for an alternate medication to treat this condition such as betaxolol.

A nurse in a provider's office is assessing a client who reports taking a dietary supplement to reduce hot flashes related to menopause. Which of the following supplements should the nurse expect the client to report takign?

Black cohosh

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

Broiled beef steak Phenelzine, an MAOI, is an antidepressant. This medication interacts with a variety of foods to produce a hypertensive crisis. Beef steak and other meats that are fresh do not interact with phenelzine and are safe to consume. Most cheeses, except for cottage cheese and cream cheese, interact with MAOIs like phenelzine and can cause hypertensive crisis. Pepperoni, salami, and other dried or cured meats interact with MAOIs and can cause hypertensive crisis. Fish that has been cured or dried interacts with MAOIs and can cause hypertensive crisis.

A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should the nurse identify as an adverse effect of the medication?

Cardiac dysrhythmias

A nurse is caring for a client who has a new diagnosis of rheumatoid arthritis. The nurse should anticipate a prescription from the provider for which of the following medications for daily management of this condition?

Celecoxib

A nurse is caring for a client who is experiencing acute alcohol withdrawal. The nurse should expect to administer which of the following medications?

Chlordiazepoxide

A nurse is caring for a client who takes sulfasalazine twice daily for rheumatoid arthritis. Which of the following values should the nurse review prior to the administration of the medicaiton?

Complete blood count

A nurse is preparing to administer an epinephrine 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 caring for a client who has a new prescription for meperidine 500 mg PO q 4 to 6 hr to manage pain. Which of the following actions should the nurse take?

Contact the provider for clarification of the prescription

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 The nurse should identify that creatinine clearance is a value of the glomerular filtration rate (GFR) that determines the kidney's ability to filter waste. A creatinine clearance of 35 mL/min is outside of the expected reference range and reveals moderate renal impairment. Memantine is excreted by the kidneys, and a decreased clearance occurs in moderate renal impairment. Therefore, this finding is a contraindication to receiving the medication.

A nurse is providing discharge teaching to a client who is postoperative and has a new prescription for an oral opioid analgesic. Which of the following pieces of information should the nurse include as a rationale for increasing the client's daily intake of fiber?

Dietary fiber helps prevent constipation

A nurse is caring for a client who is taking selegiline. The nurse should monitor the client for which of the following adverse effects of selegiline and notify the provider if it occurs?

Drowsiness

A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should the nurse instruct the client to expect?

Dry mouth

A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. Which of the following medications should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)?

Enoxaparin

A nurse is caring for a client who takes scheduled morphine for cancer pain. The client reports experiencing breakthrough pain. The nurse should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain?

Fentanyl

A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects?

Fever

A nurse is caring for a client who has hyperlipidemia and is receiving simvastatin 40 mg PO daily. Which of the following items should the nurse remove from the client's breakfast tray before it is delivered to the room?

Grapefruit juice Grapefruit juice is contraindicated for a client who is taking simvastatin because it raises blood levels of the medication significantly by inactivating a liver enzyme that is responsible for metabolism.

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

History of cirrhosis The nurse should identify that dantrolene is contraindicated for clients who have active liver disease because it is hepatotoxic and can cause liver failure. Liver function tests are monitored for clients throughout treatment with this medication. The nurse should identify that dantrolene is administered to treat muscle spasms associated with multiple sclerosis. The nurse should identify that dantrolene is administered to treat muscle spasms associated with cerebral palsy. Dantrolene is administered for the treatment of malignant hyperthermia. Malignant hyperthermia is a rare, life-threatening syndrome that can be triggered by general anesthesia and by succinylcholine.

A nurse is teaching a client about the proper placement for a nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching?

I can place the patch on any area of my body without hair The nitroglycerin transdermal patch should be applied to skin that is free from hair because hair creates a physical barrier to absorption. Placing the nitroglycerin patch on the same site as a previous patch should be avoided because it can cause skin irritation. The nitroglycerin patch does not have to be applied directly over the heart. Various topical locations are acceptable.

A nurse is providing teaching for a client who has a new prescription for nitroglycerin administered through 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 The nitroglycerin patch should be rotated to different hairless areas of the client's body every few days to avoid local skin irritation. Nitroglycerin patches should be worn for 12 to 14 hours each day and removed at night so that tolerance to the medication does not develop. A new patch should be placed on the body each morning. A headache is a common adverse effect of nitroglycerin that usually subsides in time. The patch should not be discontinued abruptly because this can lead to cardiac vasospasms. Placing the patch on a lower part of the body might decrease the intensity of the headache. Transdermal nitroglycerin patches have a delayed onset of action. Therefore, they are not applied to treat an ongoing episode of chest pain.

A nurse is teaching to a client who has systemic lupus erythematosus about a new prescription for oral glucocorticoid therapy. Which of the following client statements indicates an understanding of the teaching?

I should take a calcium supplement while on this medication An adverse effect of systemic glucocorticoid therapy is osteoporosis. Increasing calcium-rich foods in the diet and adding calcium and vitamin D supplements should be encouraged to prevent osteoporosis and decrease the risk of fractures.

A nurse is providing teaching for 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 fluids to at least 2 liters per day The nurse should identify that an adverse effect of allopurinol is renal injury. Therefore, clients are encouraged to drink at least 2,000 mL/day to maintain a urine output of at least 2 L/day.

A nurse is providing discharge teaching to a client who has been hospitalized for major depressive disorder and has a prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?

I will move slowly when I stand up because amitriptyline can cause my blood pressure to decrease Amitriptyline can cause orthostatic hypotension. The nurse should instruct the client to take precautions to prevent an injury due to a fall while taking amitriptyline. Amitriptyline is a tricyclic antidepressant that has a sedative effect. This medication is often prescribed 3 times daily until a therapeutic dose has been achieved, and then the entire dose is prescribed at bedtime to help the client sleep at night and prevent daytime drowsiness. Amitriptyline should not be taken with other CNS depressants such as alcohol and sedatives because these substances can enhance the adverse effects of amitriptyline. Amitriptyline and other tricyclic antidepressants have an anticholinergic effect and can cause severe constipation as well as dry mouth, blurred vision, and urinary retention.

A nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

I'll avoid contact sports like footbal

A nurse is teaching a client who has severe chronic gout and a new prescription for pegloticase. The client has been taking allopurinol for 1 month. Which of the following instructions should the nurse include about pegloticase?

If you experience a flare-up, you can take an NSAID while receiving this medication

A nurse is preparing to administer oxytocin to a client who is at 41 weeks gestation and is experiencing ineffective labor. Which of the following actions should the nurse plan to take?

Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min

A nurse is planning care for a client with thrombophlebitis who has a prescription to receive heparin via continuous IV infusion. Which of the following actions should the nurse include in the plan of care?

Infuse the heparin using an electric IV pump The nurse should administer heparin using an electronic IV pump, rather than by gravity, to prevent an accidental increase or change in the rate of infusion. The nurse should monitor the client for indications of hemorrhage and administer protamine sulfate as an antidote to heparin if this adverse effect occurs. The nurse should monitor the client's aPTT levels and adjust the dosage as prescribed. While thrombolytic medications can dissolve a thrombus, heparin cannot. The nurse should inform the client that heparin prevents enlargement of the thrombus and further clot formation.

A nurse is administering a medication to a client. The nurse should identify that which of the following medication distribution factors facilitate the effective passage of the medication across the client's cell membranes?

Lipid solubility A medication being lipid soluble and the presence of a transport system both facilitate the ability of a medication to cross cell membranes that separate the medication from the blood.

A nurse is caring for a client who takes a combination oral contraceptive (OC). Which of the following findings should indicate to the nurse that the client is experiencing a deficiency of estrogen in the OC?

Mid-cycle breakthrough bleeding or spotting

A nurse is caring for a client who was recently diagnosed with Addison's disease and has been placed on long-term mineralocorticoid therapy with fludrocortisone. Which of the following pieces of information should the nurse provide when explaining the purpose of this therapy?

Mineralocorticoids maintain electrolyte and fluid balance. Mineralocorticoids (specifically aldosterone) are necessary for the regulation of fluid and electrolyte balance (particularly for sodium, potassium, and water). Addison's disease results in a deficiency of cortisol and aldosterone production and requires supplementation with glucocorticoids and mineralocorticoids. Fludrocortisone is the only mineralocorticoid available. A. Glucocorticoids enhance carbohydrate, fat, and protein metabolism. B. Adrenal androgens have minimal effects on the development of secondary sex characteristics and libido maintenance. D. Mineralocorticoids, specifically high levels of aldosterone, increase the risk of cardiac dysrhythmias due to the promotion of myocardial fibrosis.

A nurse is caring for a client who has multiple sclerosis and is receiving interferon beta-1a. The nurse should identify that which of the following client statements indicates a potential adverse effect of the medication?

My body aches all over

A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. An increase in which of the following values indicates a therapeutic effect of this medication?

Neutrophil count Filgrastim increases neutrophil production. It is given to treat neutropenia and reduce the risk of infection in clients who are receiving chemotherapy for cancer or who have undergone bone marrow transplant.

A nurse is caring for a client who reports crushing chest pain. The nurse reviews the client's ECG results and notes ST changes. Which of the following medications should the nurse administer?

Nitroglycerin

A nurse is caring for a client who has unstable angina. The nurse should anticipate a prescription from the provider for which of the following medicaitons?

Nitroglycerin The nurse should anticipate administering nitroglycerin to a client who has unstable angina. This medication acts by relaxing or preventing spasms in the coronary arteries along with dilating the arteries, which increases oxygenation and blood flow.

A nurse is providing teaching to a client with asthma who has a new prescription for a short-acting beta-2 agonist (SABA) bronchodilator. Which of the following pieces of information should the nurse share?

Notify the provider if the SABA is needed more than twice per week

A nurse is caring for a client who has schizophrenia and a prescription for chlorpromazine. For which of the following adverse effects should the nurse monitor?

Orthostatic hypotension Orthostatic hypotension is an adverse effect of chlorpromazine. Other adverse effects include palpitations, tachycardia, constipation, sedation, and photosensitivity.

The nurse is assessing a client who has been taking linezolid to treat a Staphylococcus aureus infection. Which of the following findings should the nurse report to the provider?

Paresthesias

A nurse is reviewing the medical record of a client who is scheduled for induction of labor and has a prescription for misoprostol. Which of the following conditions should the nurse identify as a contraindication to administering this medication?

Past cesarean delivery

A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching?

Promotes RBC production Epoetin alfa stimulates erythropoiesis in the bone marrow to increase RBC production and reduce anemia. Anemia is common in clients who have chronic kidney failure since erythropoietin is produced by the kidney.

A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medications should the nurse identify as being contraindicated for this client?

Propanolol

A nurse is assessing a client who is receiving IV gentamicin 3 times daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication?

Proteinuria

A nurse is preparing to administer medication to a client. The nurse should understand that which of the following abbreviations indicates the greatest frequency of medication administration?

QID

A nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following pieces of information should the nurse include in the teaching?

Respiratory depression can occur 7 min after the morphine is administered

A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 times per day, to the client for restlessness and anxiety over the past few days. For which of the following adverse effects should the nurse assess the client?

Sedation Lorazepam is a benzodiazepine with anti-anxiety and sedative effects. Older adult clients are especially at risk for central nervous system depression, even with low doses of benzodiazepines. Clients who are 50 years or older can have a more profound and prolonged sedation than younger clients.

A nurse is providing discharge teaching to a client who has a bacterial infection about adverse effects of imipenem to report to the provider. Which of the following pieces of information should the nurse include?

Seizures can occur with this medication

A nurse is assessing a client who is receiving a continuous morphine IV infusion and finds the client's respiratory rate has decreased from 20/min to 12/min. Which of the following actions should the nurse take?

Slow the rate of the infusion

A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching?

Take hydrochlorothiazide in the morning

A nurse is planning care for a female client who has severe irritable bowel syndrome with diarrhea (IBS-D) and a new prescription for alosetron. Which of the following interventions should the nurse include in the plan of care?

The client must sign an agreement with the provider before beginning alosetron

A nurse is preparing to administer the first injection of the diphtheria, tetanus, and pertussis (DTaP) vaccine to an infant. Which of the following pieces of information should the nurse tell the guardian prior to administering the immunization?

The vaccine will be injected into the infant's thigh

A nurse is teaching a client who is starting patient-controlled analgesia (PCA) following a procedure. Which of the following client statements indicates an understanding of the teaching?

This method works by keeping my opioid levels steady

A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following findings indicates that the client is experiencing acute levothyroxine overdose?

Tremor

A nurse is caring for a client who is experiencing a seizure while in bed. Which of the following actions should the nurse take?

Turn the client's head to the side

A nurse is providing discharge teaching to a client who has angina pectoris and a new prescription for verapamil. The client tells the nurse, "My brother takes verapamil for high blood pressure. Do you think the provider made a mistake?" Which of the following responses should the nurse make?

Verapamil is used to treat both high blood pressure and angina

A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 6.2. The nurse should anticipate a prescription from the provider for which of the following medications?

Vitamin K The nurse should anticipate the provider to prescribe vitamin K for a client who has an INR of 6.2. Vitamin K antagonizes warfarin's actions, which can reverse warfarin-induced inhibition of clotting factor synthesis.

A nurse is teaching 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 providing teaching about antiretroviral medication therapy to a client who has a new diagnosis of AIDS. Which of the following statements should the nurse include in the teaching?

You should take antiretroviral medications on a routine schedule

A nurse is providing teaching to a client who has tuberculosis (TB) and a prescription for isoniazid. Which of the following instructions should the nurse include?

You should take this medication on an empty stomach

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 teophylline?

Zafirlukast The nurse should identify that zafirlukast is a leukotriene receptor antagonist prescribed for asthma maintenance. Concurrent use of zafirlukast along with theophylline suppresses the metabolism of theophylline, which can lead to toxicity. Therefore, another medication should be used.

A nurse is caring for a client who has osteoporosis and has been taking a vitamin D supplement. The nurse notes that the client reports also taking a multivitamin daily. Which of the following findings should indicate to the nurse that the client might be experiencing vitamin D toxicity?

hypercalcemia