Parm week 5 ATI
A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug?
Drowsiness
A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack?
Albuterol
A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for which of the following adverse effects of this medication?
Aplastic anemia
A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following actions should the nurse plan to take?
-Aspirate for 5 to 10 seconds.
A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is an experiencing an asthma attack. Which of the following actions should the nurse take?
Infuse the medication with an IV pump.
A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?
Prothrombin time (PT)
A nurse is monitoring a client who received epinephrine for angioedema after a first dose of losartan. Which of the following data indicates a therapeutic response to the epinephrine?
Respirations are unlabored
A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?
The client developed a tolerance to the medication
A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make?
The medication will: - prevent wheezing - open the airways - decrease coughing episodes
A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effect should the nurse instruct the client to report to the provider.
White coating in the mouth
A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions?
stimulates secretions
A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 min into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first?
stop the infusion
A nurse collecting data on a client who has a new prescription for ampicillin. The nurse should recognize which of the following findings is a priority ?
Wheezing
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?
"I'll be glad when I can stop taking this medicine."
A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?
"I'll take this medication once a day in the evening."
A nurse is teaching a client who has a new prescription for beclomethasone. which of the following instructions should the nurse include?
"Rinse your mouth after each use of this medication."
A nurse is providing teaching to a client who has a new prescription for alprazolam. Which of the following is the priority information the nurse should include in the teaching?
"This medication can affect your ability to drive or handle mechanical equipment."
A client's provider prescribes 3,000 mL of dextrose 5% in 0.45% sodium chloride to infuse IV over 24 hr. The nurse initiates an IV infusion of 1,000 mL of this fluid at 0800. At what time should the nurse prepare to initiate the second 1,000 mL bag?
1600
A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide?
Avoid caffeine while taking this medication.
A nurse is caring for an adolescent who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?
Administer a short acting Beta 2 agonist (SABA)
A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication.
Administer the medication 2hr before exercise.
a nurse is caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?
Asthma
A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?
Chew on sugarless gum or suck on hard, sour candies.
A nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast. The nurse should instruct the client to report which of the following adverse effects to the provider?
Depression
A nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albuterol, both my nebulizer. Which of the following statements by the client indicates a need for further teaching?
I will be sure to take the albuterol before taking the cromolyn.
A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?
Iron
A nurse is teaching a client who has a new prescription for clopidogrel for gout. Which of the following instructions should the nurse include?
Monitor for muscle pain
A nurse is caring for a client who has tuberculosis and new prescriptions for rifampin and pyrazinamide. Which of the following laboratory tests should the nurse instruct the client will be required while on this medication regimen
Live function tests
A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?
Shake the container vigorously.
A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that taking which of the following herbal preparations reduces the effectiveness of this birth control method?
St. John's Wort
A nurse is caring for a client who has acute respiratory distress syndrome and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purposes?
Suppress respiratory effort
A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?
Tachycardia
A nurse is caring for a client who is taking montelukast. Which of the following outcomes indicates a therapeutic effect of the medication?
The client experiences an increased ease of breathing.
A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?
The client holds his breath for 10 seconds after inhaling the medication.
A nurse is preparing to administer heparin to a client. Which of the following actions should the nurse plan to take?
The nurse should inject the medication into the abdomen above the level of the iliac crest, at least 2 inches from the umbilicus.
A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects
adrenocortical insufficiency
A nurse is assessing a client after administering IV vancomycin. Which of the following findings is the nurse's priority to report to the provider?
audible inspiratory stridor
a nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. the nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?
red colored urine