Term 3 week 3 ATI questions

A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse plan to include? a. "avoid driving or activities requiring alertness" b. "If you miss a dose, double the next dose" c. "Rinsing the mouth with alcohol-based mouthwash can reduce dryness" d. "Having one glass of wine each night can improve medication effectiveness"

a. "avoid driving or activities requiring alertness"

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make? a. "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn." b. "The medication can stain your contact lenses green." c. "the medication can color your urine dark brown." d. "Take an iron supplement when you take sulfasalazine to prevent anemia."

a. "use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn."

A nurse is assisting with the care of a client who has a history of cirrhosis and is admitted with manifestations of hepatic encephalopathy. The nurse should anticipate a prescription for which of the following laboratory tests to determine the possibility of recent excessive alcohol use? a. gamma-glutamyl transferase (GGT) b. alkaline phosphate (ALP) c. serum bilirubin d. alanine aminotransferase (ALT)

a. GGT

A nurse is teaching a client who has bladder cancer about urinary diversion options. The nurse should inform the client that which of the following options will allow them to have some control over urinary elimination? a. Kock's pouch b. ileal conduit c. cutaneous ureterostomy d. nephrostomy

a. Kock's pouch

A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions with the provider? a. allopurinol delays the conversion of azathioprine and can lead to toxicity b. azathioprine increases the effectiveness of allopurinol c. allopurinol increases the metabolism of azathioprine and can require can increased dosage d. azathioprine decreases the effectiveness of allopurinol

a. allopurinol delays the conversion of azathioprine and can lead to toxicity

A community health nurse is planning an educational program about Hep A. When preparing the materials, the nurse should identify that which of the following groups is most at risk for developing Hep A? a. children and young adults b. older adults c. women who are pregnant d. middle aged men

a. children and young adults

A nurse is obtaining health history from a client who has a colostomy. The client reports frequent episodes of loose stools over the last month but has no signs of infection or bowel obstruction. The client tells the nurse that they have avoided participation in social activities because they are concerned about leakage. Which of the following should the nurse recommend? a. consume foods that are low in fiber content b. take an ounce of mineral oil twice a day c. add buttermilk and cranberry juice to the diet d. increase water intake to 3 to 3.5 L per day

a. consume foods that are low in fiber content

A nurse is assessing a client who was administered ondansetron IV 1 hour ago. Which of the following findings should the nurse recognize as an adverse effect of this drug? a. dizziness b. bradycardia c. tardive dyskinesia d. dyspepsia

a. dizziness

A nurse is teaching a client who has a new prescription for methotrexate. The nurse should instruct the client to monitor for manifestations of which of the following conditions? a. gout b. constipation c. insomnia d. hirsutism

a. gout

A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? a. inflammatory bowel disease b. thrombophlebitis c. agranulocytosis d. immunization with a live virus vaccine within the last 6 weeks

a. inflammatory bowel disease

A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which of the following actions should the nurse plan to take (Select all that apply) a. infuse the drug 30 min prior to chemotherapy b. administer the drug when the client reports nausea c. infuse the drug slowly over 15 min d. administer the drug immediately following chemotherapy e. repeat the dose 4 hr after chemotherapy

a. infuse the drug 30 min prior to chemotherapy c. infuse the drug slowly over 15 min e. repeat the dose 4 hr after chemotherapy

A nurse is caring for an older adult client who had kidney disease and a new prescription for cimetidine. The nurse should instruct the client to report which of the following manifestations? a. lethargy b. cellulitis c. dry mouth d. myalgia

a. lethargy

A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions? a. nausea b. constipation c. urinary retnetion d. sore throat

a. nausea

A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is effective when the client reports which of the following? a. one formed stool per day b. urination without burning c. cessation of nausea or vomiting d. reduced GI reflux effects

a. one formed stool per day

A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. Which of the following laboratory findings should the nurse monitor prior to the procedure? a. prothrombin time b. serum lipase c. bilirubin d. calcium

a. prothrombin time

A nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting 3 months. Which of the following information should the nurse provide the client about alosetron? a. the drug is prescribed to female clients who have IBS-D lasting more than 6 months b. The drug is prescribed to clients who have chronic diarrhea lasting more than 12 months c. the drug is most beneficial for male clients who have inflammatory bowel disease d. the drug is most beneficial in treating clients who have constipation-predominant ibs

a. the drug is prescribed to female clients who have IBS-D lasting more than 6 months

A nurse is caring for a client who has celiac disease. Which of the following foods should the nurse remove from the clients meal tray? a. wheat toast b. tapioca pudding c. hard-boiled egg d. mashed potatoes

a. wheat toast

A nurse is reinforcing teaching with a group of community residents about hepatitis B. Which of the following statements should the nurse include in the teaching? a. "A hepatitis B immunization is recommended for those who travel, especially military personal" b. "A hepatitis B immunization is given to infants and children." c. "Hepatitis B is acquired by eating foods that are contaminated during handling." d. "Hepatitis B can be prevented by using good personal hygiene habits and proper sanitation"

b. "A hepatitis B immunization is given to infants and children"

A nurse is reinforcing teaching with a client who has Barrett's esophagus and is scheduled to undergo an esophagogastroduodenoscopy (EGD). Which of the following statements should the nurse include in the teaching? a. "This procedure is performed to measure the presence of acid in your esophagus." b. "This procedure can determine how well the lower part of your esophagus works." c. "This procedure is performed while you are under general anesthesia." d. "This procedure can determine if you have colon cancer."

b. "This procedure can determine how well the lower part of your esophagus works."

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the clients phosphorus levels when administering which of the following drugs? a. omeprazole b. aluminum hydroxide c. sucralfate d. famotidine

b. aluminum hydroxide

A nurse is collecting data from a client who is in the early stages of hepatitis A. Which of the following manifestations should the nurse expect? a. jaundice b. anorexia c. dark urine d. pale feces

b. anorexia

A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions? a. pancreatitis b. aspirin sensitivity c. bronchitis d. GERD

b. aspirin sensitivity

A nurse is teaching a client who has a new ileostomy about preventing the excoriation and breakdown of the peristomal skin after they have returned home. Which of the following instructions should the nurse include? a. apply hydrocortisone cream to the skin when changing the appliance b. empty the pouch when it is less than half full c. wash the peristomal skin frequently with deodorizing soap and water d. choose a time shortly after a meal for replacing the pouch

b. empty the pouch when it is less than half full

A nurse is reviewing the medical record of a client who has a new prescription for famotidine. The nurse should recognize that which of the following drugs interacts with famotidine? a. phenobarbital sodium b. ketoconazole c. lisinopril' d. hydrochlorothiazide

b. ketoconazole

A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding, which of the following actions should the nurse take first? a. flush the tube with water b. place the client in semi-fowlers position c. cleanse the skin around the tube site d. aspirate the tube prior to each feeding

b. place the client in semi-fowlers position

A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (Select all that apply) a. level of consciousness b. skin integrity c. temperature d. urine output e. CBC

b. skin integrity c. temperature e. cbc

A nurse is caring for a client who is scheduled to undergo an esophagogastroduodenoscopy (EGD). The nurse should identify that the purpose of this procedure is which of the following? a. to visualize colon polyps b. to detect an ulceration in the stomach c. to identify an obstruction in the biliary duct d. to determine the presence of free air in the abdomen

b. to detect an ulceration in the stomach

A nurse is providing preoperative teaching for a client who is scheduled for creation of a sigmoid colostomy. Which of the following information should the nurse include in the teaching? a. expect the effluent from the sigmoid colostomy to be loose and continuous b. use irrigation to help establish a regular bowel pattern c. change the stoma's appliance every other day d. expect effluent from the newly created stoma with 24 hr after surgery

b. use irrigation to help establish a regular bowel pattern

A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions? a. a seizure disorder b. rheumatoid arthritis c. a positive pregnancy test d. heart failure

c. a positive pregnancy test

A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse effects of the drug? a. headache b. drowsiness c. abdominal pain d. sore throat

c. abdominal pain

A nurse is caring for a client who has acute pancreatitis. Which of the following serum laboratory values should the nurse anticipate returning to the expected reference range within 72 hours after treatment begins? a. aldolase b. lipase c. amylase d. lactic dehydrogenase

c. amylase

A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include? a. dissolve the powder thoroughly in 8 oz of water b. take with diphenhydramine to prevent extrapyramidal effects c. avoid activities that require alertness d. take 30 min before activities that trigger nausea

c. avoid activities that require alertness

A nurse is reinforcing teaching with a client who has diverticulitis about preventing acute attacks. Which of the following foods should the nurse recommend? a. foods high in vitamin C b. foods low in fat c. foods high in fiber d. foods low in calories

c. foods high in fiber

A nurse is reinforcing teaching with a client who has colon cancer and is scheduled for a procedure to remove their entire large intestine and rectum. The nurse should reinforce with the client that they are scheduled for which of the following types of ostomy procedure? a. cecostomy b. loop colostomy c. Ileostomy d. descending colostomy

c. ileostomy

A nurse is assisting with the admission of a client who has fulminant hepatic failure. Which of the following procedures should the nurse expect for this client? a. endoscopic sclerotherapy b. liver lobectomy c. liver transplant d. transjugular intrahepatic portal-systemic shunt placement

c. liver transplant

A nurse is reinforcing teaching with a client about replacing an ostomy pouching system. The client reports that they occasionally experience pain when removing the skin barrier. Which of the following techniques should the nurse suggest? a. lift up on both sides of the skin barrier simultaneously b. release one corner of the barrier and pull it quickly over the stoma c. push the skin away from the barrier while removing it d. gently roll the barrier end-over-end across the stoma

c. push the skin away from the barrier while removing it

A nurse is checking a client who was admitted with a bowel obstruction. The client reports severe abdominal pain. Which of the following findings should indicate to the nurse that a possible bowel perforation has occurred? a. elevated blood pressure b. bowel sounds increased in frequency and pitch c. rigid abdomen d. emesis of undigested food

c. rigid abdomen

A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? (Select all that apply) a. sit upright for 30 min after taking the drug b. avoid antacids c. take the drug 30 to 60 min before activities that trigger nausea d. avoid activities that require alertness e. increase fluid and fiber intake

c. take the drug 30 to 60 min before activities that trigger nausea d. avoid activities that require alertness e. increase fluid and fiber intake

A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include? (select all that apply) a. expect results in 6 to 12 hours b. urinate every 4 hours c. take the drug with at least 8 oz of fluid d. avoid activities that require alertness e. increase fluid and fiber intake

c. take the drug with at least 8 oz of fluid e. increase fluid and fiber intake

A nurse is assisting with the admission of a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications? a. famotidine b. esomeprazole c. vasopressin d. omeprazole

c. vasopressin

A nurse is collecting data from a client who has chronic pancreatitis. Which of the following findings should the nurse identify as a likely cause of the clients condition? a. high-calorie diet b. prior gastrointestinal illnesses c. tobacco use d. alcohol use

d. alcohol use

Which of the following drugs has protocols that require clients to meet specific risk-management criteria and sign a treatment agreement before the nurse can administer the drug? a. lubiprostone b. azathioprine c. sulfasalazine d. alosetron

d. alosetron

A nurse is caring for a client who has a new prescription for famotidine to treat GERD. The nurse should instruct the client to wait at least 1 hour between taking famotidine and which of the following over the counter drugs? a. ginkgo biloba b. antidiarrheals c. st. johns wort d. antacids

d. antacids

A nurse is collecting data from a client who is experiencing perforation of a peptic ulcer. Which of the following manifestations should the nurse expect? a. decreased heart rate b. yellowing of the skin c. increased blood pressure d. broadlike abdomen

d. broadlike abdomen

A nurse is replacing the ostomy appliance for a client whose newly created colostomy is functioning. After removing the pouch, which of the following actions should the nurse take first? a. measure the stoma b. cover the stoma with gauze c. remove the backing on the skin barrier d. cleanse the stoma and the peristomal skin

d. cleanse the stoma and the peristomal skin

A nurse is caring for a client who is 2 days postoperative following a gastric bypass. The nurse notes that bowel sounds are present. Which of the following foods should the nurse provide at the initial feeding? a. vanilla pudding b. apple juice c. diet ginger ale d. clear liquids

d. clear liquids

A nurse is assisting with the care of a client who is receiving total parenteral nutrition (TPN) therapy and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the clients TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings? a. hypertension b. excessive thirst c. fever d. diaphoresis

d. diaphoresis

A nurse is teaching a client about extended-wear skin barriers. Which of the following strategies should the nurse instruct the client to use for maximal adherence? a. use an oil-based lotion on the peristomal area b. apply the skin barrier while the skin is slightly moist c. leave the residue from the previous appliance on the skin d. press gently around the barrier for 30 seconds to 1 min

d. press gently around the barrier for 30 seconds to 1 min

A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium has which of the following therapeutic effects? a. reduces inflammation b. reduces gastric acid c. prevents diarrhea d. prevents straining

d. prevents straining

A nurse is caring for a client who is dehydrated and is receiving a continuous tube feeding through a pump at 75 ml/hr. When the nurse checks the client at 0800, which of the following findings requires interventions by the nurse? a. a full pitcher of water sitting on the clients bedside table within the clients reach b. The disposable feeding bag is from the previous day at 1000 and contains 200 ml of feeding. c. The client is lying on the right side with a visible dependent loop in the feeding tube d. The head of the bed is elevated 20 degrees

d. the head of the bed is elevated 20 degrees