ATI pharamacology

a nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. which of the following client medications should the nurse identify will interfere with the effectiveness of an oral contraceptive?

Carbamazepine

a nurse is providing teaching a client has peptic ulcer disease and is to start a new prescription for sucralfate. which of the following information should the nurse include in the teaching?

forms a protective barrier over ulcers forms a gel like substance that coats the ulcer, creating a barrier to hydrochloric acid and pepsin

a nurse is teaching a group of unit nurses about medication reconciliation. which of the following information should the nurse include in the teaching?

a transition in care requires the nurse to conduct medication reconciliation

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 outside the 5 cm radius of the umbilicus

select the 4 actions the nurse should take

adminster dantrolene and bromocriptine, apply a cooling blanket and discontinue fluphenzaine

a nurse is caring for a client who is taking nitrglycerin for angina and reports feeling faint when standing up. which of the following actions should the nurse take?

assist the client into the bed, elevate the lower extremities, and check their BP

a nurse in an 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 planning care for a client who is receiving mannitol via continuous IV infusion. which of the following adverse effects should the nurse monitor the client for?

bibasilar crackles

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

blurred vision

a nurse is caring for a client who has a mag level of 3.1. the nurse should expect to administer which of the following medications?

calcium gluconate

a nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. which of the following actions should. the nurse take first?

check the patients glucose

the nurse preparing to administer the 0900 medications to the client, which of the following actions should the nurse take?

clean port with antiseptic swab flush catheter clean gloves and cleanse the skin area with soap and water

a nurse contacts a client's provider on the telephone to obtain a prescription for pain medication. which of the following actions should the nurse take?

have the provider spell out the unfamiliar medication names ____

a nurse is reviewing the laboratory results of a client who is taking digoxin for HF. which of the following results should the nurse report to the provider due to it increasing the risk for digoxin toxicity?

decreased potassium level d/t increased risk of developing digoxin toxicity and cardiac dysrhytmias

a nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. the nurse should identify that which of the following medications can interact with calcium gluconate?

digoxin

a client is prescribed a second dose of IV ceftriaxone post op.. the nurse notes urticaria and dyspnea. which of the following actions should the nurse prioritize?

discontinue the infusion

a nurse is teaching a client who has been prescribed tamoxifen for breast cancer treatment. which of the following adverse effects of this medication should the nurse include in the teaching?

hot flashes

the client is likely experiencing as evidence by the client's

hyperthyroidism blood thyroxine level

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 immediately notify the provider?

hyperventilation

a nurse at an urgent care clinic is collecting history from a client who has urinary tract infection. the nurse anticipates a prescription 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 d/t the risk of tendon rupture

a nurse is assessing a client who is receiving epoetin alfa to treat anemia. which of the following findings should the nurse monitor?

increased BP

the client is at greatest risk for d/t

nephrotoxicity d.t kidney function

a nurse is preparing to administer hydrochlorothiazide to a client. which of the following actions should the nurse take prior to administering the medication?

obtain the clients BP

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

a nurse is assessing a client who has schizophrenia and is taking haloperidol. the nurse should report which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome (NMS)?

temperature 103.5 F

a nurse is caring for a client who is receiving haloperidol. which of the following findings should the nurse identify as an adverse effect of the medication?

akathisia

a nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. which of the following statements by the clients should indicate to the nurse an understanding of the teaching?

i should sit up for 30 min after taking the risedronate

a nurse is teaching a client who is starting to take diltiazem. which of the following statements should the nurse identify as an indication that the client understands the teaching?

i will check my HR before i take the medication

a nurse providing teaching to a client who has depression and a new prescription for fluoxetine. which of the following statements by the client indicates an understanding of the teaching?

i should take acetaminophen instead of ibuprofen for my headaches while taking this medication

a nurse is administering diazepam to client who is having a colonoscopy. which of the following actions should the nurse take?

ensure flumazenil is available to administer for toxicity managment

a nurse is assessing a client 1 hr after administering morphine for pain. which of the following findings should the nurse identify as the best indication that the morphine has been effective?

the client rates pain as 3 on a scale of 10

a nurse instructing a client on the application of nitroglycerin transdermal patches. which of the following statements by the client indicates an understanding of the teaching?

w ill take the patch off right after my evening meal

a nurse is caring for a medication who is to receive treatment for opioid use disorder. which of the following medications should the nurse expect to administer?

methadone administered for withdrawal and to assist with maintenance and suppressive therapy

a nurse is teaching about self-administration of transdermal medication with a client who has a prescription for nitroglycerin. which of the following client statements indicates an understanding of the teaching?

i will remove the patch after 14 hours

a nurse is providing discharge instructions 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 insulin in the refridgerator

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

a nurse is teaching a client who has insomnia about zolpidem. 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 short-term treatment of insomnia, PCP should reassess the client before refilling the prescription

a nurse is caring for a client who has HF and is receiving an IV infusion of dopamine. which of the following findings indicates that the medication is effective?

increased cardiac output

a nurse is caring for a client who is receiving Filgrastim. which of the following findings should the nurse document to indicate the effectiveness of the therapy?

increased neutrophil count

a nurse is monitoring an older adult client who has HF adverse effects of hydrochlorothiazide after administering the medication. which of the following findings should the nurse identify as an adverse effect of the medication?

orthostatic hypotension

a nurse is caring for a client who has a new prescription for spironolactone. which of the following laboratory results should the nurse monitor while the client is taking this medication?

potassium

a nurse is caring for a 20 year old client who has a prescription for isotretinoin for severe nodulocystic ance vulgaris. before the client can obtain a refil, the nurse should advise the client that which of the following tests is required?

pregnancy test

a nurse is reviewing the ECG of a client who is receiving IV furosemide for HF. the nurse should identify which of the following findings as an indication of hypokalemia?

presence of U waves

a nurse is providing teaching to a client who has a gastric ulcer and a new prescription for famotidine. which of the following instructions should the nurse include?

report yellowing of the skin

a nurse is providing teaching to a client who is to start therapy with digoxin. for which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?

yellow tinged vision

a nurse is completing an incident report for a medication error. which of the following information should the nurse include in the report

administered propranolol 80 mg PO at 1800 to the client who did not have a prescription for medication

a nurse is teaching a client who is taking allopurinol for the treatment of gout. which of the following information should the nurse include in the teaching?

drink 2 L of water daily

a nurse is providing teaching to a client who is being taking Oxybutynin for urinary incontinence. which of the following adverse effects should the nurse include in the teaching?

dry mouth, blurred vision, dry eyes

a nurse is preparing to administer medications to a client who tells the nurse, "I don't want to take my fluid pill until I get home today." which of the following actions should the nurse take?

document the refusal and inform the client's provider

a nurse is teaching a client who has a new prescription for docusate sodium about the medication's mechanism of action. which of the following information should the nurse include in the teaching?

docusate sodium reduces the surface tension of the stools to change their consistency surfactant that softens stool by reducing surface tension, allowing water to penetrate the stool more easily

the nurse is preparing to administer the clients 1300 antibiotic doses

BUN creatinine dark amber colored

a nurse is planning to teach about inhalant medications to a client who has a recent dx of exercise induced asthma which of the following medications should the nurse plan to include in the teaching for the client to use prior to physical activity?

cromolyn

a nurse is caring for a client who is experiencing acute alcohol withdrawal. for which of the following client outcomes should the nurse administer chlordizaepoxide?

prevent delirium tremens

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 beclomethasone

a nurse is preparing medication instructions for a client who is receiving end of life care and their family. the client has a prescription for fentanyl patches. which of the following information regarding the manifestations and use of fentanyl should the nurse include in the instructions?

taking a stool softener daily will be needed

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 this med can cause hyperlipidemia