ATI review

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

-PTT & PT -Aspartate aminotransferase (AST) -Alanine aminotransferase (ALT)

A nurse is providing teaching to a client who has a urinary tract infection and a new prescription for Phenazopyridine and ciprofloxacin. Which statement by the client indicates the need for further teaching?

I should notify my provider immediately if my ear and turns on orange color

A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which adverse effects of this medication?

Jaundice

A nurse is caring for a client who has a new prescription for ergotamine.The nurse should recognize that ergotamine is administered to treat which condition?

Migraine headaches

A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone.The nurse should include a severe allergy to which medication as a contraindication to ceftriaxone?

Piperacillin

A nurse is providing teaching to a client who has cirrhosis and a new prescription for Lactulose. The nurse should instruct the client that lactulose has which therapeutic effects?

reduces ammonia levels

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 assessing a client who has a new prescription for Chlorpromazine to treat schizophrenia. The client has a mask like facial expression and is experiencing involuntary movements and tremors. Which medication should the nurse anticipate administering?

Amantadine

A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's disease of the bone. Which action should be the nurse's priority?

Ambulate the patient to a chair prior to administering the medication

A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered dose inhaler. Which statement by the parent indicate the need for further teaching?

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

A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone level and a decrease total T3 and T4 level. The nurse should anticipate a prescription for which medication?

Levothyroxine

A nurse is providing teaching to a newly licensed nurse about caring for a client who has a prescription for gemfibrozil.The nurse should instruct the newly licensed nurse to monitor which of the following laboratory tests?

Liver function

A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which adverse effect?

Muscle weakness

A nurse is reviewing the lab results for a client who has a prescription for filgrastim. The nurse should recognize that an increase in which value indicates a therapeutic effect of this medication?

Neutrophil count

A nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer?

Nifedipine

A nurse is reviewing the lab results for a client who Is receiving a continuous IV heparin infusion and has an aPTT of 90 seconds. Which actions should the nurse prepared to take?

Reduce the infusion rate

A nurse is providing teaching to a group of new parents about medication's. The nurse should include the aspirin is contraindicated for children who have a viral infection due to the risk of developing which adverse effect?

Reye's syndrome

A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for seven days. The nurse should recognize that candidiasis is a manifestation of which adverse effect?

Superinfection

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

Take the hydrochlorothiazide in the morning

A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which adverse effect?

dizziness

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 adverse effect?

fever

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 therapeutic effects of epoetin alfa should the nurse include in the teaching?

promotes RBC production

A nurse is caring for a client who has been taking Isoniazid and rifampin for three weeks for the treatment of active pulmonary tuberculosis. The client reports his urine is an orange color. Which of the following statements should the nurse make?

Rifampin can turn body fluids orange

A nurse is providing teaching to a client who has rheumatoid arthritis and a prescription for long-term prednisone therapy. The nurse should instruct the client to monitor for which adverse effects?

Stress fractures

A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which medication should the nurse plan to administer?

acetaminophen

A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which therapeutic effect?

anti-estrogenic

A nurse is caring for a client who has a prescription for club Pedegral. The nurse should monitor the client for which adverse effect?

bleeding

A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which diagnostic test should the nurse plan to perform prior to starting the client on this medication?

electrocardiogram

A nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which adverse effect of this medication?

hypotension

The nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which condition is a contraindication to this medication?

intestinal obstruction

A nurse is caring for a client who has a new prescription for amphotericin B.The nurse should plan to monitor the client for which adverse effect?

nephrotoxicity

A nurse is assessing a client who is receiving IV gentamicin three times daily. Which finding indicates that the client is experiencing an adverse effects of this medication?

proteinuria

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

respiratory depression can occur seven minutes after the morphine is administered

A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which adverse effects?

tachycardia