NR 275 ATI In-Class Practice Questions

a nurse is preparing to administer medications to a client who states, "I don't want to take those drugs." which of the following actions should the nurse take

document that the client refused the mediations

a nurse is caring for a client who requires a mediation that is packaged in a single dose glass ampule. which of the following techniques should the nurse use when opening the glass ampule

tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break off the top by bending it toward the body

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 of this situation

the client developed a tolerance to the medication

a nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. which of the following statements by the client requires further discussion by the nurse

"I've been taking an antacid to help with indigestion" NSAIDs cause abdominal irritation, naproxen=NSAID

a nurse is caring for a client who reports taking bisacodyl to promote a daily bowel movement. which of the following assessment questions should be the nurses priority

"how long have you been taking the bisacodyl?" people shouldn't take laxatives for a long time, injuries to the bowels (bowel tone) can be caused due to the dependency on laxatives; dependency sometimes can't be reversed

a nurse is caring for four clients for whom she has to administer oral medications in the morning. the nurse should administer which of the following medications before breakfast

alendronate this med is taken on an empty stomach

a nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool age child. which of the following actions should the nurse plan to take

apply to intact skin, apply the medication an hour before the procedure begins, cleanse the skin prior to procedure, use a visceral pain rating scale to evaluate effectiveness of the treatment

a nurse is providing dietary teaching for a client who takes furosemide. the nurse should recommend which of the following foods as the best source of potassium

bananas

a nurse is caring for a client who has congestive heart failure and is taking digoxin daily. the client refused breakfast and is complaining of nausea and weakness. which of the following actions should the nurse take first

check the patients vitals signs nausea and weakness are signs of digoxin toxicity

a nurse is preparing to administer heparin subcutaneously to a client who has a deep vein thrombosis, which of the following techniques should the nurse use

cleanse the skin with an alcohol swab, insert the needle, inject the heparin, and observe for bleeding

a nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. the client asks if the medication can be crushed to make it easier to swallow. which of the following responses should the nurse provide

crushing the medication might cause you to have a stomachache or indigestion

a nurse is assessing a client who is receiving IV vancomycin. the nurse notes a flushing of the neck and tachycardia. which of the following actions should the nurse take

decrease the infusion rate on the IV flushing of face/neck and tachycardia signs of red man syndrome (antibiotics too fast), can lead to anaphylaxis

a nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. which of the following recommendations should the nurse make out taking this medication

drink a glass of water after taking the medication enhances the effectiveness of the med

a nurse in a public clinic is planning a health fair for older adult clients in the community. in teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions

grapefruit juice grapefruit juice blocks metabolism which can cause drug toxicity (especially statins)

a nurse is teaching about necessary baseline examinations with a female client who is to start taking atorvastatin. which of the following baseline examinations should the nurse include in the teaching

liver function tests (ALT and AST; sometimes bilirubin and albumin) statins are meds for cholesterol, cholesterol levels affect the liver

a nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. which of the following instructions should the nurse include in the teaching

monitor for tinnitus tinnitus is symptom for aspirin toxicity

a nurse is preparing to administer oral medication to a 3-month-infant. which of the following actions should the nurse plan to take

position the syringe to the side of the infants tongue slow and small amounts, too much & too fast they will choke

a nurse is preparing to instill ear drops to a 3-year-old child. which of the following techniques should the nurse use

pull the auricle down and back ages 4 and under have different ear anatomy

the nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. which of the following should the nurse take

return the medication to the pharmacy

a nurse is reviewing a client's admission record. the nurse notes that there are prescriptions for several medications. which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration

specific characteristics of the medication