Pharm ATI
A charge nurse is teaching a newly licensed nurse about the purpose of a client being prescribed a transdermal fentanyl patch. Which of the following clients should the charge nurse include in the teaching as a client who requires this medication?
"A client who is opioid-tolerant"
A nurse is providing teaching to a client with hypertension and type 1 diabetes mellitus who has a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of the teaching?
"I might have difficulty recognizing when my blood sugar is low"
A nurse is providing teaching for a client who has a new prescription for nitroglycerin administered through a transdermal patch. Which of the following client statements indicates an. understanding of the teaching?
"I need to rotate the location of my patch every few days"
A nurse is teaching a client who has osteoporosis and a new prescription for alendronate. Which of the following client statements indicates that the teaching was effective?
"I will sit upright for 30 minutes after taking the medication"
A nurse is preparing to administer warfarin to a client who has a new onset if atrial fibrillation. The client asks the nurse, "What should this medication do?" Which of the following responses should the nurse make?
"It can reduce your risk of having a stroke"
A nurse is caring for a client who has multiple sclerosis and is receiving interferon beta-1a. The nurse should identify that which of the following client statements indicates a potential adverse effect of the medication?
"My body aches all over"
A nurse is providing discharge teaching to a client who has a bacterial infection about adverse effects of imipenem to report to the provider. Which of the following pieces of information should the nurse include?
"Seizures can occur with this medication"
A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a prescription for estradiol cream. Which of the following statements should the nurse include in the teaching?
"This medication has fewer systemic effects than oral estrogen"
A nurse is proving teaching to a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the following statements should the nurse include in the teaching?
"You should eat foods that are high in potassium while taking this medication"
An 18-month-old toddler who has Kawasaki disease (KD). The child is receiving intravenous immune globulin (IVIG). The guardian asks the nurse to administer the child's scheduled measles, mumps, and rubella (MMR) vaccine before discharge. Which of the following responses should the nurse provide?
"Your child will not be able to receive the MMR vaccine for ay least 3 months after discharge." (Treatment of KD contains antibodies that can interfere with the action of the MMR vaccine)
A nurse is preparing to administer amlodipine to a client who has hypertension. The nurse should plan to monitor the client for which of the following adverse effects of the medication? (Select all that apply)
- Dizziness - Palpitations - Peripheral edema
A nurse is caring for a client who has Alzheimer's disease and a prescription for memantine. Which of the following laboratory findings should the nurse identify as a contraindication to receiving this medication?
Creatinine clearance 35 mL/min
A nurse is caring for a client who is taking acarbose to treat type 2 diabetes mellitus. For which of the following adverse effects of this medication should the nurse monitor for the client?
Diarrhea
A nurse is caring for a client who is receiving continuous cardiac monitoring. Which of the following medications should the nurse anticipate administering to treat atrial fibrillation?
Diltiazem
A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should the nurse instruct the client to expect?
Dry mouth
A nurse is caring for a client who has a vitamin K deficiency. Which of the following manifestations should the nurse expect?
Excessive bruising
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should highlight that which of the following conditions is a contraindication to this medication?
Intestinal obstruction
A nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. Which of the following findings is the nurses priority?
Paresthesia
A nurse is assessing a client who has cystic fibrosis. Which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement?
The client is having 1-2 bowel movements per day
