Pharm ATI learning system

A) Oral glucose tablet Rationale: Evidence-based practice indicated that a client with mild hypoglycemia who is conscious and can swallow should receive an oral agent such as an oral glucose tablet. If the client is unresponsive to the oral glucose tablet, another, more invasive form of treatment can be initiated.

A nurse cares for a client who developed hypoglycemia following an insulin injection. The client is conscious and responds appropriately to verbal stimuli. Which of the following medications should the nurse plan to administer first?

B) The infant has a history of intussusception. Rationale: The nurse should identify that the rotavirus vaccine is contraindicated for infants with a history of intussusception. The rotavirus vaccine is also contraindicated for infants who have an uncorrected gastrointestinal congenital malformation that could result in intussusception.

A nurse is assessing an infant scheduled to receive the rotavirus vaccine. Which of the following criteria should the nurse identify as a potential contraindication for administering this vaccine?

B) Applying this medication to intact skin Rationale: Lidocaine applied to broken or irritated skin can increase the risk of systemic absorption.

A nurse is caring for a client receiving lidocaine for localized pain. The nurse should recognize which of the following actions will help prevent systemic toxicity of this medicaiton.

D) Improves cardiac output Rationale: The nurse should identify that dobutamine is a vasopressor that improves patients' cardiac output and hemodynamic status.

A nurse is caring for a client who has heart failure and is prescribed dobutamine hydrochloride by continuous IV infusion. The nurse should identify which of the following is the therapeutic effect of this medication.

B) Chlordiazepoxide Rationale: The nurse should expect to administer chlordiazepoxide to a client experiencing acute alcohol withdrawal. Chlordiazepoxide is a benzodiazepine; this class of medications is often used to facilitate withdrawal. Chlordiazepoxide assists with decreasing withdrawal manifestations, stabilizing vital signs, and preventing seizures and delirium tremens.

A nurse is caring for a client who is experiencing acute alcohol withdrawal. The nurse should expect to administer which of the following medications?

A) Bradycardia Rationale: The nurse should identify that an adverse effect of QT interval medication is bradycardia. This medication should be used with caution for clients with hypotension or heart failure, older adult clients, or clients with low potassium or magnesium levels.

A nurse is caring for a client with a QT interval medication prescription. Which of the following conditions should the nurse identify as an adverse effect of this medication?

D) "Ginger is effective in treating nausea and vomiting." Rationale: The nurse should recommend seasoning foods with ginger to alleviate the client's nausea and vomiting. Ginger is derived from ginger root and is an alternative treatment to prescribed medication for treating nausea and vomiting during pregnancy.

A nurse is caring for a pregnant client and inquiring about alternative, non-pharmacological therapies for nausea and vomiting of pregnancy (NVP). Which of the following options should the nurse recommend?

0.8 mL

A nurse is preparing to administer heparin 8,000 units subcutaneously every 8 hours. Heparin 10,000 units/ 1 mL is available. How many mL should the nurse administer per dose? (Round to the nearest tenth)

C) "You should take this medication on an empty stomach." Rationale: The nurse should instruct the client to take isoniazid on an empty stomach to improve the absorption of the medication. To ensure the stomach is empty, the client should take the medication 1 hour before or 2 hours after a meal.

A nurse is providing teaching to a client who has tuberculosis (TB) and a prescription for isoniazid. Which of the following instructions should the nurse include?

A) "This medication will decrease the effectiveness of oral contraceptives."

A nurse is providing teaching to a client with a seizure disorder who has a new prescription for carbamazepine. Which of the following statements should the nurse include in the teaching?

C) "Wear protective clothing while in the sun." Rationale: The nurse should include in the teaching that all tetracycline medications increase the sensitivity of the skin to ultraviolet light and sunlight. Therefor, clients are encouraged to avoid prolonged exposure to the sun and to wear protective clothing while outside and exposed to the sun.

A nurse is teaching a client who has a prescription for doxycycline to treat a Helicobacter pylori infection. Which of the following instructions should the nurse include in the teaching?

B)Garlic Rationale: Many dietary supplements can affect clotting or interact with other medications that affect clotting, thereby increasing the client's risk of bleeding. Examples of these dietary supplements include garlic, ginger, and ginkgo biloba. The nurse should notify the provider immediately about this potential risk.

A nurse performs a preoperative assessment of a client about to undergo an aneurysm clipping. The nurse should identify a risk of increased bleeding when the client reports taking which of the following dietary supplements?

C) I'll avoid contact sports like football." Rationale: The most common adverse effect of taking anticoagulants is bleeding. Therefore, the client should avoid activities with a high risk of causing injury, such as contact sports.

The nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understands the instructions?