Pharm ATI Set 6

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. What response should the nurse provide?

"Crushing the medication might cause you to have a stomachache or indigestion"

A nurse is admitting an older client who has diabetic neuropathy with painful, burning feet. What intervention should the nurse anticipate the health care provider to prescribe?

Place a bed cradle on the client's bed

A nurse is completing discharge instructions with a client following an acute onset of gout. What client statement indicates an. understanding of the tx regimen?

"I will limit my alcohol intake" (alcohol can cause a gouty attack)

A nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. What info should the nurse provide?

"Take 1 hr before meals"

A nurse is teaching a client about the intradermal purified protein derivative. What information should the nurse include?

"This test is performed if previous results are negative"

A nurse is providing teaching to a female client who has type 2 diabetes and a new prescription for pioglitazone. What instruction should the nurse include in the teaching?

- Monitor weight daily - Increase calcium intake

A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. What solution should the nurse prepare to infuse for this client?

0.45% NaCl (a hypotonic solution)

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hours. A peak and trough is required with the next dose. What action should the nurse take to obtain an accurate gentamicin serum level?

Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose

A nurse is teaching a client who has rheumatoid arthritis about methotrexate. What information should the nurse include?

Drink 2 to 3 L of water per day (this drug can cause renal toxicity)

A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. What manifestation should the nurse expect?

Heat intolerance

A nurse is preparing to administer opthalmic solution to a client. What action should the nurse take?

Hold the opthalmic solution 2cm above the lower conjunctival sac

A nurse is assessing a client in labor who has an epidural anesthesia for pain relief. What finding should the nurse identify as a complication from the epidural block?

Hypotension

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize what findings are manifestations of levothyroxine overdose?

Insomnia, tachycardia, and hyperthermia

A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for what adverse reaction?

Jaundice (this med can be hepatotoxicity)

A nurse is preparing to obtain a blood specimen from a client by venipuncture. The client is receiving fluids through an IV catheter inserted in the basilic vein of the right forearm. What site should the nurse plan to obtain the blood specimen?

Left Forearm (so it doesn't interfere with the right arm infusion)

A nurse is assessing a client who is taking oxacillin to treat an infection. The nurse should recognize that what is a manifestation of an allergic reaction?

Pruitis

A nurse is providing teaching to a client who has a new prescription for levothyroxine for hypothyroidism. The nurse should tell the client to avoid what herbal supplement?

Soy

A nurse is caring for a female client who has rheumatoid arthritis and a new prescription of methotrexate. The client tells the nurse that she is planning a pregnancy. What instructions should the nurse give the client?

The medication should be discontinued 3 months prior to a planned pregnancy

A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should monitor what?

Visual acuity

A nurse is providing teaching to a client who has a new prescription for hydroxychloroquine to treat mild manifestations of rheumatoid arthritis. What information should the nurse include in the teaching?

Wear sunglasses when out in bright sunshine (to decrease photophobia r/t risk of retinopathy)