Pharm Intro 22 ATI Quiz

A nurse is caring for a client who is to receive a unit of packed RBCs. The nurse should prime the blood administration tubing using which of the following IV solutions?

A. LR's solution **B. 0.9% sodium chloride C. Dextrose 5% in water D. Dextrose 5% in 0.45% sodium chloride

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?

**A. "Crushing the medication might cause you to have a stomachache or indigestion." B. "Crushing the medication is a good idea, and I can mix it in some ice cream for you." C. "Crushing the medication would release all the medication at once, rather than over time." D. "Crushing is unsafe, as it destroys the ingredients in the medication."

A nurse is completing a medication history for a client who reports using OTC calcium carbonate antacids. Which of the following recommendations should the nurse make about taking this medication?

A. Decrease bulk in the diet to counteract adverse effect of diarrhea B. Take the medication with dairy products to increase absorption C. Reduce sodium intake **D. Drink a glass of water after taking the medication

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

**A. bounding pulse **B. pitting edema C. swelling at the IV site D. Urine specific gravity greater than 1.030 **E. crackles upon auscultation

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?

**A. Bananas B. Cooked carrots C. Cheddar cheese D. 2% milk

A nurse is assessing a client who has chronic kidney disease for fluid volume increase. Which of the following provides a reliable measure of fluid retention?

**A. Daily weight B. Sodium level C. Tissue turgor D. Intake and Output

A nurse is caring for a 4 year old who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?

**A. Offer the child a choice of taking the medication with juice or water B. Tell the child it is candy C. Hide the medication in a large dish of ice cream D. Tell the child he will have to have a shot instead

A nurse is taking a history of a client who reports occasionally taking several OTC medications, including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic?

**A. Relief of heartburn B. Cessation of diarrhea C. Passage of flatus D. Absence of constipation

A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

**A. Urine output of 175 mL in the past 8 hours B. Urine output of 2,200 mL in the past 24 hours C. First-voided urine in the morning has a strong odor D. Urine is cloudy after sitting in the urinal for 6 hours

A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution (PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include?

A. "To prevent dehydration, drink an additional liter of fluid during preparation time." B. "Expect bowel movements to begin 3 hours following completion of solution." **C. "Abdominal bloating might occur." D. "Drink 400 mL every hour until bowel movements are clear."

A nurse is teaching a class about safe medication administration. The nurse should include in the teaching that which of the following references are acceptable for safe medication administration? (Select all that apply.)

A. A website that ends in .com **B. Published journals **C. Pharmacists **D. Physician's desk reference E. Pharmaceutical sales representatives

A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

A. Battery B. Assault C. Malpractice D. Abuse

A nurse is teaching an older adult client who reports constipation. Which of the following instructions should the nurse include in the teaching?

A. Bear down hard when defecating B. Drink 4-5 glasses of water daily **C. Increase dietary intake of raw vegetables D. Limit activity

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?

A. Carbonated beverage B. Milk C. Orange juice **D. Grapefruit juice

A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the blood stream?

A. Glucose B. Ammonia C. Potassium D. Bicarbonate

A nurse is reviewing a client's laboratory values and discovers the client has a serum potassium of 6.2 mEq/L (range: 3.5-5). Which of the following interventions should the nurse anticipate?

A. Initiating an IV potassium infusion. B. Encouraging the client to eat bananas **C. Administering sodium polystyrene sulfonate D. Administering a potassium-sparing diuretic

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?

A. Institutional policies regarding routine medication administration times **B. Specific characteristics of the medications C. Schedule of administration that the client follows at home D. Time at which the medication can be available from the pharmacy

A nurse is planning care for a client who has dehydration and is receiving a continuous IV infusion of 0.9% sodium chloride. Which of the following interventions should the nurse include in the plan of care?

A. Monitor the clients I&O's every 6 hours **B. Offer the client 240 (8 oz) of oral fluids every 4 hours C. Check the client's IV infusion every 8 hours D. Administer furosemide to the client

A nurse is caring for a client who is receiving IV fluids to correct dehydration. Which of the following lab values should indicate to the nurse that the client is effectively responding to treatment

A. Sodium 165 mEq/L (135-145) B. Potassium 5.2 mEq/L (3.5-5) **C. Urine specific gravity of 1.020 (1.005-1.030) D. Hct 62%

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?

A. Tell the client the physician wants him to take the medications B. Ask the client why he is refusing to take the medications C. Explain the purpose for the medications **D. Document that the client refuses the medications