Pharmacology ATI final

A nurse is preparing to administer dextrose 5% in water 400 mL IV to infuse over one hour. The drop factor of the manual IV tubing is 15 drops per milliliter the nurse should set the manual IV infusion to deliver how many drops per minute? Round to the nearest whole number

100 drops per minute

A nurse is preparing to administer ciprofloxacin 15 mg per kilogram PO every 12 hours to a child who weighs 44 pounds how many milligrams to the nurse administered per dose? Round to the nearest whole number

300

A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information to the nurse include in the teaching? The clients provider is required to complete medication reconciliation, medication reconciliation at discharge is limited to the medication orders at the time of discharge, a transition in care requires the nurse to conduct medication reconciliation, medical reconciliation is limited to the name of the medications that the client is currently taking

A transition and tear requires the nurse to conduct medication reconciliation

A nurse is caring for a client who has a cute acetaminophen toxicity. The nurse should anticipate administering which of the following medications? Vitamin K, acetylcysteine, benztropine, physostigmine

Acetylcysteine

A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking warfarin. Which of the following responses should the nurse make? It is safe to take in enteric coated aspirin, aspirin will increase the risk of bleeding, set a Medecine maybe substituted for aspirin, the INR lab work must be monitored more frequently if aspirin is taken

Aspirin will increase the risk of bleeding

A nurse and an emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications to the nurse plan to administer? Potassium iodide, glucagon, atropine, protamine

Atropine

A nurse on the acute care unit is caring for a client who is receiving gentamicin via IV. The nurse report which of the following findings to the provider as an adverse effect of the medication? A. Constipation B. Tinnitus C.Hypoglycemia D. Joint pain

B. Tinnitus

A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects? Weight loss, increased intraocular pressure, auditory hallucinations,bibasilar crackles

Babasilar crackles

A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for methyl prednisone loan. Which of the following instructions should the nurse include? ( select all that apply)Blood glucose levels will be monitored during therapy, avoid contact with people who have known infections, take the medication one hour before breakfast, decreased dietary intake of foods containing potassium, grapefruit juice can increase the effects of the medication

Blood glucose levels will be monitored during therapy avoid contact with people who have known infections grapefruit juice can increase the effects of the medication

A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism's. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? Vomiting, blood in the urine, positiveChvostek's sign, ringing in the ears

Blood in the urine

A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? Carbamazepine, sumatriptan, atenolol, glipizide

Carbamazepine

A nurse is reviewing the laboratory results for a client who is receiving heparin via continuous IV infusion for deep vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings? A. Potassium 5.0mEq/L B. A PTT 2x the control C. Hemoglobin 15 g/dL D. Platelets 96,000/mm3

D

A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. Which of the following adverse effects should the nurse include in the teaching (select all that apply) Dry mouth, tinnitus, blurred vision, bradycardia, dry eyes

Dry mouth, blurred vision, dry eyes

A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately? Dyspepsia, diarrhea, dizziness, or dyspnea answer

Dyspnea

A nurse is assessing a client after administering a second dose Cefazolin IV. The nurse notes the client has anxiety, hypertension, and dyspnea. Which of the following medications to the nurse administer first? Diphenhydramine, albuterol inhaler, epinephrine, prednisone

Epinephrine

The nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teachings? I should take the medication with food, I should take naproxen if I develop joint pain, I should tell my provider if I develop a sore throat, I should expect the medication to cause my urine to look orange

I should tell my provider if I develop a sore throat

A nurse is caring for a client who is receiving filgrastim. Which of the following findings should the nurse document to indicate the effectiveness of the therapy? Increased neutrophil count, increased red blood cell count, decreased prothrombin time, decreased triglycerides

Increased neutrophil count

A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect? Tachycardia, oliguria, xerostomia, miosis

Miosis

A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? Obtain the clients blood pressure,Contact the clients provider, inform the charge nurse, complete an incident report

Obtain the clients blood pressure

A nurse is developing a teaching plan for a client who has a new prescription for Simba Staten. Which of the following instructions should the nurse include in the teaching plan? Select all that apply. Report muscle pain to the provider, avoid taking the medication with grapefruit juice, take the medication in the early morning, expect a flushing of the skin as a reaction to the medication, expect therapy with this medication to be lifelong

Report muscle pain to the provider, avoid taking the medication with grapefruit juice, expect therapy with this medication to be lifelong

A nurse is providing teaching to a client who has a Gastric ulcer in a new prescription for famotidine. Which of the following instructions should the nurse include? Take the medication on an empty stomach for full effectiveness, you may discontinue this medication when stomach discomfort subsides, report yellowing of the skin, you will be taking this medication for two weeks

Report yellowing of the skin

A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor? Muscle weakness, sedation, tinnitus, peripheral Adema

Sedation

The nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse report which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome? Temperature of 39.7°C, urinary retention, heart rate 56 /min, muscle flacidity

Temperature of 39.7°C

A nurse is caring for the parent of a newborn. The parent ask the nurse with a newborn should receive the first interior tightness and pertussis vaccine. The nurse should instruct the parent that their newborn should receive the immunization at which of the following ages? Birth, two months, six months, 15 months

Two months

A nurse and emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medication should the nurse anticipate administering? Ondansetron, magnesium sulfate, flumazenil, protamine sulfate

Flumazenil

A nurse is planning care for a client who has hypertension and has to start taking metoprolol. Which of the following intervention should the nurse include in the plan of care? Way the client weekly, determine apical pulse prior to administering, administer the medication 30 minutes prior to breakfast, monitor the client for jaundice

Determine apical pulse prior to administering

A nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gluconate? Felodipine, guaifenesin, digoxin, regular insulin

Digoxin

A nurse is teaching a client who was to begin taking tamoxifen for the treatment of breast cancer. Which of the following address affects should the nurse include in the teaching? Hot flashes, urinary retention, constipation, bradycardia

Hot flashes

A nurse is teaching a client about the use of Risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication to the client understands the teaching? I will drink a glass of milk when I take the right Risedronate, I will take Risedronate in 15 minutes after my evening meal, I should take an ant acid with the Risedronate to avoid nausea, I should sit up for 30 minutes after taking the Risedronate

I should set up for 30 minutes after taking the Risedronate

A nurse is teaching a client about Cyclobenzaprine. Which of the following client statement should indicate to the nurse that the teaching is effective? I will have increased to live a production, I will continue taking the medication until the rash disappears, I will taper off the medication before discontinuing it, I will report in a urinary incontinence

I will taper off the medication before discontinuing it

A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the-counter medications? Aspirin, ibuprofen, famotidine, Bisacodyl

Ibuprofen

A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? Decrease in white blood cell count, decrease in amount of time sleeping, increase in ability to focus, increase in appetite

Increase ability to focus

A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils in a respiratory rate of six per minute which of the following medication should the nurse plan to administer? Methadone, the lock soon, diazepam, bupropion

Naloxone

A nurse is reviewing the laboratory results of a client who is taking to Jackson for heart failure. Which of the following results to the nurse report to the provider? Calcium level 9.2 mg/dL, magnesium level 1.6 mEq/L, Digoxin level 1.1 ng/mL, potassium level 2.8 mEq/L

Potassium level 2.8 mEq/L

A nurse is caring for a 20-year-old female client who has a prescription for isotretinoin for severe nodular cystic acne vulgaris. Before the client can obtain a refill, the nurse advised the client that which of the following test is required? Serum calcium, pregnancy test, 24 hour urine collection for proteins,aspartate aminotransferase level

Pregnancy test

The nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcome should the nurse administer chlordiazepoxide? Minimize diaphoresis, maintain abstinence, lesson craving, prevent delirium tremens

Prevent delirium tremens

A nurse is providing teaching to a client who was to start treatment for asthma with beclomethasone and Albuterol inhaler's. Which of the following instructions to the nurse include in the teaching? Take beclomethasone to avoid an acute attack, use beclomethasone five minutes before using albuterol, limit your calcium and vitamin D intake when taking beclomethasone, rinse your mouth after inhaling the beclomethasone

Rinse your mouth after inhaling the beclomethasone

A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral trans mucosal fentanyl raspberry flavored lozenges on a stick. Which of the following information to the nurse include in the teaching? Chew on the medication stick to release the medication, leave the medications taken one location of the mouth until melted, allow the medication one hour for analgesia effects to begin, store unused medication sticks in a storage container container

Store unused medication sticks in a storage container

A nurse is providing teaching to a client who has a prescription for ergotamine sub lingual to treat migraine headaches. Which of the following information should the nurse include in the instructions? Take one tablet three times a day before meals, take one tablet at onset of migraine, take up to eight hours as needed within a 24 hour period, take one tablet every 15 minutes until migraine subsides

Take one tablet at onset of migraine

A nurse is assessing a client one hour after administering morphine for pain. The nurse should identify which of the following findings as the best indication that the morphine has been effective? The clients vital signs are within normal limits, the client has not requested additional medication, the client is resting comfortably with eyes closed, the client rates pain as three on a scale from 0 to 10

The client rates pain as three on a scale from 0 to 10

A nurse is assessing a client who's post operative following an outpatient endoscopic procedure using midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge? The clients capnography has returned to baseline, the client can respond to their name when called, the client is passing flatus, the client is requesting oral intake

The clients capnography has returned to baseline

A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. The nurse should include the spacer decreases the risk for which of the following adverse effects of the medication? Oral candidiasis, headache, joint pain, adrenal suppression

oral candidiasis