ATI: Adaptive Quiz Pharm
charge nurse monitoring newly licensed nurse who is caring for a post op client who is receiving morphine through a PCA pump. Which action by the new rn requires intervention? A. Instructing client to administer a PCA dose prior to dressing change B. Providing increased fluids while client is using PCA pump C.Informing clients partner that only the client should administer the PCA doses D. Maintaining the client on bed rest while the PCA pump is in use
D. Maintaining the client on bed rest while the PCA pump is in use
Nurse is assessing a client who is receiving clozapine to treat schizophrenia. Nurse should identify an increase in which of the following parameters as an early indicator of adverse effect of this medication? A. urine specific gravity V. Urine output C. Blood pressure D. Temperature
D. Temperature
Nurse is preparing to administer amlodipine to a client who has hypertension. The nurse should plan to monitor the client for the following adverse effects- A. dizziness B. pale appearance C. palpitations D. abdominal pain E. peripheral edema
A dizziness, C. palpitations, E. peripheral edema
Nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. Which finding is a nurse priority? A. paresthesia B. alopecia C. stomatitis D. constipation
A. paresthesia
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. A severe allergy to which of the following medications is a contraindication to ceftriaxone? A. Gentamicin B. Clindamycin C. Piperacillin
C. Piperacillin
A nurse is discharge teaching a client, hospitalized for major depressive disorder and rx for amitriptyline. Which statemnt by client indicates understanding of teaching? A. " I will take amitriptyline in the morning, bc ill likely have trouble falling asleep if i take in the evening." B. "I will move slowly when i stand bc amitriptyline can cause BP to decrease" C." I can drinka glass of beer or wine with meal bc amitriptyline doesnt interact with alcohol"
B. "I will move slowly when i stand bc amitriptyline can cause BP to decrease"
A nurse is admin adenosine via IV bolus for client who has developed paroxysmal atrial tachycardia. Which findings should the nurse assess the client for during administration of adenosine? A. seizures B. cinchonism C. dyspnea
C. Dyspnea
Nurse providing teaching to a client who has chronic constipation and new Rx for psyllium. which of the following should the nurse provide? A. The medication is for short term use only B. You should eat a low residual diet while taking this medication C. Mix the medication with water and follow with an additional glass of liquid D. The medication adverse effects of stomach cramps and nausea will go away with time
C. Mix the medication with water and follow with an additional glass of liquid
Nurse is providing teaching to parents of a child who has a new prescription instruct the parents that which of the following adverse effects is the priority to report to the provider? A. Diplopia B. Dizziness C. Rash D. Headache
C. Rash
Nurse is reviewing lab report for client who has c. diff infection and receiving vancomycin. Which result should nurse report to provider before administering next dose? A. Hematocrit 46% B. Serum glucose 110,g/dL C. Serum creatinine 2.5 mg/dL D. Serum potassium 4.8 mEq/L
C. Serum creatinine 2.5 mg/dL
Nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. Which of the following adverse effects should the client be taught to monitor and notify provider if it occurs? A. nasal congestion B. Tremors C. Tinnitus D. Frontal headache
C. Tinnitus
Nurse is providing teaching to a client who has hypothyroidism and is taking levothyroxine. Nurse should instruct client that the following is an indication of thyrotoxicosis? A. weight gain B. constipation C. chest pain D. fatigue
C. chest pain
Nurse caring for a client who has congestive heart failure and is taking digoxin. Client reports nausea, refued to eat breakfast. Which action should the nurse take first? A. Encourage client to eat toast on breakfast tray B. Administer an antiemetic C. Inform the clients provider D. Check clients apical pulse
D. Check the clients apical pulse
A nurse is providing teaching with heart failure and is taking spironolactone. Which of statement indicates understanding of teaching? A. "I will increase intake of citrus fruits, banana and potatoes" B. "I will use salt to substitutes on my food" C. "I will drink as much water as i can while taking this medicine" D. I will watch for increased breast rtissue growth while taking this medication"
D. I will watch for increased breast tissue growth while taking this medication"
