ATI CH 18, 21, 28, 41, 42 (Pharm)

A nurse is assisting with the care of a client who has increased intracranial pressure and is receiving mannitol. Which of the following findings should the nurse report to the provider? a. Blood glucose 120 mg/dL b. Urine output 40 mL/hr c. Dyspnea d. Bilateral equal pupil size

c. Dyspnea

A nurse is caring for a client receiving an IV amphotericin B infusion. Which of the following serum laboratory values should the nurse plan to monitor. Select all that apply. a. Albumin b. Amylase c. Magnesium d. Hematocrit e. Creatinine

c. Magnesium d. Hematocrit e. Creatinine

A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. For which of the following adverse effects should the client monitor? Select all that apply. a. Stomatitis b. Insomnia c. Nausea d. Rash e. Increased gout pain

c. Nausea d. Rash e. Increased gout pain

A nurse is taking a medication history from a client who has angina and a new prescription for ranolazine. Which of the following medications in the client's history can interact with ranolazine? Select all that apply. a. Digoxin b. Simvastatin c. Verapamil d. Amlodipine e. Nitroglycerin transdermal patches

a. Digoxin b. Simvastatin c. Verapamil

A nurse is caring for a client who takes several antiretroviral medications, including NRTI zidovudine, to treat HIV infection. The nurse should monitor for which of the following adverse effects of zidovudine? Select all that apply. a. Fatigue b. Blurred vision c. Ataxia d. Hyperventilation e. Vomiting

a. Fatigue d. Hyperventilation e. Vomiting

A nurse is contributing to the plan of care for a client who is receiving furosemide to treat peripheral edema. Which of the following interventions should the nurse suggest for inclusion in the plan of care? Select all that apply. a. Monitor for tinnitus b. Report urine output 50mL/hr c. Monitor potassium levels d. Elevate head of bed slowly before ambulation e. Recommend eating a banana daily

a. Monitor for tinnitus c. Monitor for potassium levels d. Elevate head of bed slowly before ambulation e. Recommend eating a banana daily

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patches to treat angina pectoris. Which of the following instructions should the nurse include? a. Remove the patch each evening b. Cut each patch in half if angina attacks are under control c. Take off the nitrogylcerin patch for 30 min if a headache occurs d. Apply a new patch every 48 hrs

a. Remove the patch each evening

A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide. Which of the following information should the nurse include? a. Take the medication with food b. Plan to take the medication at bedtime c. Expect increased swelling of the ankles d. Limit fluid intake in the morning

a. Take the medication with food

A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include? a. Take the medication in the evening b. Change position slowly when rising from a chair c. Maintain a steady intake of green, leafy vegetables d. Consume no more than 1L/day of fluid

a. Take this medication in the evening

A nurse is monitoring a client who is receiving a spironolactone. Which of the following findings should the nurse report to the provider? a. Sodium 144 mEq/L b. Urine output 120 mL in 4 hr c. Potassium 5.2 mEq/L d. Weight loss of 1 kg (2.2 lb)

c. Potassium 5.2 mEq/L

A nurse is assisting with monitoring a client receiving IV amphotericin B. The nurse should monitor the client for which of the following adverse effects of this medication? a. Polyuria b. Hypothermia c. Rigors d. Hyperkalemia

c. Rigors

A nurse is reinforcing teaching with a client who has angina pectoris and is learning how to treat acute anginal attacks. The client asks, "What is my next step if I take one tablet, wait 5 minutes, but still have anginal pain?" Which of the following responses should the nurse make? a. "Take two more sublingual tablets at the same time" b. "Call the emergency response team" c. "Take a sustained-release nitroglycerin capsule" d " Wait another 5 minutes. Then take a second sublingual tablet"

b. "Call the emergency response team"

A nurse is reviewing discharge teaching with a client who has active tuberculosis. The client asks why he must take four different medications. Which of the following responses should the nurse make? a. "Four medications decrease the risk for a severe allergic reaction" b. "Four medications reduce the chance that the bacteria will become resistant" c. "Four medications reduce the risk for adverse reactions" d. "Four medications decrease the chance of having a positive tuberculin skin test"

b. "Four medications reduce the chance that the bacteria will become resistant"

A nurse is contributing to the plan of care for a client who is has a new prescription for torsemide. The nurse should suggest monitoring for which of the following adverse effects of this medication. Select all that apply. a. Hypernatremia b. Hypokalemia c. Hypotension d. Ototoxicity e. Dehydration

b. Hypokalemia c. Hypotension d. Ototoxicity e. Dehydration

A nurse is caring for a client who has a new prescription for enfuvirtide to treat HIV infection. The nurse should monitor the client for which of the adverse reactions of this medication. Select all that apply. a. Bleeding b. Pneumonia c. Cerebral edema d. Localized erythema e. Hypotension

b. Pneumonia d. Localized erythema e. Hypotension

A nurse is caring for a client who has diabetes mellitus, pulmonary tuberculosis, and a new prescription for isoniazid. Which of the following supplements should the nurse expect to administer to prevent an adverse effect of INH? a. Ascorbic acid b. Pyridoxine c. Folic acid d. Cyanocobalamin

b. Pyridoxine

A nurse is caring for a client who has a new prescription for adalimumab for rheumatoid arthritis. Based on the route of administration of adalimumab, which of the following should the nurse plan to monitor? a. The vein of thrombophlebitis during IV administration. b. The subcutaneous site for redness following injection. c. The oral mucosa for ulceration after oral administration. d. The skin for irritation following removal of transdermal patch.

b. The subcutaneous site for redness following injection

A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following client statements indicates understanding? a. "I will be sure to return to the clinic yearly to have my blood drawn while I'm taking methotexrate" b. "I will take this medication on an empty stomach" c. "I'll let the doctor know if I develop sores in my mouth while taking this medication" d. "I should stop taking oral contraceptives while I'm taking methotrexate"

c. "I'll let the doctor know if I develop sores in my mouth while taking this medication"

A nurse is reviewing discharge teaching with a client who has a new prescription for combination oral NRTIs (abacavir, lamivudine, and zidovudine) for treatment of HIV. Which of the following statements should the nurse include? a. "These medications work by blocking HIV entry into cells" b. "These medications work by weakening the cell of the wall of the HIV virus" c. "These medications work by inhibiting enzymes to prevent HIV replication" d. "These medications work by preventing protein synthesis within the HIV cell"

c. "These medications work by inhibiting enzymes to prevent HIV replication"

A nurse is reinforcing teaching with a client who is beginning a course of metronidazole. The nurse should remind the client to stop taking the medication and notify the provider if which of the following manifestations occur? a. Metallic taste b. Nausea c. Ataxia d. Dark-colored urine

c. Ataxia

A nurse is reinforcing teaching with a client who is taking digoxin and has a new prescription for colesevalam. Which of the following instructions should the nurse include? a. "Take digoxin with your morning dose of colesevelam" b. "Expect monitoring of your sodium and potassium levels while you are taking colesevelam" c. "Watch for bleeding or bruising while you are taking colesevelam" d. "Take colesevelam with food and at least 8 ounces of water"

d. "Take colesevelam with food and at least 8 ounces of water"

A nurse is caring for a client who has a new diagnosis of fibromyalgia. Which of the following medications should the nurse anticipate being prescribed for this client? a. Colchine b. Hydroxychloroquine c. Auranofin d. Duloxetine

d. Duloxetine

A nurse is caring for a client who has a prescription for cyclosporine to treat rheumatoid arthritis. Which of the following medications increases the risk of toxicity when taken concurrently with cyclosporine? a. Phenytoin b. Rifampin c. Carbamazepine d. Erythromycin

d. Erythromycin

A nurse is caring for a client who is taking ritonavir, a protease inhibitor, to treat HIV infection. The nurse should monitor for which of the following adverse effects of this medication? a. Increased TSH level b. Decreased ALT level c. Hypoglycemia d. Hyperlipidemia

d. Hyperlipidemia