ATI PHARM

A nurse is preparing to administer 100 units of insulin glargine and 4 units of NPH insulin subcutaneously to a client. Which of the following actions should the nurse plan to take?

Use separate syringes for administering insulin glargine and NPH insulin

A nurse is assessing a client who has HF and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity?

Visual disturbances

A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 6.2. The nurse should anticipate a prescription from the provider for which of the following medications?

Vitamin K

A nurse is preparing to administer medication to a preschooler. The nurse should use which of the following measurements to calculate the medication dosage for this client?

Weight

A nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate at which of the following times?

Within 3 months of the initial diagnosis

A nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and has been prescribed omeprazole. Which of the following statements should the nurse include in the teaching?

You should take this medication before breakfast every day.

A nurse is caring for a client who has severe asthma and rhinitis. The client is taking theophylline. Which of the following medications should the nurse identify as being incompatible with theophylline?

Zafirlukast

A nurse in a provider's office is assess a client who has been taking amoxicillin for 10 days and reports diarrhea and cramping. The nurse should recognize that these manifestations occur secondary to which of the following AE?

alterations in GI flora

A nurse is assessing a client who is experiencing chest pain. Which of the following medications should the nurse expect to administer to suppress the aggregation of platelets?

aspirin

A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following AE?

bleeding

A nurse is providing discharge teaching to a client who has venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching?

carry a medical alert ID card.

A nurse is providing teaching to a client who has hypothyroidism and is taking levothyroxine. The nurse should instruct the client that which of the following findings is an indication of thyrotoxicosis?

chest pain

A nurse is caring for a client who has Alzheimer's disease and a prescription for memantine. Which of the following lab findings should the nurse identify as a contraindication to receiving this medication?

creatinine clearance 35 ml/min

A nurse is reviewing the lab data for a client who has ALzheimer's disease and a new prescription of memantine. The nurse should identify that which of the following findings increases the client's risk for reduced clearance of the medication?

creatinine clearance 35 ml/min

A nurse is preparing to administer amlodipine to a client who has hypertension. The nurse should plan to monitor the client for which of the following AE of the medication?

dizziness, palpitations, peripheral edema

A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication?

electrocardiogram

A nurse is teaching a client who has severe generalized rheumatoid arthritis and is scheduled to start taking prednisone for long-term therapy. The nurse should instruct the client to report which of the following as an adverse effect of prednisone?

gastric ulceration

A nurse is planning care for a client with thrombophlebitis who had a prescription to receive heparin via continuous IV infusion. Which of the following actions should the nurse include in the plan of care?

infuse the heparin using an electronic IV pump.

A nurse is administering a medication to a client. The nurse should identify that which of the following medication distribution factors facilitates the effective passage of the medication across the client's cell membrane?

lipid solubility

A nurse is providing teaching to a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following lab tests?

liver function

A nurse is providing teaching to a client who has type 2 DM and a new prescription for metformin. Which of the following AE of metformin should the nurse instruct the client to watch for and report?

myalgia

A nurse is caring for a client who is at 28 weeks gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer?

nifedipine

A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3x daily PO and gabapentin 1800 mg 3x daily to manage pain. The client tells the nurse, "I'm having pain that keeps me from doing what I'd like most of the time." Which of the following additions should the nurse anticipate to the client's medication regimen?

oral oxycodone

A nurse is caring for a client who has schizophrenia and a prescription for chlorpromazine. For which of the following AE should the nurse monitor?

orthostatic hypotension; palpitations, tachycardia, constipation, sedation, and photosensitivity

A nurse is teaching a client who has ADHS and is starting therapy with an amphetamine/dextroamphetamine mixture. Which of the following manifestations should the nurse instruct the client to identify as an AE and report the the provider?

palpitations

A nurse is caring for a client who was brought to the ED by friends after a heroin overdose. Which of the following findings should the nurse expect to assess?

pinpoint pupils

A nurse is caring for a client who received naloxone for a suspected opioid overdose. Which of the following findings should the nurse identify as an AE of this medication?

report of pain

A nurse is providing teaching to a client who has rheumatoid arthritis and a prescription for long-term prednisone therapy. The nurse should instruct the client to monitor for which of the following AE?

stress fractures

A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following AE?

tachycardia; dysrhythmias due to cardiac stimulation

A nurse is teaching a client with type 2 diabetes about self-administration of a new prescription for acarbose. Which of the following pieces of information should the nurse include in the teaching?

tell the client to take the medication with food

A nurse is assessing a client who is receiving clozapine to treat schizophrenia. The nurse should identify an increase in which of the following parameters an an early indication of an AE of this medication

temperature

A nurse is caring for a client who has HF and is taking oral furosemide 40 mg daily. For which of the following AE should the client be taught to monitor an notify the HCP if it occurs?

tinnitus; lop diuretics can cause ototoxicity. The client should be taught to notify the HCP if tinnitus or hearing loss occurs

A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an AE of lisinopril?

tongue swelling

A nurse is teaching a client about vitamin A supplementation. Which of the following client statements indicates an understanding of the teaching?

"A deficiency of vitamin A can cause night blindness."

A nurse is teaching about levodopa with a family member who has parkinson's disease. Which of the following pieces of information should the nurse include?

"A full therapeutic response may take several months to happen."

A nurse is caring for a client who is due to receive general anesthesia. They ask the nurse, "what is the difference between an analgesic and anesthesia?" Which of the following statements should the nurse make?

"Anesthesia can cause loss of consciousness."

A nurse is providing education about food-drug interactions to a client who is prescribed sirolimus following kidney transplant. Which of the following pieces of information should the nurse include in the teaching?

"Avoid eating grapefruit while taking sirolimus."

A nurse is teaching a client who has primary adrenal insufficiency (Addison's disease) and a prescription for hydrocortisone. Which of the following statements should the nurse include in the teaching about this medication?

"Carry a supply of pills and a single-use injectable preparation with you at all times."

A nurse is administering ciprofloxacin phenazopyridine to a client who has a severe UTI. The client asks why both medications are needed. Which of the following responses should the nurse make?

"Ciprofloxacin hydrochloride treats the infection, and phenazopyridine treats pain."

A nurse is caring for a client who takes warfarin to treat chronic atrial fibrillation and has early manifestations of Alzheimer's disease. The client's partner asks the nurse if the client would benefit from taking ginkgo biloba. Which of the following responses should the nurse make?

"Ginkgo biloba will likely interfere with the effectiveness of his other medications."

A nurse is caring for a client with MS and neurogenic bladder who is receiving bethanechol. The nurse should identify which of the following client statements indicates a therapeutic action of this medication?

"I am able to urinate more freely."

A nurse is providing discharge teaching to a client who has a kidney transplant and has a prescription for oral cyclosporine. Which of the following statements by the client indicates an understanding of the teaching?

"I am likely to develop higher BP while taking this medication."

A nurse is providing discharge teaching about lithium toxicity to a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching?

"I can develop lithium toxicity if I eat foods with lots of sodium."

A nurse is providing teaching about sodium phosphate. The client is scheduled for a colonoscopy and is currently taking furosemide for HTN. Which of the following client statements should indicate to the nurse that the teaching has been effective?

"I can experience imbalance in my electrolytes from this medication."

A nurse is teaching a client about the proper placement of a nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching?

"I can place the patch on any area of my body without hair."

A nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the nurse that the medication has been effective?

"I have not had a bowel movement today"

A nurse is caring for a client who has tuberculosis and is taking rifampin. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of the medication?

"I have noticed my urine is orange in color"

A nurse is providing teaching to a client about a new prescription for captopril to treat HTN. Which of the following client statements indicates an understanding of the teaching?

"I might feel dizzy at times while taking this medication."

A nurse is providing teaching to a client with HTN and type 1 diabetes who has a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of the teaching?

"I might have difficulty recognizing when my blood sugar is low."

A nurse is providing teaching for a client who has a new prescription for nitroglycerin administered through a transdermal patch. Which of the following client statements indicates an understanding of the teaching?

"I need to rotate the location of my patch every few days."

A nurse is teaching a client who has a prescription for scopolamine patches for the treatment of motion sickness. Which of the following client statements should indicate to the nurse that the teaching has been effective?

"I should apply this patch behind my ear."

A nurse is teaching a client who has a new diagnosis of angina and has a prescription for isosorbide mononitrate 10 mg PO twice daily. Which of the following client statements indicates an understanding of the teaching?

"I should change positions slowly when getting out of bed."

A nurse is teaching a client who has a new prescription for disulfiram to treat alcohol use disorder. Which of the following statement s by the client indicates an understanding of the teaching?

"I should check the labels of my skin-care products, medications, and food for alcohol."

A nurse is teaching a client who has a new prescription for alosetron. Which of the following client statements indicates an understanding of the teaching?

"I should contact my provider immediately if I experience constipation."

A nurse is teaching about the AE of baclofen with a client who has MS with spasm. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

"I should not stop taking this medication suddenly."

A nurse is providing teaching to a client who has a UTI and new prescription for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates a need for further teaching?

"I should notify my provider immediately if my urine turns orange in color."

A nurse is teaching a client who will be taking dexamethasone daily for pain due to spinal edema. The nurse should identify which of the following client statements as an indication that the teaching has been effective?

"I should stay away from people who are ill."

A nurse is teaching a client who has systemic lupus erythematosus about a new prescription for oral glucocorticoid therapy. Which of the following client statements indicates an understanding of the teaching?

"I should take a calcium supplement while on this medication."

A nurse is teaching a client who has a new prescription for amitriptyline to treat depression. Which of the following client statements indicates an understanding of the teaching?

"I should take this medication before bedtime."

A nurse is providing teaching to a client who chronic bronchitis about administering acetylcysteine using a hand-held nebulizer. Which of the following client statements indicates an understanding of the teaching?

"I should try to cough productively just before I begin the treatment."

A nurse is providing discharge teaching to a client who has HF and a prescription for digoxin and furosemide. Which of the following statements by the client indicates an understanding of the teaching?

"I will eat fruits and vegetables that have a high potassium content every day."

A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered-dose inhaler. Which of the following statements by the parent indicates the need for further teaching?

"I will give my child a dose as soon as wheezing starts."

A nurse is providing teaching to a client who has a new prescription for a fentanyl patch. Which of the following statements by the client indicates an understanding of the teaching?

"I will have to stop drinking grapefruit juice while using the patch."

A nurse is providing teaching for a client who has gout and a prescription for allopurinol. Which of the following statements by the client should indicate to the nurse that the teaching was effective?

"I will increase my fluids to at least 2 L per day."

A nurse is teaching a client who is about to start taking propylthiouracil to treat hyperthyroidism. Which of the following statements should the nurse identify as an indication that the teaching has been effective?

"I will need lab tests to check my liver function."

A nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin salmon. Which of the following statements by the client indicates an understanding of the teaching?

"I will need to depress the side arms to activate the pump."

A nurse is teaching a client who has osteoporosis and a new prescription for alendronate. Which of the following client statements indicates that the teaching was effective?

"I will sit upright for 30 min after taking the medication."

A nurse is teaching a client who has osteoporosis about the new prescription for risedronate. Which of the following client statements indicates an understanding of the teaching?

"I will take this medication with a full cup of water."

A nurse is providing teaching to a client who has heart failure and is taking spironolactone. Which of the following statements by the client indicates an understanding of the teaching?

"I will watch for increased breast tissue growth while taking this medication."

A nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I'll avoid contact sports like football"

A nurse is teaching a client about the AE of omeprazole. Which of the following client statements indicates an understanding of the teaching."

"If I experience severe diarrhea, I will call my doctor."

A nurse is teaching about AE of ergotamine with a client who has migraine headaches. Which of the following client statements should indicate an understanding of the teaching?

"If I overuse this medication, I might become addicted to it."

A nurse is teaching a client who has severe got and a new prescription for pegloticase. The client has been taking allopurinol for 1 month. Which of the following instructions should the nurse include about pegloticase?

"If you experience a flare-up, you can take an NSAID while receiving this medication."

A nurse is teaching a client who has type 2 diabetes mellitus about a prescription for insulin lispro. Which of the following statements should the nurse include in the teaching?

"Insulin lispro has an onset of about 15 minutes."

A nurse is preparing to administer warfarin to a client who has a new onset of afib. The client asks the nurse what the medication will do. Which of the following responses should the nurse make?

"It can reduce your risk of having a stroke.

A nurse is teaching a client who has a prescription for chenodiol for the treatment of gallstones. Which of the following client statements indicates an understanding of the teaching?

"Liver function tests are required while taking this medication."

A nurse is caring for a client who has MS and is receiving interferon beta-1a. The nurse should identify that which of the following client statements indicates a potential AE of the medication?

"My body aches all over." The AE of interferon beta-1a can include flu-like symptoms such as general body and muscle aches.

A nurse is assessing a client who has been taking simvastatin to treat hyperlipidemia. Which of the following statements by the client indicates an AE of the medication that should be reported to the provider immediately?

"My legs feel weak and achy."

A nurse is caring for a client with COPD who has been taking tiotropium. Which of the following client statements should indicate to the nurse that the client is experiencing an AE of this medication?

"My mouth feels dry all the time."

A nurse is caring for a client who is receiving chlorpromazine to treat schizophrenia. Which of the following statements by the client should prompt the nurse to notify the provider immediately?

"My tongue keeps moving like a worm."

A nurse is providing teaching about denzodiazepines to a client who is discontinuing long-term alprazolam use. Which of the following pieces of information should the nurse include in the teaching?

"Plan to taper the dose slowly over several months."

A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary TB. The client reports his urine is an orange color. Which of the following statements should the nurse make?

"Rifampin can turn body fluids orange."

A nurse is teaching a client who has asthma and a prescription for a fluticasone dry powder inhaler (DPI). Which of the following instructions should the nurse include in the teaching?

"Rinse your mouth after administering this medication."

A nurse is teaching a client who is postmenopausal and has a prescription for alendronate. Which of the following statements should the nurse include in the teaching?

"Take this medication on an empty stomach."

A nurse is teaching the guardian of an infant about the DTaP vaccine. Which of the following pieces of information should the nurse include in the teaching?

"The first immunization for DTaP in the series is given at 2 months."

A nurse is teaching the guardian of a school-aged child about growth hormone therapy. Which of the following statements should the nurse include in the teaching?

"The hormone injections are administered subcutaneously."

A nurse is preparing to administer the first injection of the DTaP vaccine to an infant. Which of the following pieces of information should the nurse tell the guardian prior to administering the immunization?

"The vaccine will be injected into the infant's thigh."

A nurse is teaching a client who has DM about a new prescription for pioglitazone. Which of the following statements should the nurse include in the teaching?

"This medication can be taken when using insulin."

A nurse is providing teaching to a client who is scheduled to start hydrochlorothiazide for HTN. The nurse instructs the client to eat foods that are rich in potassium. Which of the following statements by the client indicates an understanding of the teaching?

"This medication can cause a loss of K."

A nurse is teaching a client with a new diagnosis of PUD who has a prescription for bismuth subsalicylate. The client asks the nurse, "How will this medication help my ulcer?" Which of the following statements should the nurse make?

"This medication can decrease bacteria in the GI tract."

A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a prescription for estradiol cream. Which of the following statements should the nurse include in the teaching?

"This medication has fewer systemic effects than oral estrogen."

A nurse is teaching a client who has been taking an NSAID to treat rheumatoid arthritis. During the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. Which of the following statements should the nurse include in the teaching about the purpose of this change in the client's medication?

"This medication was added to delay the disease progression."

A nurse is providing teaching to a client with a seizure disorder who has a new prescription for carbamazepine. Which of the following statements should the nurse include in the teaching?

"This medication will decrease the effectiveness of oral contraceptives"

A nurse is providing discharge teaching to a client who has angina pectoris and a new prescription for verapamil. The client tells the nurse, "My brother takes verapamil for high BP. Do you think the provider made a mistake?" Which of the following responses should the nurse make?

"Verapamil is used to treat both high BP and angina"

A nurse is teaching a client who has a prescription of doxycycline for the treatment of H. pylori infection. Which of the following instructions should the nurse include in the teaching?

"Wear protective clothing while in the sun."

A nurse is teaching a client who has a prescription for a combination oral contraceptive (OC_ that uses a 28 day cycle. Which of the following instructions should the nurse include in the teaching?

"You can miss up to 7 pills with little risk in getting pregnant as long as you have taken the pills regularly for the previous 3 weeks."

A nurse is teaching a client who has allergic rhinitis about a new prescription of brompheniramine. Which of the following pieces of information should the nurse include in the teaching?

"You might find that you develop a dry mouth."

A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for baclofen PO. Which of the following pieces of information should the nurse include?

"You should change positions slowly while taking this medication."

A nurse is providing teaching to a client with a new diagnosis of HF who has a prescription for furosemide. Which of the following statements should the nurse include in the teaching?

"You should eat foods that are high in potassium while taking this medication."

A nurse is caring for a client with premenstrual disorder (PMD) who has a prescription for fluoxetine. The client asks the nurse, "When should I notice the benefits of this medication?" Which of the following responses should the nurse make?

"You should expect decreased manifestations within a few days."

A nurse is teaching about the AE of morphine with a client who has acute pain. Which of the following statements should the nurse include in the teaching?

"You should increase your fluid intake."

A nurse is teaching about antiretroviral medication therapy to a client who has a new diagnosis of AIDS. Which of the following statements should the nurse include in the teaching?

"You should take antiretroviral medication on a routine schedule."

A nurse is teaching about taking donepezil with a client who was recently diagnosed with early Alzheimer's disease. Which of the following instructions should the nurse include in the teaching?

"You should take this medication late in the evening."

A nurse is caring for a client who is taking diphenhydramine for allergies. The client reports, "I feel sleepy during the day." Which of the following responses should the nurse make?

"You should try antihistamines with non-sedative effects."

An 18-month-old toddler who has Kawasaki disease (KD). The child is receiving IV immune globulin (IVIG). The guardian asks the nurse the administer the child's MMR vaccine before discharge. Which of the following responses should the nurse provide?

"Your child will not be able to receive the MMR vaccine for at least 3 months after discharge."

A nurse is providing a teaching to a client who has chronic constipation and a new prescription for psyllium. Which of the following instructions should the nurse provide?

"mix this medication with water and follow with an additional glass of liquid."

A nurse is providing teaching to a client who has TB and a prescription for isoniazid. Which of the following instructions should the nurse include?

"you should take this medication on an empty stomach."

A nurse is caring for a client who receives G-tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. At which of the following times should the nurse plan to administer insulin lispro subcutaneously?

0645

A nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain gentamicin peak and trough levels. At which of the following times should the nurse plan to obtain a blood sample to evaluate the gentamicin peak?

1 hour after administering the IM injection

A nurse is preparing to administer meperidine 100 mg IM to a client who has a BMI of 23. Which of the following needle lengths should the nurse use to administer the medication?

1.5 inch

A nurse is planning care for a client who is postoperative and scheduled to ambulate. At which of the following times should the nurse plan to administer PO morphine to the client for peak analgesic effect during the ambulation?

60-90 minutes prior to ambulation

A charge nurse is teaching a newly licensed nurse about the purpose of a client being prescribed a transdermal fentanyl patch. Which of the following clients should the charge nurse include in the teaching as a client who requires this medication?

A client who is opiod-tolerant

A nurse is caring for a client who has asthma and a prescription for zileuton. Which of the following lab values should the nurse monitor while the client is taking the med?

ALT

A nurse is teaching a client who has a prescription for a transdermal estradiol patch. In which of the following locations should the nurse instruct the client to apply the patch?

Abdomen

A nurse is reviewing the lab data for a client who is receiving clozapine for schizophrenia. The nurse should identify which of the following findings as a potential AE of the medication?

Absolute neutrophil count 1,200

A nurse is evaluating how a client who is pregnant is responding to a medication. Which of the following physiological effects of pregnancy should the nurse take into consideration?

Accelerated excretion of fluids

A nurse is caring for a client who has PUD and reports a headache. Which of the following medications should the nurse plan to administer?

Acetaminophen

A nurse is preparing a discharge teaching plan for a 6-year-old with asthma who has several prescription medications using metered-dose inhalers (MDIs). Which of the following interventions should the nurse include in the plan?

Add a spacer to each MDI

A nurse is preparing to administer iron dextran IV to a client. Which of the following actions should the nurse plan to take?

Administer a small test dose before giving the full dose.

A nurse administered an antibiotic 10 min ago to a client who is now wheezing and swelling of the eyelids. Which of the following actions should the nurse perform first?

Administer epinephrine subcutaneously

A nurse is caring for a child who has epilepsy and is scheduled to receive a dose of phenytoin. The nurse notes the child's serum phenytoin level is 14 mcg/ml. Which of the following actions should the nurse take?

Administer the dose

A nurse is administering subcutaneous heparin to a client who is at risk for DVT. Which of the following actions should the nurse take?

Administer the medication into the client's abdomen

A nurse is preparing to administer a hydromorphone IV infusion to a client for pain. Which of the following actions should the nurse take?

Administer the medication over 4-5 minutes

A nurse is administering a medication parenterally to a client. Which of the following techniques should the nurse use to reduce fluctuations in plasma medication levels?

Administering a continuous infusion of the dose

A nurse is providing teaching to the parents of a school-age child with asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve an acute asthma attack?

Albuterol

A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client?

Albuterol sulfate

A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary tremors. Which of the following medications should the nurse anticipate administering?

Amantadine

A nurse is teaching a group of nurses about the manifestations of progestin deficiency for clients who take a combination oral contraceptive (OC). Which of the following findings should the nurse include in the teaching as an indication of progestin deficiency?

Amenorrhea

A nurse is caring for a client who has a new prescription of tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects?

Anti-estrogenic

A nurse is caring for a client who has a dry nonproductive cough. Which of the following medications should the nurse recommend?

Antitussive

A nurse is preparing to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the nurse take.

Apply the ointment using a dose-measuring applicator

A nurse is caring for a client who is receiving lidocaine for localized pain. The nurse should recognize that which of the following actions will help prevent systemic toxicity of this medication?

Applying the medication to intact skin

A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for isoniazid. Which of the following laboratory values should be monitored while the client is taking isoniazid?

Aspartate aminotransferase (AST)

A nurse is planning to administer diphenhydramine 50 mg via IV bolus to a client who is having an allergic rxn. The client has an IV infusion containing a medication that is incompatible with diphenhydramine in solution. Which of the following actions should the nurse take?

Aspirate to check for IV patency before administering the diphenhydramine

A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider?

Aspirin EC 325 mg per NG tube daily

A nurse is caring for a client and realizes after administering the 0900 medications that they administered digoxin 0.25 mg PO to the client instead of 0.125 mg PO. Which of the following actions should the nurse take first?

Assess the client's apical pulse

A nurse is caring for a client who has multiple medication allergies. During which of the following steps of the nursing process should the nurse identify the client's allergies?

Assessment

A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication?

Asthma

A nurse in a postpartum unit is caring for a client who plans to breastfeed her newborn exclusively. The client has a prescription for depot medroxyprogesterone acetate (DMPA). At which of the following times should the nurse schedule the client to receive the first dose of the medication?

At 6 weeks postpartum.

A nurse is providing teaching to a client who has HTN and a new prescription for oral clonidine. Which of the following instructions should the nurse include in the teaching?

Avoid driving until the client's reaction to the medication is known.

A nurse is caring for a client with a pseudomonas infection who has a new prescription for ticarcillin-clavulanate. Which of the following data should the nurse collect before administering this medication?

Baseline BUN & creatinine

A nurse is caring for a client who is taking an agonist medication. The nurse should expect which of the following actions from this type of medication?

Binds to receptors and mimics regulatory molecules

A nurse is caring for a client who had an MI 2 hours ago and is receiving alteplase. Which of the following findings should the nurse identify as an AE of receiving this medication?

Bleeding

A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following should the nurse plan to review prior to administering this medication?

Blood pressure

A nurse is caring for a client who is receiving IV famotidine. Which of the following AE should the nurse report to the provider immediately?

Bloody stools

A nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops during an eye examination. Which of the following findings should the nurse expect as a result of cycloplegia?

Blurred vision

A nurse is planning discharge teaching for a client who has major depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine?

Broiled beef steak

A nurse is caring for a client who has bronchitis and a prescription for a mucolytic agent. Which of the following findings should the nurse identify as an AE of this type of medication?

Bronchospasm

A nurse is caring for a client who takes sulfasalazine 2x daily for RA. Which of the following values should the nurse review prior to the administration of the medication?

CBC

A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should the nurse identify as an adverse effect of the medication?

Cardiac dysrhythmias

A nurse is caring for a client who has a new diagnosis of rheumatoid arthritis. The nurse should anticipate a prescription from the provider for which of the following medications for daily management of this condition?

Celecoxib

A nurse is checking a client who is receiving an IV infusion of telavancin for Streptococcus pyrogens. Which of the following actions should the nurse include?

Check the client for pruritus

A nurse is caring for a client who has CHF and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first?

Check the clients apical pulse

A nurse is caring for a client who is receiving sumatriptan for cluster headaches. Which of the following findings should the nurse expect as an adverse effect?

Chest pressure

A nurse is preparing to administer the influenza vaccine to a client. Which of the following allergies should the nurse identify as a contraindication to the client receiving this vaccine?

Chicken eggs

A nurse is teaching an AP about dietary restrictions for a client who is taking phenelzine to treat depression. The AP's decision of which of the following foods for the client's lunch indicates an understanding of the teaching?

Chicken salad

A nurse is caring for a client who has alcohol use disorder and was admitted with lower-extremity fractures following a motor vehicle crash. A few hours after admission, the client develops restlessness and tremors. Which of the following medications should the nurse anticipate administering to the client first?

Chlordiazepoxide

A nurse is caring for a client who is experiencing acute alcohol withdrawal. The nurse should expect to administer which of the following medications?

Chlordiazepoxide

A nurse is completing the admission history for a client who reports drinking 1 pint of whisky every day for 6 years. The client's last drink was 10 hr ago. Which of the following medications should the nurse plan to administer upon admission?

Chlordiazepoxide

A nurse is reviewing the medical record of a client who might have hearing loss. Which of the following data from the client's medical record should the nurse identify as a risk factor for hearing loss?

Chronic use of salicylates

A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications?

Colchicine

A nurse is preparing to administer an epinephrine IV bolus to a client. Which of the following should the nurse verify before initiating the IV medication?

Concentration of the formulation

A nurse is caring for a patient who has a new prescription for meperidine 500 mg PO q 4-6 hr to manage pain. Which of the following actions should the nurse take?

Contact the provider for clarification of the prescription.

A nurse is reviewing the lab results of a client who is taking tobramycin and notes that the medication's peak level is 7 mcg/ml. Which of the following actions should the nurse take?

Continue to administer the medication as prescribed

A nurse is caring for a client who has a suspected adrenal insufficiency. Which of the following medications should the nurse anticipate the provider using to determine the presence of adrenal insufficiency?

Cosyntropin

A nurse is caring for a client who has diabetes insipidus. Which of the following lab values should the nurse identify as reflecting a contraindication to receiving vasopressin to treat this disorder?

Creatinine clearance 50 ml/min

A nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following data in the client's record should the nurse identify as a contraindication to the use of this medication?

Current use of isosorbide to treat HF

A nurse is assessing a client who has AIDS and is taking zidovudine. Which of the following findings is the priority for the nurse to report to the provider?

Decreased Hgb

A nurse is caring for a client who has been taking metformin for 6 months. Which of the following findings should the nurse identify as an expected therapeutic effect of the medication?

Decreased blood glucose level

A nurse is caring for a client who is taking budesonide to treat Crohn's disease. Which of the following findings should indicate to the nurse that the treatment is effective?

Decreased inflammation

A nurse is administering brimonidine eye drops to a client with glaucoma. Which of the following ocular effects should the nurse expect?

Decreased intraocular pressure

A nurse is monitoring a client who is receiving lactulose for cirrhosis. Which of the following laboratory values related to this medication should indicate to the nurse that the treatment is effective?

Decreased serum ammonia

A nurse is providing teaching to a client with TB who has prescriptions for rifampin and ethambutol. Which of the following findings is an AE of these medications that the client should report to the provider?

Decreased visual acuity

A nurse is teaching a client who is premenopausal and has a prescription for a combination oral contraceptive. Which of the following findings should the nurse include as an AE of oral contraceptives?

Deep-vein thrombosis

A nurse is assisting with a client's laceration repair in which the provider will use both lidocaine and epinephrine. The nurse should inform the client that the epinephrine will perform which of the following actions?

Delay systemic absorption of the anesthetic properties of lidocaine

A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat a CV disorder. The client reports that the albuterol has been less effective. Which of the following factors should the nurse identify as a possible explanation for this change?

Detrimental inhibitory interaction

A nurse is reviewing the medical record of a client who is receiving hydrochlorothiazide. The nurse should expect to find an improvement in which of the following conditions as a result of this medication?

Diabetes insipidus

A nurse is caring for a client who is taking acarbose to treat type 2 diabetes. For which of the following AE of this medication should the nurse monitor the client?

Diarrhea

A nurse is providing discharge teaching to a client who is postoperative and has a new prescription for an oral opioid analgesic. Which of the following pieces of information should the nurse include as a rationale for increasing the client's daily intake of fiber?

Dietary fiber helps prevent constipation

A nurse is admitting a client who has atrial fibrillation with a HR of 155/min. The nurse should anticipate a prescription from the provider for which of the following medications?

Diltiazem

A nurse is caring for a client who has a. fibb and is scheduled for cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure?

Diltiazem

A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following AE?

Dizziness

A nurse is providing discharge teaching for a client who has a new prescription for metoprolol. Which of the following instructions should the nurse include?

Do not stop taking this medication abruptly Count your radial pulse daily Change positions slowly

A nurse is caring for a client who is taking selegiline. The nurse should monitor the client for which of the following AE of selegiline and notify the provider if it occurs?

Drowsiness

A nurse is administering oral hydroxyzine to a client. Which of the following AE should the nurse instruct the client to expect?

Dry mouth

A nurse is caring for a client who has asthma and advanced rheumatoid arthritis and deformity of the hands. The nurse should anticipate that the client will receive which of the following medication-delivery devices for the treatment of asthma?

Dry-powder inhaler (DPI)

A nurse is administering adenosine via IV bolus for a client who has developed paroxysmal atrial tachycardia. For which of the following findings should the nurse assess the client during the administration of adenosine?

Dyspnea

A nurse is caring for a male client who has been taking cimetidine for the treatment of a duodenal ulcer. Which of the following manifestations related to the medication should the nurse report to the provider?

Emesis that looks like coffee grounds

A nurse is caring for a client who is 12 hours postoperative following a total hip. Which of the following medications should the nurse anticipate administering to this clients to prevent DVT?

Enoxaparin

A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hr to treat a postoperative infection. Which of the following manifestations should the nurse monitor for as an AE of this medication?

Epistaxis

A nurse is caring for a client who has a vitamin K deficiency. Which of the following manifestations should the nurse expect?

Excessive bruising

A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following AE?

Fever

A nurse is caring for a client who is taking streptomycin. Which of the following medications increases the client's risk of developing ototoxicity when taken with streptomycin?

Furosemide

A nurse is performing a preoperative assessment of a client who is about to undergo an aneurysm clipping. The nurse should identify a risk for increased bleeding when the client reports taking which of the following dietary supplements?

Garlic

A nurse is preparing to administer the varicella vaccine to a 12-month-old infant. The nurse asks the infant's guardian if the infant has any allergies. Which of the following allergies if a contraindication to the infant receiving the vaccine.

Gelatin

A nurse is caring for a client who has a new prescription to treat levothyroxine. Which of the following findings should the nurse identify as an indication that the client requires intervention?

HR 106/min

A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication?

HR 51/min

A nurse is teaching a client who has chemotherapy-induced anemia and a prescription for epoetin alfa. The nurse should instruct the client to report which of the following findings as an AE of epoetin alfa?

HTN

A nurse is monitoring a client who has diabetes insipidus and was administered desmopressin. Which of the following findings should indicate to the nurse the client is experiencing an AE of this medication?

Headache

A nurse is reviewing the lab results of a client who is taking medication and notes that the client's blood tests show an elevated AST and ALT. The nurse should recognize that these findings are potential indications of which of the following conditions?

Hepatic toxicity

A nurse is reviewing the medical history of a client who has spasticity due to MS and a new prescription for tizanidine. Which of the following comorbidities increases the client's risk of AE while taking this medication?

Hepatitis

A nurse is reviewing the medical record of a client with rheumatoid arthritis who has a prescription for infliximab. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication?

Hepatitis B

A nurse in a provider's office is reviewing a client's medication history. The client asked the nurse if she should begin taking high doses of vitamins as she ages. Which of the following pieces of information should the nurse provide about high doses of vitamin supplements?

High doses of water-soluble vitamins can have AE

A nurse is reviewing the medical record of a client who has postmenopausal osteoporosis and a prescription for raloxifene. Which of the following findings in the client's medical record should the nurse identify as a contraindication to receiving this medication?

History of DVT

A nurse is caring for a client who has osteoporosis and has been taking a vitamin D supplement. The nurse notes that the client reports also taking a multivitamin daily. Which of the following findings should indicate to the nurse that the client might be experiencing vitamin D toxicity?

Hypercalcemia

A nurse is caring for a client with benign prostatic hyperplasia who has a new prescription for doxazosin. Which of the following manifestations should the nurse monitor for as an AE of doxazosin?

Hypotension

A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. For which of the following AE should the nurse monitor after giving this medication?

Hypotension

A nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication?

Hypotension Enalapril is an ACE inhibitor, can cause hypotension and postural hypotension

A nurse is teaching a group of nurses about the effects of a client receiving spinal anesthesia. Which of the following pieces of information should the nurse include in the teaching?

Hypotension is an adverse effect of spinal anesthesia

A nurse is reviewing the lab reports of a client who has been taking warfarin for afib. Which of the following results should the nurse report to the provider?

INR 5.5

A nurse is caring for a client who has HF and is prescribed dobutamine hydrochloride by continuous IV infusion. The nurse should identify which of the following is the therapeutic effect of this medication?

Improves cardiac output

A nurse is teaching a client who had kidney transplant surgery about immunosuppressive medications. Which of the following AE should the nurse include in the teaching?

Increased susceptibility to infection

A nurse is preparing a continuous IV infusion of erythromycin lactobionate for a client who has pertussis infection. Which of the following actions should the nurse take to minimize the risk of thrombophlebitis.

Infuse the medication slowly

A nurse is caring for a client who has a prescription for an oral contraceptive to prevent pregnancy. The nurse should identify that which of the following actions is the purpose of this medication?

Inhibition of ovulation

A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should highlight that which of the following conditions is a contraindication to this medication?

Intestinal obstruction

A nurse is reviewing the medical record for a client who has a migraine and a prescription for sumatriptan. Which of the following factors in the client's medical history should the nurse identify as a contraindication to receiving sumatriptan?

Ischemic heart disease

A nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine. The client states she is concerned because her father takes nifedipine for his angina pectoris. The nurse should explain that nifedipine works for clients who are pregnant through which of the following mechanisms?

It inhibits uterine contractions by blocking the entry of calcium into uterine cells.

A charge nurse is teaching a newly licensed nurse about a client who has severe allergy-related asthma and a new prescription for omalizumab. Which of the following pieces of information should the charge nurse include to describe the medications's mechanism of action?

It reduces the number of IgE molecules on mast cells

A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following AE of this medication?

Jaundice

A nurse is monitoring a client with pneumonia who has received penicillin G IM. Which of the following findings should the nurse plan to evaluate first?

Laryngeal edema

A nurse is reviewing lab values for a client who reports fatigue and cold intolerance. The client has an increased thyroid-stimulating hormone (TSH) and a decreased total T3 & T4. The nurse should anticipate a prescription for which of the following medications?

Levothyroxine

A nurse is reviewing the medication administration record of a client who has impaired swallowing. The nurse should crush the medication when administering which of the following prescriptions?

Levothyroxine 75 mcg PO qAM before breakfast

A nurse is teaching a client about the use of a dinoprostone vaginal insert pouch to stimulate labor. Which of the following statements should the nurse include in the teaching?

Lie on your back for at least 2 hours without getting up.

A nurse is reviewing the medical record of a client who has a prescription for a combination oral contraceptive. The nurse should identify that which of the following findings is a contraindication to receiving this medication?

Liver disease

A nurse is reviewing the MAR of a client who is receiving opioid medication for pain. Which of the following prescriptions should the nurse clarify with the provider?

Lorazepam

A nurse is assessing a client who has multidrug-resistant TB and takes ethambutol. The nurse should identify which of the following findings as an AE of this medication?

Loss of red-green color discrimination

A charge nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump. Which of the following actions by the newly licensed nurse requires intervention?

Maintaining the client on bedrest while the PCA pump is in use

A nurse is monitoring a client who is receiving terbutaline to suppress preterm labor. Which of the following findings should indicate to the nurse that the client is experiencing an AE of this medication?

Maternal HR >120/min

A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions?

Migraine headaches

A nurse is caring for a client who was recently diagnosed with Addison's disease and has been placed on long-term mineralocorticoid therapy with fludrocortisone. Which of the following pieces of information should the nurse provide when explaining the purpose of this therapy?

Mineralocorticoids maintain electrolyte and fluid balance

A nurse is reinforcing teaching with a newly licensed nurse about contraindications to vaccines. Which of the following examples should the nurse provide as a true contraindication for all vaccines?

Moderate illness without a fever

A nurse is assessing a client who is taking varenicline for smoking cessation. Which of the following findings is the nurse's priority?

Mood changes

A nurse is caring for a client who has a prescription for chlorothiazide to treat HTN. The nurse should plan to monitor for which of the following AE?

Muscle weakness

A nurse is caring for a client who has been in the PACU for more than 1 hr, has a respiratory rate of 9/min, and is difficult to arouse. The nurse should expect a prescription for which of the following medications?

Naloxone

A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications?

Naproxen

A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following AE?

Nephrotoxicity

A nurse is reviewing the lab results for a client who has a prescription for filgrastim. An increase in which of the following values indicates a therapeutic effect of this medication?

Neutrophil count

A nurse is caring for a client who reports crushing chest pain. The nurse reviews the client's ECG results and notes ST changes. Which of the following medications should the nurse administer?

Nitroglycerin

A nurse is caring for a client who has unstable angina. The nurse should anticipate a prescription from the provider for which of the following medications?

Nitroglycerine

A nurse is providing teaching to a client with asthma who has a new prescription for a short-acting beta-2 agonist (SABA) bronchodilator. Which of the following pieces of information should the nurse share?

Notify the provider if the SABA is needed more than 2x per week

A nurse is administering a prescription for nifedipine to a client who is pregnant. Which of the following pieces of information related to nifedipine should the nurse monitor and documenet?

Number of uterine contractions

A nurse is reviewing the medical record of a client who has been taking a vitamin D supplement. Which of the following findings from the client's record should the nurse identify as a risk factor for developing vitamin D deficiency?

Obesity

A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid therapy. The parent asks why her child has to inhale the medication instread of taking it orally. Which of the following pieces of information should the nurse provide to the parent?

Oral glucocorticoids are more likely to slow linear growth in children

A nurses is caring for a client who is taking a prescription for glucocorticoid adrenal replacement medication for the long-term treatment of Addison's disease. Which of the following findings indicates that the client is experiencing an AE of the medication?

Osteoporosis

A nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. Which of the following is the nurse's priority?

Paresthesia

A nurse is reviewing the medical record of a client who is scheduled for induction of labor and has a prescription for misoprostol. Which of the following conditions should the nurse identify as a contraindication to administering this medication?

Past cesarean delivery

A nurse is caring for a client who is taking glucocorticoids. The nurse should monitor the client for which of the following AE of the medication?

Peptic ulcer

A nurse is providing teaching to a client who has a new prescription for doxycycline. The nurse should instruct the client to monitor for which of the following AE?

Photosensitivity

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?

Piperacillin

A nurse is caring for a client who received spinal anesthesia 30 min ago. The client reports feeling dizzy, and the nurse notes that the client's blood pressure is 84/54 mmHg. Which of the following actions should the nurse take?

Place the client in the head-down position

A nurse is caring for a client Who has been receiving medication through a transdermal patch. The client is experiencing therapeutic benefits from the medication even though the medication in the patch is no longer active. The nurse should recognize that this is an example of which of the following?

Placebo effect

A nurse is teaching a client who has type 1 diabetes about a new subcutaneous insulin infusion pump. Which of the following pieces of information should the nurse include in the teaching?

Plan to use a type of short-duration insulin in the infusion pump

A nurse is monitoring the lab values of a male client who has leukemia and is receiving weekly chemotherapy with methotrexate via IV infusion. Which of the following lab values should the nurse report to the provider?

Platelets 78,000

A nurse is assigned to care for several clients who as postoperative. The client taking which of the following medications is at risk of delayed wound healing?

Prednisone to treat persistent arthritis exacerbations

A nurse is caring for a client at 39 weeks of gestation who has gestational hypertension. The client has a new prescription for misoprostol for cervical ripening and induction of labor. Which of the following findings in the client's medical history should the nurse identify as increasing the client's risk of complications due to the use of this medication?

Previous cesarean delivery

A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching?

Promotes RBC production

A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medications should the nurse identify as being contraindicated for this client?

Propranolol

A nurse is caring for a client who is at 6 weeks of gestation and has just received a diagnosis of hyperthyroidism. The nurse should anticipate a prescription from the provider for which of the following medications?

Propylthiouracil

A nurse is assessing a client who is receiving IV gentamycin 3x daily. Which of the following findings indicates that the client is experiencing an AE of this medication?

Proteinuria

A nurse in an acute care facility is preparing a reconciled list of medications for a client who is being discharged home. Which of the following actions should the nurse take?

Provide the client and the next care provider with a list of medications the client will take after discharge.

A nurse is preparing the administer an otic medication to an adult client. Which of the following actions should the nurse take?

Pull the pinna of the client's ear upward and outward

A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma. Which of the following assessments is the nurse's priority?

Pulmonary function

A nurse is preparing to administer medication to a client. The nurse should understand that which of the following abbreviations indicates the greatest frequency of medication administration?

QID

A nurse is providing teaching to the parents of a child who has a new prescription of lamotrigine for a seizure disorder. The nurse should instruct the parents that which of the following AE is the priority to report to the provider?

Rash

A nurse is reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of the following events should the nurse expect in the clients medical history?

Recent MI

A nurse is caring for a client who has TB and is taking rifampin. The nurse should monitor the client for which of the following AE of rifampin?

Red-tinged urine

A nurse is reviewing the lab values of a client who is receiving continuous IV heparin infusion and has an aPTT of 90 sec. Which of the following actions should the nurse prepare to take?

Reduce the infusion rate

A nurse is caring for a client who has cancer involving the lumbar vertebrae and has been prescribed gabapentin. Which of the following therapeutic effects should the nurse identify for the client when taking this medication?

Reduced cramping, aching, and burning neuropathic pain

A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects?

Reduces ammonia levels

A nurse is caring for a client with DKA who has a prescription for an IV infusion of insulin. The nurse should document that which of the following types of insulin was administered IV to treat DKA?

Regular insulin

A nurse is preparing to administer IV nitroprusside for a client who had an MI. Which of the following actions should the nurse take?

Regulate the infusion pump rate using the client's weight in the calculation

A nurse is educating a client with urethritis who has a new prescription of oral erythromycin. Which of the following statements should the nurse include in the teaching?

Report persistent diarrhea to the provider. Although GI disturbances are the most common AE of erythromycin, clients should report severe GI reactions to the provider. Erythromycin can cause superinfection of the bowel because it destroys some sensitive flora in the GI system.

A nurse is caring for a client who has RA and a new prescription for etanercept. Which of the following values should the nurse review prior to the administration of the medication?

Results of the last purified protein derivative (PPD) test

A nurse is caring for a client who has asthma and is prescribed a short-acting beta2 agonist. Which of the following should the nurse identify as the expected outcome of this medication?

Reverses bronchospasm

A nurse is teaching self-administration of NPH insulin to a client who has type 2 diabetes. Which of the following instructions should the nurse include?

Rotate injection sites within the same area

A nurse is preparing a Discharge teaching plan for a client who is scheduled to begin long term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan?

Schedule the medication on alternate days to decrease adverse effects.

A home health nurse is visiting an older adult client who has Alzheimer's. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3x per day, to the client for restlessness and anxiety over the past few days. For which of the following AE should the nurse assess the client?

Sedation

A nurse is reviewing lab reports for a client who has c. diff infection and is receiving vancomycin. Which of the following results should the nurse report to the provider before administering the next dose?

Serum creatinine 2.5 mg/dl

A nurse is caring for a female client who is experiencing menopause and has a prescription for estrogen along with progestin. The nurse should identify that the provider has prescribed these medications for which of the following reasons?

Short-term use to control urogenital atrophy

A nurse is assessing a client who is receiving a continuous morphine IV infusion and finds the client's respiratory rate has decreased from 20/min to 12/min. Which of the following actions should the nurse take?

Slow the rate of the infusion

A nurse is caring for a client who has cystic fibrosis and has a prescription for high-dose ibuprofen daily. The nurse should identify that which of the following is an expected outcome for the client receiving this medication?

Slowed progression of pulmonary damage

A nurse is caring for a school-aged child who has cystic fibrosis (CF) and has been using a corticosteroid inhaler for long-term treatment. Which of the following findings should the nurse identify as an AE of long-term use of this medication?

Small-stature for age

The nurse is caring for a client who has a levonorgestrel-releasing intrauterine device (IUD) in place for 1 year. Which of the following findings should indicate that the client is experiencing an AE?

Spotting between menses cycles

A nurse is teaching a client who has a new prescription for phenytoin. The nurse should inform the client that which of the following AE can occur with the abrupt withdrawal of phenytoin?

Status epilepticus

A nurse is providing teaching to a client who has a new prescription for sertraline. The client asks the nurse if he should continue to take St. John's wort for depression. Which of the following instructions should the nurse give the client?

Stop taking the herbal supplement while taking the medication.

A nurse is teaching a client who has type 2 diabetes about storing unopened vials of insulin. Which of the following pieces of information should the nurse include in the teaching?

Store the vials in the refigerator

A nurse manager is instructing a newly licensed nurse about the routes of medication administration. Which of the following routes involves medication absorption through the mucous membranes under the tongue?

Sublingual

A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following AE?

Superinfection

A nurse is assessing a client who began taking clozapine 3 weeks ago. Which of the following findings should the nurse report to the provider immediately?

Tachypnea and tachycardia

A nurse in a provider's office is providing teaching to a client with osteoporosis who has a new prescription for alendronate sodium. Which of the following pieces of information should the nurse include?

Take alendronate sodium with a full glass of water on an empty stomach

A nurse is teaching a client who has dyspepsia about prescribed antacids. Which of the following statements should the nurse include in the teaching?

Take antacids 1 hour apart from other medications

A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide daily to treat HTN. Which of the following instructions should the nurse include in the teaching?

Take hydrochlorothiazide in the morning

A nurse is teaching a client who is taking levothyroxine for hypothyroidism about a new prescription for a calcium supplement. Which of the following pieces of information should the nurse include in the teaching?

Take the calcium supplement 4 hour after taking the levothyroxine

A nurse is caring for a client who has a prescription for subdermal etonogestrel. The nurse should alert the provider about which of the following findings in the client's medical hx?

Takes St. John's wort

A nurse is reviewing the lab report for a client who is taking tobramycin and notes the peak blood level is 9.3 mcg/ml. Which of the following actions should the nurse take?

Tell the client that the medication seems to be appropriate

A nurse is evaluating a 20-month-old child who received a hepatitis A immunization 3 days ago. The parent reports that the child has exhibited a loss of appetite following the immunization. Which of the following actions should the nurse take?

Tell the parent that this reaction should only last for a couple of days

A nurse suspects that a client is having an allergic reaction to a medication. Which of the following factors should the nurse identify as increasing the likelihood of an allergic reaction to the medication?

The client has had previous exposure to the medication

A nurse is assessing a client who has cystic fibrosis. Which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement?

The client is having 1-2 bowel movements per day.

A nurse is preparing to administer an IM injection for a client. Which of the following factors should the nurse identify as a potential contraindication to administering the medication via the IM route?

The client is taking an anticoagulant.

A nurse is planning care for a female client who has severe IBS-D and a new prescription for alosetron. Which of the following interventions should the nurse include in the plan of care?

The client must sign an agreement with the provider before beginning alosetron.

A nurse is teaching a client with chronic asthma who has a new presciption for cromolyn. Which of the following instructions should the nurse include in the teaching?

The medication's therapeutic effects take up to several weeks to develop.

A nurse is reviewing a new prescription for fexofenadine for a 7-year old client who has seasonal allergies. Which of the following findings should the nurse clarify with the provider?

The prescription says to take standard tablets

A nurse is reviewing the medication hx of a client who has asthma. Which of the following medication combinations should the nurse identify as incompatible?

Theophylline and zileuton

A nurse is providing teaching to a client who has a prescription of ranitidine to treat gastric ulcer. Which of the following statements should the nurse include in the teaching?

This medication is less effective for people who smoke

A nurse is preparing to administer an IV injection to a client. For which of the following reasons should the nurse inject the medication slowly?

To reduce toxicity risk

A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following findings indicates the client is experiencing acute levothyroxine overdose?

Tremor

A nurse is assessing a client who takes oral theophylline for chronic bronchitis relief. The nurse should recognize that which of the following findings indicates toxicity to theophylline?

Tremors

A nurse is caring for a client who is experiencing a seizure while in bed. Which of the following actions should the nurse take?

Turn the client's head to the side

A nurse is caring for a client who is developing acute pulmonary edema and has a prescription for furosemide 40 mg IV bolus. The nurse should plan to administer the medication using which of the following methods?

Undiluted over 2 min

A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects?

Urinary health promotion

A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily. The client reports taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated?

Urine specific gravity 1.035

A nurse is teaching a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. The client asks the nurse why the provider prescribed an enteric-coated medication. Which of the following responses should the nurse give?

"Enteric-coated medications cause less gastric irritation"

A nurse is caring for a client who is pregnant and inquiring about alternative, non-pharmacological therapies for N/V of pregnancy (NVP). WHich of the following options should the nurse recommend?

"Ginger is effective in the treatment of N/V"

A nurse in a provider's office is assessing a client who has been taking feverfew. Which of the following statements by the client indicates a therapeutic effect of the supplement?

"I am having fewer migraine headaches since I started taking feverfew"

A nurse is teaching a female client who has a new prescription for misoprostol to treat PUD. Which of the following client statements should indicate to the nurse that the teaching was effective?

"I should avoid becoming pregnant while taking this medication."

A nurse is teaching a client who has a new prescription for sucralfate for a duodenal ulcer. Which of the following client statements indicates an understanding of the teaching?

"I should wait at least 30 minutes before taking this medication after I take an antacid."

A nurse is providing discharge teaching to a client who has been hospitalized for major depressive disorder and has a prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?

"I will move slowly when I stand up because amitriptyline can cause my BP to decrease."

A nurse is teaching a client who has persistent cancer pain about the AE of opioids. Which of the following statements should the nurse include in the teaching?

"Physical dependence is not the same as addiction."

A nurse is providing discharge teaching to a client who has a bacterial infection about AE of imipenem to report to the provider. Which of the following pieces of information should the nurse include?

"Seizures can occur with this medication."

A nurse is providing teaching for a client who has received a liver transplant and has a prescription to transition from cyclosporine to tacrolimus. Which of the following instructions should the nurse include in the teaching?

"Stop taking the cyclosporine for 24 hr and then begin taking the tacrolimus"

A nurse is administering a client's first dose of sucralfate. Which of the following explanations should the nurse provide about the action of sucralfate?

"Sucralfate forms a gel-like substance that protects ulcers"

A nurse is teaching a client who is starting patient-controlled analgesia (PCA) following a procedure. Which of the following client statements indicates an understanding of the teaching?

"This method works by keeping my opioid levels steady."

A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipate the onset of action of the insulin at which of the following times?

0745

A nurse has administered a medication to a client. Which of the following circumstances should the nurse identify as a medication error that resulted from a performance deficit by the nurse?

An IM injection was given instead of a subcutaneous injection.

A nurse is caring for a client who has COPD and has been taking fluticasone via inhaler for many years. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication?

Anorexia and weakness

A nurse is teaching a client who is using topical lidocaine about preventing systemic toxicity. Which of the following pieces of information should the nurse include about the application of topical lidocaine?

Apply topical lidocaine to affected areas that are intact

A nurse working in the ED is admitting a client who has a gastric ulcer and GI bleeding. Which of the following factors in the client's hx should the nurse report to the provider?

Arthritis treated with ibuprofen every 8 hours as needed.

A nurse in a provider's office is assessing a client who reports taking a dietary supplement to reduce hot flashes related to menopause. Which of the following supplements should the nurse expect the client to report taking?

Black cohosh

A nurse is caring for a client who has a prescription for a QT interval medication. Which of the following conditions should the nurse identify as an adverse effect of this medication?

Bradycardia

A nurse is caring for a client with Alzheimer's disease who has a new prescription for memantine. Which of the following laboratory results should the nurse identify as increasing the client's risk for decreased clearance of the medication?

Creatinine clearance 35ml/min

A nurse is preparing to administer raloxifene to a client. Which of the following conditions is a contraindication for the administration of this medication?

DVT

A nurse is caring for a client who is receiving continuous cardiac monitoring. Which of the following medications should the nurse anticipate administering to treat atrial fibrillation?

Diltiazem, a calcium channel blocker, is used to slow the ventricular rate in afib or flutter

A nurse is caring for a client who has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects of this medication.

Diuresis

A nurse is caring for a client who takes scheduled morphine for cancer pain. The client reports experiencing breakthrough pain. The nurse should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain?

Fentanyl

A nurse is caring for a female client who has been taking clomiphene to treat infertility. Which of the following findings should indicate to the nurse that the medication has been effective?

Follicular enlargement and conversion to corpus luteum after ovulation

A nurse is caring for a client who has hyperlipidemia and receiving simvastatin 40 mg PO daily. Which of the following items should the nurse remove from the client's breakfast tray before it is delivered to the room?

Grapefruit juice

A nurse is teaching a newly licensed nurse about caring for a client who is receiving PCA. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?

Having a second nurse check the PCA setting.

A nurse is preparing to administer dantrolene to a client who has muscle spasticity. Which of the following findings from the client's hx should the nurse identify as a contraindication of this medication.

Hx of cirrhosis

A nurse is caring for a client who is taking fludrocortisone. Which of the following findings indicates to the nurse that the client is experiencing an adverse effects of the medication?

Hypokalemia

A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem?

Hypotension

A nurse is assessing a client with rheumatoid arthritis who has been taking high doses of prescribed hydroxychloroquine. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect?

I have has a change in my vision recently

A nurse is teaching a client who has a new ezetimibe prescription for hyperlipidemia. Which os the following client statement should indicate to the nurse that the teaching was effective?

I should let my doctor know if I have yellowing of my eyes.

A nurse is caring for a client who is taking warfarin. WHich of the following lab values should the nurse recognize as an effective response to the medication?

INR 3.0

A nurse is preparing to administer meperidine to a client who is postoperative and reports a pain level of 8 out of 10. Which of the following routes of administration will deliver the medication with the shortest time of onset?

IV

A nurse is preparing to administer oxytocin to a client who is at 41 weeks gestation and is experiencing ineffective labor. Which of the following should the nurse plan to take?

Increase the dose of oxytocin to obtain uterine contractions that occur every 2-3 minutes

A nurse is assessing an infant during a routine check up. The parent asks the nurse about the infant immunization schedule. Which of the following responses should the nurse make?

It is recommended that your infant receives six immunizations at two months of age

A nurse is teaching a client about taking tetracycline PO. Which of the following statements should the nurse include in the teaching?

Limit your consumption of dairy products while taking this medication.

A nurse is working in a mental health facility is admitting a client with opioid use disorder who is experiencing withdrawal. The nurse should anticipate a prescription for which of the following medications from the provider?

Methadone

A nurse is caring for a client who takes a combination oral contraception (OC). WHich of the following findings should indicate to the nurse that the client is experiencing a deficiency of estrogen in the OC.

Mid-cycle breakthrough bleeding or spotting

A nurse is caring for a client who developed hypoglycemia following an insulin injection. The client is conscious and responds appropriately to verbal stimuli. Which of the following medications should the nurse plan to administer first?

Oral glucose tablet

A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor?

PTT, AST, ALT

A nurse is assessing a client who was recently admitted and has a hx of alcohol use disorder. The client displays ataxia, an altered LOC, and nystagmus. Which of the following medications should the nurse anticipate administering to the client?

Parenteral thiamine

A nurse is providing teaching to a female client who has a new prescription of pravastatin to treat hyperlipidemia. Which of the following pieces of information should the nurse include in the teaching?

Pravastatin can be taken with grapefruit juice

A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects?

Reye's syndrome

A nurse is caring for a client who has asthma and requires long-term treatment. The nurse should identify that which of the following medications used for long-term treatment places the client at an increased risk for asthma-related death?

Salmeterol

A nurse is caring for a client who has osteoporosis and is taking raloxifene. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication?

Sudden onset of dyspnea

A nurse is teaching a client about a new prescription for extended-release oxycodone for pain management. Which of the following statements should the nurse include in the teaching?

Swallow this medication whole.

A nurse is assessing an infant who is scheduled to receive the rotavirus vaccine. Which of the following criteria should the nurse identify as a potential contraindication for administering this vaccine?

The infant has a history of intussusception

A nurse is administering an enteric-coated tablet to a client and explaining the pharmaceutical preparation. Which of the following statements should the nurse make?

You are less likely to have an upset stomach with this pill because of the coating on the tablet. Enteric-coated preparations have an outside coating of a substance that dissolves in the intestines instead of in the stomach. This protects the medication from acids and enzymes in the stomach and protects the stomach from ingredients in the medication that can cause gastric upset.

A nurse is caring for a client who takes Ginkgo biloba daily at home. Which of the following effects should the nurse expect from the use of this herbal supplement?

decreased platelet aggregation

The nurse is assess a client who has been taking linezolid to treat a staphylococcus aureus infection. Which of the following findings should the nurse report to the provider?

paresthesias

A nurse is caring for a client with asthma who has been taking an inhaled glucocorticoid and long-acting beta2-agonist combination dry-powdered inhaler (DPI) for maintenance therapy. The nurse should identify that which of the following is a disadvantage of this medication?

restricted dosage flexibility

A nurse is caring for a client who is experiencing acute pain and is receiving morphine. Which of the following findings should indicate to the nurse the need to withhold the client's next dose of morphine?

the client's respiratory rate is 10/min

A nurse in a long-term care facility is administering medications to a group of older adult clients. Which of the following factors of pharmacokinetics should the nurse consider when caring for this age group?

the excretion of medication is reduced

A nurse in a community health clinic is assessing a new client who has prescriptions for isoniazid and rifampin. WHich of the following disorders should the nurse expect the client to have?

tuberculosis