ATI Pharm

A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hours to treat a postoperative infection. Which of the following manifestations should the nurse monitor for as an adverse effect of the medication? a. disorientation b. epistaxis c. constipation d. jaundice

B

A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following findings indicates that the client is experiencing acute levothyroxine overdose? a. bradycardia b. cold intolerance c. tremor d. hypothermia

C

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? a. acts with a partial agonist molecule to block receptors fully b. temporarily occupies receptors instead of other competitive molecules c. blocks receptors and prevents them from activating with a regulatory molecule d. binds to receptors and mimics regulatory molecules

D

A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. For which of the following adverse effects should the nurse monitor after giving this medication? a. hypotension b. myalgia c. diarrhea d. ototoxicity

A

A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 times per day, to the client for restlessness and anxiety over the past few days. For which of the following adverse effects should the nurse assess the client? a. low-grade fever b. sedation c. diuresis d. tonic-clonic seizures

B

A nurse is providing teaching to a client who has hypertension and a new prescription for oral clonidine. Which of the following instructions should the nurse include in the teaching? a. Discontinue the medication if a rash develops. b. Expect increased salivation during the first few weeks of therapy. c. Minimize fiber intake to prevent diarrhea d. Avoid driving until the client's reaction to the medication is known

D

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? a. this is the client's initial dose of the current prescription b. the client received a large dosage c. the route of administration was oral d. the client has had previous exposure to the medication

D

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. A client who is opioid-tolerant b. A client who has swallowing difficulty c. A client who has severe intermittent pain d. A client who is postoperative following abdominal surgery

A

A nurse is caring for a client who has multiple sclerosis and is receiving interferon beta-1a. The nurse should identify that which of the following client statements indicates a potential adverse effect of the medication? a. "my body aches all over." b. "I have abdominal cramping." c. "my hair seems to be thinning." d. "it hurts when I urinate."

A

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? a. amenorrhea b. weight gain c. depression d. acne

A

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? a. act as a catalyst for the anesthetic properties of lidocaine b. delay systemic absorption of the anesthetic properties of lidocaine c. open the blood vessels for rapid anesthesia from the lidocaine d. prevent medication toxicity during the procedure

B

A nurse is reviewing a new prescription for fexofenadine for a 7-yera old client who has seasonal allergies. Which of the following findings should the nurse clarify with the provider? a. the prescription says to avoid taking the medicine with OJ b. the prescription says to take standard tablets c. the prescription says to take 30 mg twice daily d. the prescription says to administer the medicine orally

B

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? a. "I feel a little drowsy with this medication." b. "I am now drinking much more water." c. "I have not had a bowel movement today." d. "I no longer feel chest tightness."

C

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? a. "You'll need to take this medication for the rest of your life to prevent recurrence." b. "Your provider will monitor your thyroid function while you are taking this medication." c. "You should take this medication on an empty stomach." d. "You should take this medication with an antacid."

C

A nurse is providing teaching to a client who has a prescription for ranitidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching? a. "This medication is more effective when taken on an empty stomach." b. "You should take this medication with an antacid for pain control." c. "This medication is less effective for people who smoke." d. "You should expect to experience dizziness when taking this medication."

C

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? a. "This medication should be used daily." b. "This medication should be applied externally." c. "This medication has fewer systemic effects than oral estrogen." d. "This medication can increase your risk of bone loss."

C

A nurse is providing discharge teaching to a client who has heart failure and a prescription for digoxin 0.125 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching? a. "I know that blurred vision is expected to happen while I'm taking digoxin." b. "I will measure my urine output each day and document it in my diary." c. "I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute." d. "I will eat fruits and veggies that have a high potassium content every day."

D

A nurse is providing teaching to a client who has a UTI and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates a need for further teaching? a. "If phenazopyridine upsets my stomach, I can take it with meals." b. Phenazopyridine will relieve my discomfort, but ciprofloxacin will get rid of the infection." c. "I need to drink 2 L of fluid per day while I am taking the ciprofloxacin." d. "I should notify my provider immediately if my urine turns and orange color."

D