ATI- Pharm Flash

A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in the teaching?

"Drink a glass of milk with each dose of medication"

A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates understanding of the teachings?

"I will remove the patch after 14 hours"

A nurse is teaching about zolpidem with a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching?

"I will use this medication for a short period of time."

For a client who is using an inhaler. Which of the following instructions should the nurse include in the teaching?

"Rinse your mouth after inhaling the beclomethasone."

A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maitence IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first? A. Turn the client to a side-lying position. B. Disconnect the client's oxytocin from the maintenance IV. C. Apply oxygen to the client by face mask. D. Increase the client's maintenance IV infusion rate.

A. Turn the client to a side-lying position. The greatest risk to the fetus experiencing late decelerations is injury from uteroplacental insufficiency. Therefore, the priority action the nurse should take is to place the client in a lateral position.

A nurse administers a dose of metformin to a client instead of the prescribed does of metacloparmide. Which of the following actions should the nurse take first? A. Report the incident to the charge nurse. B. Notify the provider. C. Check the client's blood glucose. D. Fill out an incident report.

C. Check the client's blood glucose. The first action the nurse should take using the nursing process is to assess the client. The client is at risk for hypoglycemia. The nurse should monitor the client's blood glucose and provide the client with a snack to reduce the risk for hypoglycemia.

A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider?

Chest pressure

A nurse is receiving the lab results of a patient who is receiving continuous IV heparin for deep vein thrombosis (DVT). The nurse should discontinue the IV infusion for which of the following patient findings? A. Potassium 5.0 mEq/ L B. aPTT 2 times the control C. Hemoglobin 15 g/dL D. Platelets 96,000/mm3

D. Platelets 96,000/mm3 A platelet count of 96,000/mm3 is below the expected range of 150,000 to 400,000/mm3. A platelet count less than 100,000/mm3 while receiving heparin can indicate heparin-induced thrombocytopenia, a potentially fatal condition that requires stopping the infusion.

A nurse is providing teaching about insulin glargine to a client who has type I diabetes mellitus. Which of the following should the nurse include in the instructions

Do not mix this medication in a syringe with other insulins insulin glargine does not cause peaks instead it maintains a study blood level over a 24 hour period which reduces the risk of hypoglycemia

A nurse is providing discharge instruction to a client who it so self-administer insulin at home. Which of the following client statements should indicate to the nurse that the teaching is effective?

"I will store my unopened bottles of insulin in the refrigerator."

A nurse is caring for a client who has taken acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse have the client monitor for and report? A. Tingling of fingers B. Constipation C. Weight gain D. Oliguria

A. Tingling of fingers The nurse should instruct the client to report the adverse effect of paresthesia, a tingling sensation in the extremities, when taking acetazolamide.

A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information should the nurse include in the teaching?

Store unused medication sticks in a storage container

The nurse is instructing a client on the use of nitroglycerine transdermal patches. Which of the following statements indicates an understanding by your client? A. "I should apply a patch every 5 minutes if I develop chest pain." B. "I will take the patch off right after my evening meal." C. "I will leave the patch off at least 1 day each week." D. "I should discard the used patch by flushing it down the toilet."

B. "I will take the patch off right after my evening meal." nitroglycerine transdermal patches are worn 12-14 hours then removed Clients should remove the patch each evening for a medication free time of 12 to 14 hr before applying a new patch to avoid developing a tolerance to the medication's effects.

A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription of sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching? A. Decreases stomach acid secretion B. Neutralizes acids in the stomach C. Forms a protective barrier over ulcers D. Treats ulcers by eradicating H. pylori

C. Forms a protective barrier over ulcers Secretions by the parietal and chief cells, hydrochloric acid and pepsin, can further irritate the ulcerated areas. Sucralfate, a mucosal protectant, forms a gel-like substance that coats the ulcer, creating a barrier to hydrochloric acid and pepsin.

A nurse is assessing a clients vital signs prior to the administration of PO digoxin. The clients BP is 144/86 mmHg, HR is 55/min, and RR is 20/min. The nurse should hold the medication and call the provider for which of the following findings? A. Diastolic BP B. Systolic BP C. Heart rate D. Respiratory rate

C. Heart rate Digoxin slows the conduction rate through the SA and AV nodes, thereby decreasing the heart rate. The nurse should withhold the medication and notify the provider for a heart rate of 55/min because this is an early indication of digoxin toxicity.

A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering?

Flumazenil

A nurse is teaching a client who is to start taking temazepam. Which of the following instructions should the nurse include?

Plan to withdraw from the medication gradually

A nurse is caring for a client who is taking atenolol. Which of the following findings should indicate to the nurse that the medication is effective?

The client has a decrease in blood pressure

Nurse is caring for a client who is 24 hour post operative following abdominal surgery and has been taking morphine sulfate PRN for incisional pain the nurse should assess the client for which of the following adverse affects.

Urinary retention. morphine increases bladder sphincter and detrussor muscle tone as well as dulling the clients ability to perceive bladder fullness resulting in urinary retention

A nurse at an urgent care clinic is collecting a history for a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client states indicates a contraindication for administering this medication? A. "I have tendonitis, so I haven't been able to exercise." B. "I take a stool softener for chronic constipation." C. "I take medicine for my thyroid." D. "I am allergic to sulfa."

A. "I have tendonitis, so I haven't been able to exercise." The nurse should identify tendonitis as a contraindication for taking ciprofloxacin due to the risk of tendon rupture.

The nurse is preparing to administer heparin subcutaneously to a patient. Which of the following actions should the nurse plan to take? A. Administer the medication outside the 5-cm (2-in) radius of the umbilicus. B. Aspirate for blood return before injecting. C. Rub vigorously after the injection to promote absorption. D. Place a pressure dressing on the injection site to prevent bleeding.

A. Administer the medication outside the 5-cm (2-in) radius of the umbilicus. The nurse should administer the heparin by subcutaneous injection to the abdomen in an area that is above the iliac crest and at least 5 cm (2 in) away from the umbilicus.

A nurse is caring for a client who receives 0.9% sodium chloride 1L over 4 hours instead of over 8 hours as prescribed. Which of the following information should the nurse enter as a complete documentation of the client? A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notified. B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified. C. 1 L of 0.9% sodium chloride completed at 0900. Client denies shortness of breath. D. IV fluid initiated at 0500. Lungs clear to auscultation.

B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified. The nurse should document the type and amount of fluid, how long it took to infuse, provider notification, and the client's physical status.

A nurse is receiving a verbal order from a provider to administer morphine 5mg q4h subcutaneously for severe pain PRN. The nurse should identify which of the following entries as the correct format for medication administration record (MAR)? A. MSO4 5 mg subcut every 4 hr PRN severe pain B. Morphine 5 mg subcut every 4 hr PRN severe pain C. MSO4 5 mg SQ every 4 hr PRN severe pain D. Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain

B. Morphine 5 mg subcut every 4 hr PRN severe pain The nurse should identify this entry as the correct format for the MAR. The medication name is spelled out and there are not any abbreviations from The Joint Commission's "Do Not Use" list (SQ) included in the transcription.

A nurse is reviewing a ECG of a client who is receiving IV Furosamide for heart failure. The nurse should identify which of the following findings as a sign of hypokalemia? A. Tall, tented T-waves B. Presence of U-waves C. Widened QRS complex D. ST elevation

B. Presence of U-waves The nurse should identify the presence of U-waves as a manifestation of hypokalemia, an adverse effect of furosemide.

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

B. Tinnitus Aminoglycosides, such as gentamicin, are ototoxic, which can manifest as tinnitus and deafness. The nurse should monitor the client for high-pitched ringing in the ears and headaches and should notify the provider if these occur.

A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first?

Discontinue the medication IV infusion

A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the decussate sodium daily can minimize which of the following adverse effects of morphine? A. Constipation B. Drowsiness C. Facial flushing D. Itching

A. Constipation Constipation is a common adverse effect of morphine that can be minimized by taking docusate sodium, a stool softener that promotes easier evacuation of stool by increasing water and fat in the intestine.