ATI Pharm Midterm Exam
A nurse is admitting a toddler to the hospital after an acetaminophen overdose. Which of the following medications should the nurse anticipate administering to this client? A. Acetylcysteine B. Pegfilgrastim C. Misoprostol D. Naltrexone
A
A nurse is caring for a client who has subacute bacterial endocarditis and is receiving several antibiotics, including streptomycin IM. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? A. extremity paresthesias B. urinary retention C. severe constipation D. complex partial seizures
A
A nurse is caring for a client who received IV verapamil to treat supra-ventricular tachycardia (SVT). The client's pulse rate is now 98/min and his blood pressure is 74/44 mg Hg. The nurse should anticipate a prescription for which of the following IV medications? A. calcium gluconate B. sodium bicarbonate C. potassium chloride D. magnesium sulfate
A
A nurse is caring for a client who receives a local anesthetic of lidocaine during the repair of a skin laceration. For which of the following adverse reactions should the nurse monitor the client? A. seizures B. tachycardia C. hypertension D. fever
A
A nurse is planning care for a client who has brain cancer and is experiencing headaches. Which of the following adjuvant medications are indicated for this client? A. Dexamethasone B. Methylphenidate C. Hydroxyzine D. Amitriptyline
A
A nurse is planning care for a client who is to receive tetracaine prior to a bronchoscopy. Which of the following actions should the nurse include in the plan of care? A. keep the client NPO until pharyngeal response returns B. monitor the insertion site for a hematoma C. palpate the bladder to detect urinary retention D. maintain the client on bed rest for 12 hr following the procedure
A
A nurse is preparing to administer an opioid agonist to a client who has acute pain. Which of the following complications should the nurse monitor? A. urinary retention B. tachypnea C. hypertension D. irritating cough
A
A nurse is providing information to a client who has a new prescription for hydrochlorothiazide. Which of the following information should the nurse include? A. take the medication with food. B. plan to take the medication at bedtime C. expect increased swelling of the ankles D. fluid intake should be limited in the morning
A
A nurse is providing teaching to a client who is starting simvastatin. Which of the following information should the nurse include in the teaching? A. take this medication in the evening B. change position slowly when rising from a chair C. maintain a steady intake of green leafy vegetables D. consume no more than 1 L/day of fluid
A
A nurse is reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take? A. Obtain a blood specimen immediately prior to administering the next dose of medication. B. Verify that the client has been taking the medication for 24hr before obtaining a blood specimen. C. Ask the client to provide a urine specimen after the next dose of medication. D. Administer the medication and obtain a blood specimen 30 min later.
A
A nurse is reviewing the health record of a client who asks about using propranolol to treat hypertension. The nurse should recognize which of the following conditions is a contraindication for taking propranolol? A. asthma B. glaucoma C. hypertension D. tachycardia
A
A nurse is teaching a client about a new prescription for celecoxib. Which of the following information should the nurse include in the teaching? A. increases the risk for a myocardial infarction B. decreases the risk of stroke C. inhibits COX-1 D. increases platelet aggregation
A
A nurse is teaching a client who has a new prescription for beclomethasone. Which of the following instructions should the nurse include? A. "rinse your mouth after each use of this medication" B. "limit fluid intake while taking this medication" C. "increase your intake of vitamin B12 while taking this medication" D. "you can take the medication as needed"
A
A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include in the teaching? A. contact provider if heart rate is less than 60/min B. check pulse rate for 30 seconds and multiply by 2 C. increase intake of sodium D. take with food if nausea occurs
A
A nurse is teaching a client who has a new prescription for nitroglycerin transdermal patch for angina pectoris. Which of the following instructions should the nurse include? A. remove the patch each evening B. cut each patch in half if angina attacks are under control C. take off the nitroglycerin patch for 30 min if a headache occurs D. apply a new patch every 48 hr
A
A nurse is teaching a client who has a new prescription for verapamil to control hypertension. Which of the following instructions should the nurse include? A. increase the amount of dietary fiber in the diet B. drink grapefruit juice daily to increase vitamin C intake C. decrease the amount of calcium in the diet D. withhold food for 1 hr after the medication is taken
A
A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. weight gain B. nervousness C. bradycardia D. constipation
A
A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment. The nurse should include which of the following instructions? A. "remove the prior dose before applying a new dose" B. "rub the ointment directly into your skin until it is no longer visible" C. "cover the applied ointment with a clean gauze pad" D. "apply the ointment to the same skin area each time"
A
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? A. One B. Two C. Three D. Four
A
A 12 month old child just received the first measles, mumps, and rubella (MMR) vaccine. For which of the following possible reactions to this vaccine should the nurse teach the parents to monitor? (select all that apply) A. rash B. swollen glands C. bruising D. headache E. inconsolable crying
A B C
A nurse is caring for a client who has cancer and is taking morphine and carbamazepine for pain. Which of the following effects should the nurse monitor for when giving the medications together? (select all that apply) A. Need for reduced dosage of the opioid B. reduced adverse effects of the opioid C. increased analgesic effects D. enhanced CNS stimulation E. increased opioid tolerance
A B C
A nurse is preparing information for the unit's nurses about the effectiveness of antimicrobial therapy for clients who has bacterial infections. Which of the following host factors should the nurse include as conditions that affect antimicrobial effectiveness? (select all that apply) A. meningitis B. pacemaker C. endocarditis D. pneumonia E. pyelonephritis
A B C
A nurse is taking a medication history from a client who has angina and is to begin taking ranolazine. The nurse should report which of the following medications in the client's history that can interact with ranolazine? (select all that apply) A. digoxin B. simvastatin C. verapamil D. amlodipine E. nitroglycerin transdermal patch
A B C
A nurse is teaching a client who has a new prescription for nitrofurantoin. Which of the following information should the nurse include? (select all that apply) A. observe for bruising on the skin B. take the medication with milk or meals C. expect brown discoloration of urine D. crush the medication if it is difficult to swallow E. expect insomnia when taking it
A B C
A charge nurse is teaching a group of nurses about the important of prophylactic antimicrobial therapy. Which of the following information should the charge nurse include in the teaching? (select all that apply) A. administer prophylactic antimicrobial therapy to clients who report exposure to a sexually transmitted infection B. administer prophylactic antimicrobial therapy to clients who are having orthopedic surgery C. instruct clients who has a prosthetic heart valve about the need for prophylactic antimicrobial therapy before dental work D. consult the provider for prophylactic antimicrobial therapy for clients who have recurrent urinary tract infections E. instruct clients to request prophylactic antimicrobial therapy immediately when they have an upper respiratory infection
A B C D
A nurse in the post-anesthesia care unit is caring for a client who is experiencing malignant hyperthermia. Which of the following actions should the nurse take? (select all that apply) A. Place a cooling blanket on the client B. Administer oxygen at 100% C. administer iced 0.9% sodium chloride D. administer potassium chloride IV E. monitor core body temperature
A B C E
A nurse is caring for a client who is starting a course of gentamicin IV for a serious respiratory infection. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? (select all that apply) A. pruritus B. hematuria C. muscle weakness D. difficulty swallowing E. vertigo
A B C E
A nurse is teaching a female client who has a severe UTI about ciprofloxacin. Which of the following information about adverse reactions should the nurse include? (select all that apply) A. observe for pain and swelling of the Achilles tendon B. watch for a vaginal yeast infection C. expect excessive nighttime perspiration D. inspect the mouth for cottage cheese-like lesions E. take the medication with a diary product
A B D
A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (select all that apply) A. Maintain skill competency B. Determine the dosage C. Monitor for adverse effects D. Safeguard medications E. Identify the client's diagnosis
A C D
A nurse is planning care for a client who is receiving furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? (select all that apply) A. assess for tinnitus B. report urine output 50 mL/hr C. monitor serum potassium levels D. elevate the head of bed slowly before ambulation E. recommend eating a banana daily
A C D E
A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation digoxin toxicity? (select all that apply) A. fatigue B. constipation C. anorexia D. rash E. blurred vision
A C E
A nurse is assessing a client who has salicylism. Which of the following findings should the nurse expect? (select all that apply) A. dizziness B. diarrhea C. jaundice D. tinnitus E. headache
A D E
A nurse is caring for a client who takes several antiretroviral medications, including the NRTI zidovudine, to treat HIV infection. The nurse should monitor for which of the following adverse effects of zidovudine? (select all that apply) A. fatigue B. blurred vision C. ataxia D. hyperventilation E. vomiting
A D E
A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions of this medication? (select all that apply) A. dry mouth B. nonproductive cough C. skin rash D. drowsiness E. urinary hesitation
A D E
A nurse reviewing a client's medication history notes an allergy to sulfonamides. This allergy is a contraindication for taking which of the following medications? (select all that apply) A. hydrochlorothiazide B. metoprolol C. acetaminophen D. glipizide E. furosemide
A D E
A nurse is admitting a client and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment? (select all that apply) A. Use of herbal teas B. Daily fluid intake C. Current health status D. Previous surgical history E. Food allergies
A C E
A nurse is administering a dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication? A. lowered heart rate. B. increased urine output C. decreased conduction through the AV node D. vasoconstriction of renal blood vessels
B
A nurse is administering gentamicin by IV infusion at 0900. The medication will take 1 hr to infuse. When should the nurse plan to obtain a blood sample for a peak serum level of gentamicin? A. 1000 B. 1030 C. 1100 D. 1130
B
A nurse is caring for a client who has a new prescription for adalimumab for rheumatoid arthritis. Based on the route of administration of adalimumab, which of the following should the nurse plan to monitor? A. the vein for thrombophlebitis during IV administration B. the subcutaneous site for redness following injection C. the oral mucosa for ulceration after oral administration D. the skin for irritation following removal of transdermal patch
B
A nurse is caring for a client who has diabetes mellitus, pulmonary tuberculosis, and a new prescription for isoniazid. Which of the following supplements should the nurse expect to administer to prevent an adverse effect of INH? A. ascorbic acid B. pyridoxine C. folic acid D. cyanocobalamin
B
A nurse is caring for a client who states she has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following adverse effects of this medication? A. sedation B. nasal congestion C. productive cough D. constipation
B
A nurse is caring for a group of clients who are receiving antimicrobial therapy. Which of the following clients should the nurse plan to monitor for manifestations of antibiotic toxicity? A. an adolescent client who has a sinus infection B. an older adult client who has prostatitis C. a client who is postpartum and has mastitis D. a middle adult client who has a urinary tract infection
B
A nurse is caring for an older adult client who has a new prescription for digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for digoxin toxicity? A. phenytoin B. verapamil C. warfarin D. aluminum hydroxide
B
A nurse is caring for several clients who came tot he clinic for a seasonal influenza immunization. The nurse should identify that which of the following clients is a candidate to receive the vaccine via nasal spray rather than an injection? A. 1 year old who has no health problems B. 17 year old who has a hypersensitivity to penicillin C. 25 year old who is pregnant D. 52 year old who takes a multivitamin
B
A nurse is implementing a plan of care for a client who has a wound infection. Which of the following actions should the nurse perform first? A. administer antibiotic medication B. obtain a wound specimen for culture C. review WBC laboratory findings D. apply a dressing to the wound
B
A nurse is planning to administer ciprofloxacin IV to a client who has cystitis. Which of the following actions should the nurse take? A. administer a concentrated solution B. infuse the medication over 60 min C. infuse the solution through the primary IV fluid's tubing D. choose a small peripheral vein for administration
B
A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states that she took penicillin 3 years ago and developed a rash. Which of the following actions should the nurse take? A. Administer the prescribed dose B. Withhold the medication C. Ask the provider to change the prescription to an oral form D. Administer an oral antihistamine at the same time
B
A nurse is preparing to administer pamidronate to a client who has bone pain related to cancer. Which of the following precautions should the nurse take when administering pamidronate? A. inspect the skin for redness and irritation when changing the intradermal patch B. assess the IV site for thrombophlebitis frequently during administration C. instruct the client to sit upright or stand for 30 min following oral administration D. watch for manifestations of anaphylaxis for 20 min after IM administration
B
A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching? A. take the albuterol at the same time each day B. administer the albuterol inhaler prior to using the beclomethasone inhaler C. use beclomethasone if experiencing an acute episode D. avoid shaking the beclomethasone before use
B
A nurse is providing instructions to the parent of an adolescent client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include? A. "you can take this medication to abort an acute asthma attack" B. "tremors are an adverse effect of this medication" C. "prolonged use of this medication can cause hyperglycemia" D. "this medication can slow skeletal growth rate"
B
A nurse is reviewing the medication administration record for a client who is receiving transdermal fentanyl for severe pain. Which of the following medications should the nurse expect to cause an adverse effect when administered concurrently with fentanyl? A. ampicillin B. diazepam C. furosemide D. prednisone
B
A nurse is teaching a client about taking tetracycline to treat a GI infection due to Helicobacter pylori. Which of the following statement should the nurse identify as an indication that the client understands the instructions? A. "I will take this medication with 8 ounces of milk." B. "I will let my doctor know if I start having diarrhea." C. "I can stop taking medication when I fell completely well." D. "I can take this medication just before bedtime."
B
A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I should use the spray every 4 hours while I am awake" B. "It can take as long as 3 weeks before the medication takes a maximum effect." C. "This medication can also be used to treat motion sickness" D. "I can use this medication when my nasal passages are blocked"
B
A nurse is teaching a client who has active tuberculosis about his treatment regimen. The client asks why he must take four different medications. Which of the following responses should the nurse make? A. "four medications decrease the risk for a severe allergic reaction." B. "four medications reduce the chance that the bacteria will become resistant." C. "four medications reduce the risk for adverse reactions." D. "four medications decrease the chance of having a positive tuberculin skin test."
B
A nurse is teaching a client who has angina pectoris and is learning how to treat acute anginal attacks. The clients asks, "What is my next step if I take one tablet, wait 5 minutes, but still have anginal pain?" Which of the following responses should the nurse make? A. "take two more sublingual tablets at the same time" B. "call the emergency response team" C. "take a sustained-release nitroglycerin capsule" D. "wait another 5 minutes then take a second sublingual tablet"
B
A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetylcysteine. Which of the following information should the nurse include int he instructions? A. "expect this medication to suppress your cough" B. "expect this medication to smell like rotten eggs" C. "expect this medication to cause euphoria" D. "expect this medication to turn your urine orange"
B
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify as an indication that the newly licensed nurse understands the process? A. "A second nurse enters the prescription into the client's medical record." B. "Another nurse should listen to the phone call." C. "The provider can clarify the prescription when he signs the health record." D. "I should omit the 'read back' if this is a one-time prescription."
B
A nurse in an outpatient facility is preparing to administer nafcillin IM to an adult client who has an infection. Which of the following actions should the nurse plan to take? (select all that apply) A. select a 25 gauge, 1/2 inch needle for the injection B. administer the medication deeply into the ventrogluteal muscle C. ask the client about an allergy to penicillin before administering the medication D. monitor the client for 30 min following the injection E. tell the client to expect a temporary rash to develop following the injection
B C D
A nurse is planning care for a client who has cancer and is taking a glucocorticoid as an adjuvant medication for pain control. Which of the following interventions should the nurse include in the plan of care? (select all that apply) A. monitor for urinary retention B. monitor serum glucose C. monitor serum potassium level D. monitor for gastric bleeding E. monitor for respiratory depression
B C D
A nurse is preparing to administer medications to a 4-month-old infant. Which of the following pharmacokinetic principles should the nurse consider when administering medications to this client? (select all that apply) A. infants have a more rapid gastric emptying time B. infants have immature liver function C. infants' blood-brain barrier is poorly developed D. infants have an increased ability to absorb topical medications E. infants have an increased number of protein-binding sites
B C D
A nurse is providing teaching to a client who is experiencing migraine headaches. Which of the following instructions should the nurse provide? (select all that apply) A. take ergotamine as a prophylaxis to prevent a migraine headache B. identify and avoid trigger factors C. lie down in a dark quiet room at the onset of a migraine D. avoid foods that contain tyramine E. avoid exercise that can increase heart rate
B C D
A nurse is teaching a client who has a new prescription for Baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching? (select all that apply) A. "I will top taking this medication right away if I develop dizziness." B. "I know the doctor will gradually increase my dose of this medication for a while." C. "I should increase fiber to prevent constipation from this medication." D. "I won't be able to drink alcohol while I'm taking this medication." E. "I should take this medication on an empty stomach each morning."
B C D
A nurse is planning care for a client who has a new prescription for torsemide. The nurse should plan to monitor for which of the following adverse reactions of the medications? (select all that apply) A. respiratory acidosis B. hypokalemia C. hypotension D. ototoxicity E. ventricular dusrhythmias
B C D E
A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? (Select all that apply.) A. A client at 8 weeks of gestation who asks for an Influenza immunization B. A client who takes Prednisone and has a possible Fungal infection C. A client who has chronic liver disease and is taking Hydrocodone D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the nurse she has started taking OTC Aluminum Hydroxide E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected pregnancy
B C E
A nurse at a provider's office is preparing to administer RV, DTaP, Hib, PCV13, and IPV immunizations to a 4-month-old infant. Which of the following actions should the nurse plan to take? (select all that apply) A. Administer IPV orally B. administer subcutaneous injections in the anterolateral thigh C. administer IM injections in the deltoid muscle D. give the infant his pacifier during vaccine injections E. teach parents to give aspirin on a schedule for 24 hr after immunization
B D
A nurse is assessing a client who has taken procainamide to treat dysrhythmias for the last 12 months. The nurse should assess the client for which of the following adverse effects of this medication? (select all that apply) A. hypertension B. widened QRS complex C. narrowed QT interval D. easy bruising E. swollen joints
B D E
A nurse is caring for a client who has a new prescription for enfuvirtide to treat HIV infection. The nurse should monitor the client for which of the adverse reactions of this medication? (select all that apply) A. bleeding B. pneumonia C. cerebral edema D. localized erthema E. hypotension
B D E
A nurse is caring for a client who has a new prescription for niacin to reduce cholesterol. The nurse should monitor for which of the following findings as an adverse effect of niacin? (select all that apply) A. muscle aches B. hyperglycemia C. hearing loss D. flushing of the skin E. jaundice
B D E
A nurse is planning to administer a first dose of captopril to a client who has hypertension. Which of the following medications can intensify first dose hypotension? (select all that apply) A. simvastatin B. hydrochlorothiazide C. phenytoin D. clonidine E. aliskiren
B D E
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (select all that apply) A. Have the client lie on her side B. Ask the client to look up at the ceiling C. Tell the client to blink when the drops enter her eye D. Drop the medication into the center of the client's conjunctival sac E. Instruct the client to close her eye gently after instillation.
B D E
A nurse in a provider's office is monitoring serum electrolytes for four older adult clients who take digoxin. Which of the following electrolyte values increases a client's risk for digoxin toxicity? A. calcium 9.2 mg/dL B. calcium 10.3 mg/dL C. potassium 3.4 mEq/L D. potassium 4.8 mEq/L
C
A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at her first prenatal visit. Which of the following immunizations may the nurse administer safely to this client? A. varicella vaccine B. Rubella vaccine C. inactivated influenza vaccine D. measles vaccine
C
A nurse in an acute care facility is caring for a client who is receiving IV nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication? A. intestinal ileus B. neutropenia C. delirium D. hyperthermia
C
A nurse in the operating room is caring for a client who received a dose of succinylcholine. During the operation, the client suddenly develops rigidity, and his body temperature begins to rise. The nurse should anticipate a prescription for which of the following medications? A. Neostigmine B. Naloxone C. Dantrolene D. Vecuronium
C
A nurse is administering IV acyclovir to a client who has varicella. Which of the following actions should the nurse take? A. administer a stool softener B. decrease fluid intake following infusion C. infuse acyclovir over 1 hr D. monitor for hypotension
C
A nurse is assessing a client who is taking amiodarone to treat atrial fibrillation. Which of the following findings is a manifestation of amiodarone toxicity? A. light yellow urine B. report of tinnitus C. productive cough D. blue-gray skin discoloration
C
A nurse is caring for a client who has a cerebrospinal fluid infection with gram-negative bacteria. Which of the following cephalosporin antibiotics should the nurse expect to administer IV to treat this infection? A. cefaclor B. cefazolin C. cefepime D. cephalexin
C
A nurse is caring for a client who has a new prescription for captopril for hypertension. The nurse should monitor the client for which of the following adverse effects of this medication? A. hypokalemia B. hypernatremia C. neutropenia D. bradycardia
C
A nurse is caring for a client who has a prescription for bethanechol to treat urinary retention. The nurse should recognize that which of the following findings is a manifestation of muscarinic stimulation? A. dry mouth B. hypertension C. excessive perspiration D. fecal impaction
C
A nurse is caring for a client who has a urinary tract infection and a history of recurrence of this type of infection. The client asks why the provider has not yet prescribed an antibiotic. The nurse should explain that the provider has to wait for the results of which of the following laboratory tests to identify which antibiotic to prescribe? A. gram stain B. culture C. sensitivity D. specific gravity
C
A nurse is caring for a client who has end-stage cancer and is receiving morphine. The client's daughter asks why the provider prescribed methylnaltrexone. Which of the following responses should the nurse make? A. "the medication will increase your mother's respirations." B. "the medication will prevent dependence on the morphine." C. "the medication will relieve your mother's constipation." D. "the medication works with the morphine to increase pain relief."
C
A nurse is caring for a client who has increased intracranial pressure and is receiving mannitol. Which of the following findings should the nurse report to the provider? A. blood glucose 150 mg/dL B. urine output 40 mL/hr C. dyspnea D. bilateral equal pupil size
C
A nurse is caring for a client who is taking oral oxycodone. The client states he is also taking ibuprofen in three recommended doses daily. The nurse should identify that an interaction between these two medications will cause which of the following findings? A. a decrease in serum level of ibuprofen, possibly leading to a need for increased doses of this medication B. a decrease in serum levels of oxycodone, possibly leading to a need for increased doses of this medication C. an increase in the expected therapeutic effect of both medications D. an increase in expected adverse effects for both medications
C
A nurse is caring for a client who is undergoing preparation for extensive colorectal surgery. Which of the following oral antibiotics should the nurse expect to administer specifically to suppress normal flora in the GI tract? A. kanamycin B. gentamicin C. neomycin D. tobramycin
C
A nurse is collecting data from a client who is taking gemfibrozil. Which of the following assessment findings should the nurse identify as an adverse reaction to this medication? A. mental status changes B. tremor C. jaundice D. pneumonia
C
A nurse is completing a nursing history for a client who takes simvastatin. The nurse should identify which of the following disorders as a contraindication to adding ezetimibe to the client's medications? A. history of severe constipation B. history of hypertension C. active hepatitis C D. type 2 diabetes mellitus
C
A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I will clean the site wit an alcohol swab before I apply the patch." B. "I will rotate the application sites weekly." C. "I will apply the patch to an area of skin with no hair." D. "I will place the new patch on the site of the old patch."
C
A nurse is evaluating teaching for a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following statements by the client indicates understanding of the teaching? A. "i will be sure to return tot he clinic at least once a year to have my blood drawn while I'm taking methotrexate." B. "I will take this medication on an empty stomach." C. "I'll let the doctor know if I develop sores in my mouth while taking this medication." D. "I should stop taking oral contraceptives while I'm taking methotrexate."
C
A nurse is infusing IV amphotericin B to a client who has a systemic fungal infection. The nurse should monitor the client for which of the following adverse effects of this medication? A. hypoglycemia B. constipation C. fever D. hyperkalemia
C
A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider? A. serum sodium 144 mEq/L B. urine output 120 mL in 4 hr C. serum potassium 5.2 mEq/L D. blood pressure 140/90 mmHg
C
A nurse is obtaining a medication history from a client who is to receive imipenem-cilastatin IV to treat an infection. Which of the following medications the client also receives puts him at risk for a medication interaction? A. regular insulin B. furosemide C. valproic acid D. ferrous sulfate
C
A nurse is planning discharge teaching for a female client who has a new prescription for trimethoprim-sulfamethoxazole. Which of the following information should the nurse include? A. take the medication even if pregnant B. maintain a fluid restriction while taking it C. take it on an empty stomach D. stop taking it when manifestations subside
C
A nurse is planning to administer morphine IV to a client who is postoperative. Which of the following actions should the nurse take? A. monitor for seizures and confusion with repeated doses. B. protect the client's skin from the severe diarrhea that occurs with morphine C. Withhold this medication if respiratory rate is less than 12/min D. give morphine intermittent via IV bolus over 30 seconds or less
C
A nurse is preparing to administer cefotaxime IV to a client who has a sever infection and has been receiving cefotaxime for the past week. Which of the following fundings indicates a potentially serious adverse reaction to this medication that the nurse should report to the provider? A. diaphoresis B. epistaxis C. diarrhea D. alopecia
C
A nurse is preparing to administer penicillin V to a client who has a streptococcal infection. The client tells the nurse that she has difficulty swallowing tablets and doesn't "do well" with liquid or chewable medications because the taste gags her, even when the nurse mixes the medication with food. The nurse should request a prescription for which of the following medications? A. fosfomycin B. amoxicillin C. nafcillin D. cefaclor
C
A nurse is preparing to administer propranolol to a client who has a dysrhythmia. Which of the following actions should the nurse plan to take? A. hold propranolol for an apical pulse greater than 100/min B. administer propranolol to increase the client's blood pressure C. assist the client when she sits up or stands after taking this medication D. check for hypokalemia frequently due to the risk for propranolol toxicity
C
A nurse is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client? A. Cardiovascular B. Immune C. Central nervous D. Gastrointestinal
C
A nurse is taking a history for a client who reports that he is taking aspirin about four times daily for a sprained wrist. Which of the following prescribed medications taken by the client is contraindicated with aspirin? A. Digoxin B. Metformin C. Warfarin D. Nitroglycerin
C
A nurse is teaching a client who has a new prescription for combination oral NRTIs (abacavir, lamivudine, an zidovudine) for treatment of HIV. Which of the following statements should the nurse include? A. "these medications work by blocking HIV entry into cells." B. "these medications work by weakening the cell wall of the HIV virus" C. "these medications work by inhibiting enzymes to prevent HIV replication." D. "these medications work by preventing protein synthesis within the HIV cell"
C
A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. diarrhea B. anxiety C. sedation D. palpitations
C
A nurse is teaching a client who is beginning a course of metronidazole to treat an infection. For which of the following adverse effects should the nurse instruct the client as a priority to stop taking metronidazole and notify the provider? A. metallic taste B. nausea C. ataxia D. dark-colored urine
C
A nurse is teaching a client who is beginning highly active antiretroviral therapy (HAART) for HIV infection about ways to prevent medication resistance. Which of the following information should the nurse teach the client about resistance? A. taking low dosages of antiretroviral medication minimizes resistance B. taking one antiretroviral medication at a time minimizes resistance C. taking medication at the same times daily without missing doses minimizes resistance D. changing the medication regimen when adverse effects occur minimizes resistance
C
A nurse on a medical-surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness? A. reduced cardiac function B. first-pass effect C. reduced hepatic function D. increased gastric motility
C
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription? A. Single B. Stat C. Routine D. Standing
C
A nurse is administering IV amphotericin B to a client who has a systemic fungal infection. This nurse should monitor which of the following laboratory values? (select all that apply) A. serum albumin B. serum amylase C. serum potassium D. hematocrit E. serum creatinine
C D E
A nurse is providing teaching for a client who has gout and a new prescription for allopurinol. For which of the following adverse effects should the client be taught to monitor? (select all that apply) A. stomatitis B. insomnia C. nausea D. rash E. increased gout pain
C D E
A nurse is providing teaching to a client who has migraine headaches and a new prescription for ergotamine. For which of the following adverse effects should the nurse instruct the client to stop taking the medication and notify the provider? (select all that apply) A. nausea B. visual disturbances C. positive home pregnancy test D. numbness and tingling in fingers E. muscle pain
C D E
A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (select all that apply) A. Increased renal excretion B. Increased medication-metabolizing enzymes C. Liver failure D. Peripheral vascular disease E. Concurrent use of medication the same pathway metabolizes
C E
A nurse in an emergency department is performing an admission assessment for a client who has severe aspirin toxicity. Which of the following findings should the nurse expect? A. body temperature 35C (95F) B. lung crackles C. cool, dry skin D. respiratory depression
D
A nurse is administering amitriptyline to a client who is experiencing cancer pain. For which of the following adverse effects should the nurse monitor? A. decreased appetite B. explosive diarrhea C. decreased pulse rate D. orthostatic hypotension
D
A nurse is assessing a client who is taking digoxin to treat heart failure. Which of the following findings is a manifestations of digoxin toxicity? A. bruising B. report of metallic taste C. muscle pain D. report of anorexia
D
A nurse is caring for a client who has a new diagnosis of fibromyalgia. Which of the following medications should the nurse anticipate being prescribed for this client? A. colchicine B. hydroxychloroquine C. auranofin D. duloxetine
D
A nurse is caring for a client who is prescribed isosorbide mononitrate for chronic stable angina and develops reflex tachycardia. Which of the following medications should the nurse expect to administer? A. furosemide B. captopril C. ranolazine D. metoprolol
D
A nurse is caring for a client who is taking ritonavir, a protease inhibitor, to treat HIV infection. The nurse should monitor for which of the following adverse effects of this medication? A. increased TSH level B. decreased ALT level C. hypoglycemia D. hyperlipidemia
D
A nurse is caring for a group of clients who are not protected against varicella. The nurse should prepare to administer the varicella vaccine at this time to which of the following clients? A. 24 year old woman in the third trimester of pregnancy B. 12 year old child who has a severe allergy to neomycin C. 2 month old infant who has no health problems D. 32 year old man who has essential hypertension
D
A nurse is preparing to administer belimumab for a client who has systemic lupus erythematosus. Which of the following actions should the nurse plan to take? A. warm the medication to room temperature over 1 hr before administering B. administer the medication by IV bolus over 5 min C. dilute the medication in 5 % dextrose and water solution D. monitor the client for hypersensitivity reactions
D
A nurse is preparing to administer butorphanol to a client who has a history of substance use disorder. The nurse should identify which of the following information as true regarding butorphanol? A. butorphanol has a greater risk for abuse than morphine. B. butorphanol causes a higher incidence of respiratory depression than morphine C. butorphanol cannot be reversed with an opioid antagonist D. butorphanol can cause abstinence syndrome in opioid-dependent clients
D
A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. Which of the following statements should the nurse give? A. "Be sure to limit your potassium intake while taking the medication." B. "You should check you blood pressure every 8 hours while taking this medication." C. "Your medication dosage will be increased if you develop tachycardia." D. "Change positions slowly when you move from sitting to standing."
D
A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus PRN for nausea and vomiting for a client who has hyperemesis gravidarum. The nurse should clarify which of the following parts of the prescription with the provider? A. Name B. Dosage C. Route D. Frequency
D
A nurse is reviewing the health care record of a client who reports urinary incontinence and asks about a prescription for oxybutynin. The nurse should recognize that oxybutynin is contraindicated in the presence of which of the following conditions? A. Bursitis B. Sinusitis C. Depression D. Glaucoma
D
A nurse is reviewing the health history of a client who has migraine headaches and is to begin prophylaxis therapy with propranolol. Which of the following findings in the client history should the nurse report to the provider? A. the client had a prior myocardial infarction B. the client takes warfarin for atrial fibrillation C. the client takes an SSRI for depression D. an ECG indicates a first-degree heart block
D
A nurse is teaching a client who is taking digoxin and has a new prescription for colesevelam. Which of the following instructions should the nurse include in the teaching? A. "take digoxin with your morning dose of colesevelam" B. "your sodium and potassium levels will be monitored periodically while taking colesevelam" C. "watch for bleeding or bruising while taking colesevelam" D. "take colesevelam with food and at least one glass of water"
D
A nurse is teaching a group of new parents about immunizations. The nurse should instruct the parents that the series for which of the following vaccines is completed prior to the first birthday? A. pneumococcal conjugate vaccine B. meningococcal conjugate vaccine C. varicella vaccine D. rotavirus vaccine
D