ATI pharmacology B

a nurse is caring for a client who has developed hypomagnesmia d/t long term therapy with lansoprazole. the nurse should monitor the client for which of the following manifestations?

disorientation

a nurse is providing teaching to a client who has prescription for trimethroprim/sulfamethoxazole. which of the following instructions should the nurse include in the teaching

drink 8 to 10 glasses of water daily

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

drink a glass of milk with each dose of medication

a nurse administering donepezil to a client who has Alzheimer's disease. which of the following findings should the nurse report to the provider immediately?

dyspnea

a nurse is planning to administer IV midazolam for a client who is receiving moderate sedation. which of the following actions should the nurse plan to take?

expect the client to respond to simple commands

the nurse is planning teaching about the client's new medication Sumatriptan

feeling pressure in your chest or arm is expected fatigue relieves within 1 hour and a second dose can be taken at least 2 hours later if manifestations persist

a nurse is caring for a client who has heart failure and a prescription for enalapril. which of the following findings as an adverse effect of the medications should the nurse monitor the client for?

hyperkalemia

a nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hrs as prescribed. which of the following information should the nurse enter as a complete documentation of the incident

0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified

a nurse is caring for the parent of a newborn. the parent asks the nurse when their newborn should receive the first DTap vaccine. which of the following ages should the nurse advise the parent to immunize their newborn?

2 months

a nurse is reviewing the EMR for a client who is receiving heparin via continuous IV infusion for DVT. which of the following findings should the nurse identify as an adverse effect of heparin that requires notification of the provider?

general petechiae

a nurse is assessing a client's vital signs prior to the administer of PO digoxin. the nurse should withold the medication and contact the provider for which of the followin findings

heart rate

a nurse is planning care for a client who has hypertension and is to start taking metoprolol. which of the following interventions should the nurse include in the plan of care?

determine apical pulse prior to administration

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

Flumazenil

a nurse is collecting a medication hx from a client who has a new prescription for lithium. which of the following OTC medications should the nurse identify as needing to be discontinued by the client?

Ibuprofen

a nurse recieves a verbal order from the provider to administer morphine 5 mg every 4 hours subcut for severe pain as needed. the nurse should identify which of the following entries as the correct format for the MAR

Morphine 5 mg subcut every 4 hr PRN severe pain

a nurse in the ED is caring for client who has heroin toxicity. the client is unresponsive with pinpoint pupils and a RR of 6/min. which of the following medications should the nurse plan to administer

Naloxone

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 reviewing the assessment findings of a client who is taking cabamazepine for a seizure disorder. which of the following findings should the nurse report to the provider as an adverse effect of carbamazepine

a decreased WBC count

a nurse is caring for a client who has acute acetaminophen toxicity. which of the following medications should the nurse anticipate administering

acetylcysteine

a nurse is reviewing assessment findings for a client who has a new prescription for ceftazidime via intermittent IV bolus. which of the following findings should the nurse identify as a contraindication to this medication

allergy to cephalosporins

a nurse is teaching a client about warfarin. the client asks if they can take aspirin while taking the warfarin. which of the following responses should the nurse make?

aspirin will increase the risk of bleeding

a nurse is reviewing the medical record of a client who has hypertension. the nurse should identify which of the following findings as a contraindication for receiving propranolol?

asthma

a nurse is providing teaching to a client who has MS and a new prescription for methylprednisolone. which of the following instructions should the nurse include

blood glucose levels will be monitored during therapy avoid contact with people who have known infections grapefruit juice can increase the effects of the medication

a nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat pulmonary embolism. which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider

blood in the urine

a nurse is caring for a client who is refusing to take their scheduled morning furosemide. which of the following statements should the nurse make

by not taking your furosemide, you might retain fluid and develop swelling

nurse educate the client about potential adverse effects of bupropion

changes in libido, constipation, and weight loss

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

nurse is caring for a client in an outpatient clinic

client is at risk for developing hypomagnesiemia d/t longterm use of omeprazole

a nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. the nurse should identify that which of the following findings indicates a therapeutic response to the medication

client report of decreased paresthesia

Enoxaparin

client reports of headache, nausea and small pinpoint petechiae adverse reactions

a nurse is caring for a client who has cancer and is prescribed oral morphine and docusate sodium. which of the following adverse effects of morphine should the nurse instruct the client can be minimized by taking daily docusate sodium

constipation

a nurse is caring for a client who is taking atorvastatin for huyperlipidemia. which of the following client laboratory values should the nurse monitor

creatinine kinase

a nurse is administering baclofen to a client who has a spinal cord injury. which of the following findings should the nurse document as a therapeutic outcome

decrease in flexor and extensor spasticity

a nurse is teaching a client who is to start taking famotidine for peptic ulcer disease. which of the following client statements should the nurse identify as understanding of the teaching?

i know smoking makes famotidine less effective

a nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. which of the following client statements indicates an understanding of the teaching

i should tell my provider if i develop a sore throat

the nurse is providing teaching to a client about the use of ethinyl estradiol/nonrelgestromin. which of the following statements by the client indicates an understanding of the teaching

i will fold the sticky sides of the old patch together before disposing it

a nurse is assessing a client who is taking propylthiouracil for the treatment of Grave's disease. which of the following findings should the nurse identify as an indication that the medication has been effective?

increase in ability to focus

a nurse is providing teaching to a client who is taking bupropion for smoking cessation. which of the following findings should the nurse identify as an adverse effect of the medication?

insomnia

a nurse is assessing a client who is taking tamoxifen to treat breast cancer. which of the following findings is the priority for the nurse to report to the provider

leg tenderness

a nurse is assessing a client who has myasthenia gravis and is taking neostigmine. which of the following findings should indicate to the nurse that the client is experiencing an adverse effect?

miosis

a nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyper kalemia. which of the following actions should the nurse plan to take?

monitor the client for constipation

a nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. which of the following actions should the nurse plan to take?

obtain WBC with absolute neutrophil count

a nurse is providing teaching to a client who has a new prescription for ferrous sulfate. the nurse should instruct the client to take the medication with which of the following to promote absorption?

orange juice

a nurse is caring for a client who has diabetes mellitus and is taking glyburide. the client reports feeling confused and anxious. which of the following actions should the nurse take first

perform a capillary blood glucose test

a nurse is teaching a client who is scheduled for a colonoscopy and has a prescription for polyethylene glycolelectrolyte solution and bisacodyl. which of the following statements should the nurse make?

plan to drink 2 liters of the bowel cleanser solution

a nurse is developing a teaching plan for a client who has a new prescription for simvastatin. which of the following instructions should the nurse include in the teaching plan?

report muscle pain to the provider avoid taking medication with grapefruit juice expect therapy to be lifelong

a nurse at a clinic is providing follow up care for a client who is taking fluoxetine for depression. which of the following findings should the nurse identify as an adverse effect of the medication

sexual dysfunction

a nurse is administering digoxin immune Fab to a client following a medication error. which of the following findings should the nurse identify as an indication that the medication was effective?

sinus rhythm

a nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. which of the following information should the nurse include in the instructions

take one tablet at onset of migraine

a nurse administers ceftazidime to a client who has severe penicillin allergy. the nurse should identify which of the following client findings as an indication that they should complete an incident report

the client reports shortness of breath

a nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using midazolam. the nurse should monitor for which of the following findings as an indication that the client is ready for discharge?

the client's capnography has returned to baseline

a nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma. which of the following adverse effects should the nurse instruct the client to monitor for and report to the primary care provider

tingling of the fingers

a nurse on the acute care unit is caring for a client who is receiving gentamicin IV. which of the following findings should the nurse report to the provider as an adverse effect of the medication

tinnitus

Catopril

understanding of teaching: i should take acetaminophen instead of Ibuprofen i will notify my provider if i feel sick

a nurse is teaching a client who is starting to take amitriptyline. which of the following findings should the nurse include in the teaching as an adverse effect of the medication

urinary retention

Atorvastatin

urine characteristics muscle weakness dizziness

a nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. the client tells the nurse that they are allergic to penicillin. which of the following actions should the nurse take first

withhold the medication