ATI pharmacology dynamic quizzes

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 has rheumatoid arthritis and a new prescription for etanercept. which of the following values should the nurse review prior to the administration of the medication?

results of last purified protein derivative (PPD) test

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 providing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. the client is scheduled for a colonoscopy and is currently taking furosemide for hypertension. which of the following client statements should indicate to the nurse that the teaching has been effective?

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

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 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 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 blood pressure. do you think the provider made a mistake?" which of the following responses should the nurse make?

"Verapamil is used to treat both high blood pressure and angina."

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 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 has atrial fibrillation and is schedule for cardioversion. the nurse should anticipate a prescription from the provider for which of the following medications for this procedure?

Diltiazem

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 caring for a client who had a myocardial infarction 2 hours ago and is receiving alteplase. which of the following findings as an adverse effect of receiving this medication?

bleeding

a nurse in a provider's office is reviewing a client's medication history. the client asks the nurse if she should begin taking high-dose 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 adverse effects

a nurse is caring for a client who takes a combination oral contraceptive (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 assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. which of the following findings is the nurse's priority?

paresthesia

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

rash

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 providing teaching to a client who has a prescription for famotidine to treat a 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 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 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 caring for a client and realizes after administering the 0900 medications that she administering digoxin 0.25 mg PO to the client instead of the prescribed digoxin 0.125 mg PO. which of the following actions should the nurse take first?

assess the client's apical pulse

a nurse is completing the admission history for a client who reports drinking 1 pint of whiskey 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 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 adverse effect of epoetin alpha?

hypertension

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