ATI Practice 1
A nurse is caring for a client who has active pulmonary TB and is to be started on intravenous rifampin. The nurse should instruct the client that this medication can cause which of the following adverse effects?
Body sections turning a red orange color
A nurse is caring for a child who has asthma and a prescription fo montelukast granules. Which of the following instructions should the nurse provide the clients parent on administering the med?
Administer 2 hours before exercise
A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication, I am not constipated." The nurse should explain that in clients who have cirrhosis lactulose is used to decrease levels ofd which of the following components of the bloodstream?
Ammonia
A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool age child. Which of the following should the nurse plan to take.
Apply to intact skin Apply the medication an hour before the procedure begin Cleanse the skin prior to procedure Use visual pain rating scale to evaluate effectiveness
A nurse is caring for four clients. After administering morning medications she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following should the nurse take first?
Check the patients vitals
A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth?
Chew on sugarless gum, or suck on hard/sour candies
A nurse is preparing a client for surgery. Prior to administering the prescribed hydroxyzine, the nurse should explain to the client that the medication is fo which of the following indications. Select all that apply.
Controlling Emesis Diminishing Anxiety Reducing the amount of narcotics needed for pain relief Drying secretions
A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicate a therapeutic response to the medication.
Decrease in level of TSH
A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?
Rinse mouth after administration
A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports having discontinues the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of clients distress?
The client consumed alcohol while taking this medication.
Which of the following indicates the patient understanding regarding how to use an albuterol inhaler for asthma?
The client holds his breath for 10 seconds after inhalation
A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which instructions should the nurse provide?
The medication should be applied on a regular schedule for the rest of the patients life.
A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8hr. A peak and trough is required with the next dose. Which of the actions should the nurse take to obtain an accurate gentamicin serum level.
Draw a tough level immediately prior to administering the medication and a peak level 30 min after the dose
A nurse is completing a medical history fo a client who reports using OTC calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this med?
Drink a glass of water after taking the medication
A nurse is caring for a client who has cancer and a new prescription for ondasteron to treat chemotherapy induced nausea. For which of the following adverse effects should the nurse monitor?
Headache
A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?
Hypotension
A nurse is caring for a client who has bipolar and has been taking lithium for 1 year. Before administering the med the nurse should check to see that which of the following tests have been completed?
Thyroid hormone assay
A nurse is providing discharge teaching to a client who has asthma and a new prescription for cromolyn and albuterol both by nebulizer. Which of the following indicated the client understands the teaching?
I will be sure to take my albuterol before my comolyn.
A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation do levothyroxine overdose?
Insomnia
A nurse is teaching a client who has a prescription for colchicine to read gout. Which of the following should the nurse include?
Monito for muscle pain
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of medicine?
RBC, Hgb, Hct
A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide?
Take with orange juice to increase absorption
A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicates an understanding of the teaching?
Vomiting is an indication of toxicity
A nurse is caring for a client who has a DVT and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which statement should the nurse make?
Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level.
