Ati questions from site set 3
a nurse is reinforcing teaching with 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 reinforcing teaching with a client who has a uti and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching?
I should notify my provider immediately if my urine turns orange
a nurse is assisting with the care of a cleint who has been in the PACU for more than 1 hour. He has a respiratory rate of 9/min and is difficult to arouse. The nurse should expect a prescription for which of the following medications?
Naloxone
a nurse is caring for a client who reports diarrhea and abdominal cramps. The client tells the nurse, "I take a variety of vitamin supplements." The nurse should identify the client's manifestations as potential adverse effects of which of the following vitamin supplements?
ascorbic acid
a nurse is collecting data from a client who is to start taking bethanechol for urinary retention. Which of the following findings should the nurse identify as a contraindication for taking this medication?
blood pressure 112/70 mmHg
a nurse is caring for a client who is receiving IV famotidine. Which of the following adverse effects should the nurse report to the provider immediately?
bloody stools
a nurse is reinforcing discharge teaching with a client who has major depressive disorder and a new prescription for phenelzine. which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine?
broiled beef steak
a nurse discovers that a client received an incorrect dosage of a morning medication. Which of the following actions should the nurse take first?
collect data from the client to determine the client's condition
a nurse is caring for a client who takes sulfasalazine twice daily for RA. Which of the following values should the nurse review prior to the administration of the medication?
complete blood count
a nurse is reinforcing discharge teaching with a client who has a new prescription for cyclosporine following a kidney transplant. Which of the following client statements indicates an understanding of the teaching?
i should schedule an appointment with my dentist every 3 months
a nurse is reinforcing teaching with a client who has a new prescription for a fentanyl transdermal patch. Which of the following statements by the client indicates an understanding of the teaching?
i will have to stop drinking grapefruit juice while using the patch
a nurse is collecting data from a client who has a new diagnosis of fibromyalgia. Which of the following mediations should the nurse expect the provider to prescribe?
pregabalin
a nurse in an acute care facility is preparing a reconciled list of medications for a client who is being discharged home. Which of the following actions should the nurse take?
provide the client and the next care provider with a list of medications the client will take after discharge
a nurse in a provider's office is reinforcing teaching with a client who has hyperthyroidism and a new prescription for methimazole. Which of the following statements by the client indicates an understand of the teaching?
"I will stay away from crowds while taking this medication."
a nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the nurse that the medication has been effective?
"i have not had a bowel movement today"
a nurse is caring for a client who took an overdose of acetaminophen. Which of the following medications should the nurse plan to administer?
Acetylcysteine
a nurse is caring for a client who has a prescription for a QT interval medication. Which of the following conditions should the nurse identify as an adverse effect of this medication?
Bradycardia
a nurse is caring for a client who has a new diagnosis of RA. The nurse should anticipate a prescription from the provider for which of the following medications for daily management of this condition?
Celecoxib
a nurse is reinforcing teaching with a client who has atrial fibrillation and a new prescription for amiodarone. Which of the following items should the nurse instruct the client to avoid while taking this medication?
Grapefruit juice
a nurse is caring for a client who is taking fludrocortisone. Which of the following findings indicates to the nurse that the client is experiencing an adverse effect of the medication?
Hypokalemia
a nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. For which of the following adverse effects should the nurse monitor after giving this medication?
Hypotension
a nurse is caring for a client who has TB and is taking rifampin. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of the medication ?
I have noticed my urine is orange in color.
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements indicates that the client understands the instructions?
I'LL avoid contact sports like football
a nurse is reinforcing medication teaching to a client who has a new diagnosis of RA. Which of the following mediations in the therapy regimen will take weeks to months to be effective?
Methotrexate
a nurse is assisting with preparing IV nitroprusside for a client who had a myocardial infarction. Which of the following actions should the nurse take?
Obtain an infusion pump for the Rn to regulate the rate of infusion
a nurse is reinforcing teaching with a client who has a prescription for a transdermal estradiol patch. In which of the following locations should the nurse instruct the client to apply the patch?
abdomen
a nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider?
Aspirin EC 325 mg per NG tube daily
a nurse is caring for a client who has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects of this medication?
Diuresis
a nurse is caring for a client who has asthma and advanced RA and deformity of the hands. The nurse should anticipate that the client will receive which of the following medication-delivery devices for the treatment of asthma?
Dry-powder inhaler (DPI)
a nurse is caring for a client who has chronic renal failure and has developed anemia. which of the following medications should the nurse expect the provider to prescribe?
Erythropoietin
A nurse is caring for a client who takes scheduled morphine for cancer pain. The client reports experiencing breakthrough pain. The nurse should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain?
Fentanyl
a nurse is reviewing the medical history of a client who has spasticity due to multiple sclerosis and a new prescription for tizanidine. Which of the following comorbidities should the nurse identify as increasing the client's risk for adverse effects while taking this medication?
Hepatitis
a nurse is reinforcing 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 in a provider's office is collecting data from a client who reports dysmenorrhea. which of the following over-the-counter prescriptions should the nurse expect the provider to suggest
Naproxen
the nurse is assessing a client who has been taking linezolid to treat a Staphylococcus aureus infection. Which of the following findings should the nurse report to the provider?
Parasthesias
a nurse is reinforcing teaching with a client who has a persistent cancer pain about the adverse effects of opioids. Which of the following statements should the nurse include in the teaching?
Physical dependence is not the same as addiction
a nurse is reinforcing teaching with a client who has asthma and a prescription for a fluticasone dry powder inhaler (DPI). Which of the following instructions should the nurse include in the teachings
Rinse you mouth after administering this medication
a nurse is administering the first dose of sucralfate to a client. Which of the following explanations should the nurse provide about the action of sucralfate?
Sucralfate forms a gel-like substance that protects ulcers
a nurse is reinforcing teaching with a client who has TB and a prescription for isoniazid. Which of the following instructions should the nurse include?
Your provider will monitor your liver function while you are taking this medication
a nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer?
acetaminophen
a nurse is administering brimonidine eye drops to a client who has glaucoma. Which of the following ocular effects should the nurse expect?
decreased intraocular pressure
a nurse is collecting data from a client who has been on long-term inhaled glucocorticoid therapy with fluticasone for the control of asthma. Which of the following questions should the nurse ask the client to determine adverse effects of the medication?
have you experienced any bone fractures?
a nurse is caring for an 18-month old toddler who has Kawasaki disease (KD). The child is receiving intravenous immune globulin (IVIG). The guardian asks the nurse to administer the child's scheduled measles, mumps, and rubella (MMR) vaccine before discharge. Which of the following statements should the nurse provide?
your child will not beable to receive the MMR vaccine for at least 3 months after discharge.
a nurse is planning care for a client who is postoperative and scheduled to ambulate. At which of the following times should the nurse plan to administer PO morphine to the client for peak analgesic effect during the ambulation?
60 to 90 minutes prior to ambulation
a nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen PO. Which of the following pieces of information should the nurse include?
you should change positions slowly while taking the medication
a nurse is reinforcing teaching with a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?
arthralgia
a nurse is reinforcing teaching with a client who has a primary adrenal insufficiency (Addison's disease) and a prescription for hydrocortisone. Which of the following statements should the nurse include in the teaching about this medication?
carry a supply of pills and a single-use injectable preparation with you at all times
a nurse is reviewing the lab data of a client who has Alzheimer's disease and a new prescription for memantine. The nurse should verify that which of the following findings places the client at risk for decreased clearance of the medication?
creatinine clearance 35 ml/min
a nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. the nurse should plan to monitor the client for which of the following adverse effects?
dizziness
a nurse is administering oral hydroxyzine to a client. which of the following adverse effects should the nurse instruct the client to expect?
dry mouth
A nurse in a providers office is reinforcing teaching with a client who has an elevated prostate-specific antigen level and a new prescription for finasteride. which of the following statements by the client indicates an understanding of the teaching?
i will skip donating blood while i am taking this medication
a nurse is caring for a client who has heart failure and is prescribed dobutamine hydrochloride by continuous Iv infusion. The nurse should identify that which of the following is the therapeutic effect of this medication
improves cardiac output
a nurse is preparing to administer the influenza vaccine to a client. Which of the following allergies should the nurse identify as a contraindication to the client receiving this vaccine?
chicken eggs
a nurse is reinforcing teaching with a client who has a prescription for a combination oral contraceptive (OC) that uses a 28-day cycle. Which of the following instructions should the nurse include in the teaching?
you can miss up to 7 pills with little risk in getting pregnant as long as you have taken the pills regularly for the previous 3 weeks.
a nurse is collecting data from a client who has fibrosis. Which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement?
The client is having 1-2 bowel movements a day
a nurse is administering medications to 4 clients. Which of the following situations requires the completion of an incident report?
an extended release capsule was crushed before being given
a nurse is reinforcing teaching with a client who is scheduled to start taking hydrochlorothiazide for hypertension. the nurse instructs the client to eat foods that are rich in potassium. Which of the following statements by the client indicates an understanding of the teaching?
this medication can cause a loss of potassium
a nurse is reinforcing teaching with a client who has a prescription for ranitidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching?
this medication is less effective for people that smoke
a nurse is reinforcing discharge teaching with a client who has a new prescription for sildenafil to treat erectile dysfunction. Which of the following pieces of information should the nurse include?
this medication should not be taken more than once per day
a nurse is reinforcing teaching with a client who is stating patient-controlled analgesia (PCA) following a procedure. Which of the following client statements indicates an understanding of the teaching?
this method works by keeping my opioid levels steady
a nurse is collecting data from a client who takes oral theophylline to relieve chronic bronchitis. The nurse should recognize that which of the following findings indicates toxicity to theophylline?
tremors
a nurse is preparing to administer 10 units of insulin glargine and 4 units of NPH insulin subcutaneously to a client. Which of the following actions should the nurse plan to take?
use separate syringes for administering insulin glargine and NPH insulin
a nurse is reinforcing teaching with a client who has urethritis and a new prescription for oral erythromycin. Which of the following statements should the nurse include in the teaching?
"Report persistent diarrhea to the provider."
a nurse is reinforcing teaching with a female client who has a new prescription for misoprostol to treat peptic ulcer disease. Which of the following client statements should indicate to the nurse that the teaching was effective?
I should avoid becoming pregnant while taking this medication
a nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching?
Take hydrochlorothiazide in the morning
a nurse is reinforcing teaching with the guardian of an infant about the diphtheria, tetanus, and pertussis (DTaP) vaccine. Which of the following pieces of information should the nurse include in the teaching
The first immunization for DTaP in the series is given at 2 months.
a nurse is reviewing a new prescription for fexofenadine for a 7-year-old client who has seasonal allergies. Which of the following findings should the nurse clarify with the provider?
The prescription says to take standard tablets.
a nurse has administered a medication to a client. Which of the following circumstances should the nurse identify as a medication error that resulted from a performance deficit by the nurse?
an intramuscular injection was given instead of a subcutaneous injection.
a nurse is preparing to administer raloxifene to a client. Which of the following conditions is a contraindication for the administration of this medication?
deep-vein thrombosis
a nurse is monitoring a client who has asthma. takes albuterol, and recently started taking propranolol to treat a cardiovascular disorder. The client reports that the albuterol has been less effective. Which of the following factors should the nurse identify as a possible explanation for this change?
detrimental inhibitory interaction
a nurse in a provider's office is reviewing the medication history of a client. 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 reviewing the medication administration record of a client who has impaired swallowing. The nurse should crush the medication when administering which of the following prescriptions?
levothyroxine 75 mcg PO q AM before breakfast
a nurse is administering a medication to a client. The nurse should identify that which of the following medication distribution factors facilitates the effective passage of the medication across the client's cell membranes?
lipid solubility
a nurse is reviewing the medication administration record of a client who is receiving an opioid medication for pain. Which of the following prescriptions should the nurse identify as a contraindication to administering an opioid medication?
lorazepam
a nurse is collecting data from a client who has TB and a prescription for ethambutol. The nurse should inform the client that he is likely to develop which of the following alterations as an adverse effect of this medication?
loss of red/green color discrimination
a nurse is assisting with the care of a client who reports crushing chest pain. The nurse reviews the client's ECG results and notes ST changes. which of the following medications should the nurse administer?
nitroglycerin
a nurse is reviewing a new medication prescriptions for 4 clients. Which of the following prescriptions should the nurse verify with the provider?
ranitidine 300 mg PO, on call from surgery
a nurse is reinforcing teaching with a client who has RA and a prescription for long-term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects?
stress fractures
a nurse is collecting data from an infant during a routine checkup. The parent asks the nurse about the infant's immunization schedule. Which of the following responses should the nurse make?
it is recommended that your infant receives 6 immunizations at 2 months of age
a nurse is monitoring a client who is receiving terbutaline to suppress preterm labor. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of the medication?
maternal heart rate >120/min
a nurse is reinforcing teaching with the parents of a child who has a new prescription of 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 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 flexibilty
a nurse is reinforcing teaching with a client who has a new prescription for sertraline. The client asks the nurse if he should continue to take St. John's wort for depression. Which of the following instructions should the nurse give the client?
stop taking the herbal supplement while taking the medication
a nurse is reinforcing teaching with a client who is taking levothyroxine to treat hypothyroidism and has a new prescription for a calcium supplement. Which of the following pieces of information should the nurse include in the teaching?
take the calcium supplement 4 hours apart from taking the levothyroxine.
a nurse is reinforcing teaching with the guardian of a school-aged child about growth hormone therapy. Which of the following statements should the nurse include in the teaching?
the hormone injections are administered subcutaneously
a nurse is collecting data from an infant who is scheduled to receive the rotavirus vaccine. Which of the following criteria should the nurse identify as a potential contraindication for administering this vaccine?
the infant has a history of intussusception.
a nurse is caring for a client who is due to receive general anesthesia. The client asks the nurse, "what is the difference between an analgesic and anesthesia?" Which of the following statements should the nurse make?
Anesthesia can cause loss of consciousness
a nurse is caring for a male client who has been taking cimetidine for the treatment of a duodenal ulcer. Which of the following manifestations related to the medication should the nurse report to the provider?
emesis that looks like coffee grounds
a nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication?
hypotension
a nurse is assisting in teaching a group of nurses about the effects of a client receiving spinal anesthesia. Which of the following pieces of information should the nurse include in the teaching?
hypotension is an adverse effect of spinal anesthesia.
a nurse is collecting data for a client who has been taking theophylline. Which of the following reports by the client indicates a therapeutic response to the medication?
i have fewer asthma attacks
a nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin via a transdermal patch. Which of the following client statements indicates an understanding of the teaching?
i need to rotate the location of my patch every few days
a nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin sublingual tablets. Which of the following client statements indicates an understanding of the teaching?
i will sit down while i take this medication
a nurse is caring for a client who has a prescription for an oral contraceptive to prevent pregnancy. The nurse should identify that which of the following actions is the purpose of this medication?
inhibition of ovulation
a nurse is planning care for a client who has gout and a new prescription for allopurinol. Which of the following actions should the nurse plan to take?
instruct the client to increase fluid intake to 2 to 3 L daily
a nurse is caring for a client with type 1 diabetes mellitus who has a prescription to administer regular insulin subcutaneously. Which of the following insulin durations should the nurse identify for regular insulin?
short duration, slow acting
a nurse is reinforcing teaching with a client who received a liver transplant and has a prescription for transition from cyclosporine to tacrolimus. Which of the following instructions should the nurse include in the teaching?
stop taking the cyclosporine for 24 hours and then begin taking the tacrolimus
a nurse is caring for a client who is taking an agonist medication. The nurse should expect which of the following actions from this type of medication?
binds to receptors and mimics regulatory molecules
a nurse is assisting with the care of a client who has a myocardial infarction 2 hours ago and is receiving alteplase. which of the following findings should the nurse identify as an adverse effect of receiving this medication?
bleeding
a nurse is reinforcing teaching with a client who has a new prescription for alosetron. Which of the following client statements indicated an understanding of the teaching?
I should contact my provider immediately if I experience constipation
