NSG 376 ATI Exam 3

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?

Sedation

A nurse is providing a client who has peptic ulcer disease with instructions about managing his condition. Which of the following instructions should the nurse include? (Select all that apply.)

Seek measure to reduce stress Avoid smoking

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 for?

Seizures

A nurse is administering IV amphotericin B to a client who has a systemic fungal infection. The nurse should monitor which of the following laboratory values?

Serum Potassium Hematocrit Serum Creatinine

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?

Urinary Retention

A nurse is completing an assessment of a client's current medications. The client states she also takes gingko biloba. Which of the following medication is contraindicated for a client taking gingko biloba?

Warfarin

A nurse is taking a history for a client who reports that he is taking aspirin four time daily for a sprained wrist. Which of the following prescribed medications taken by the client is contraindicated with aspirin?

Warfarin

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?

Weight Gain

A nurse is planning to administer morphine IV to a client who is postoperative. Which of the following actions should the nurse take?

Withhold the medication if respiratory rate is less than 12/min.

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?

"It can take as long as 3 weeks before the medication takes a maximum effect."

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?

"Tremors are an adverse effect of this medication."

A nurse is admitting a toddler to the hospital after a acetaminophen overdose. Which of the following medication should the nurse anticipate administering to this client?

Acetylcysteine

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?

Adminiser albuterol inhaler prior to using the beclomethasone inhaler.

A nurse is assessing a client who has salicylism. Which of the following findings should the nurse expect? (Select all that apply.)

Dizziness Tinnitus Headache

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?

Nasal Congestion

A nurse in an emergency department is performing an admission assessment for a client who has severe aspirin toxicity. Which of the allowing finding should the nurse expect?

Respiratory depression

A nurse is providing instructions about the use of laxatives to a client who has heart failure. The nurse should tell the client he should avoid which of the following laxatives?

Sodium Phosphate

A nurse is teaching a client who has anemia and a new prescription for a liquid iron supplement. Which of the following information should the nurse include in the teaching? (Select all that apply.)

"Add foods that are high in fiber to your diet" "Rinse your mouth after taking the medication" "Expect stools to be green or black in color." "Add red meat to your diet"

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 including in the instruction?

"Expect this medication to smell like rotten eggs."

A nurse is teaching a client who has active tuberculosis about his treatment regimen. The client ask why he must take your different medication. Which of the following responses should the nurse make?

"Four medication, reduce the chance that the bacteria will become resistant."

A nurse is caring for a client who requests information on the use of feverfew. Which of the following responses should the nurse make?

"It can decrease the frequency of migraine headaches."

A nurse is providing information about probiotic supplements to a male client. Which of the following information should the nurse include? (Select all that apply.)

"Probiotics are micro-organisms that are normally found in the GI tract" "Probiotics are used to treat Clostridium difficile" "You can experience bloating while taking probiotic supplements."

A nurse is teaching a client who has a new prescription for beclomethasone . Which of the following instructions should the nurse include?

"Rinse your mouth after each use of this medication."

A nurse is providing instruction to a client who has a prescription for amoxicillin and clarithromycin to treat a peptic ulcer. Which of the following information should the nurse include in the teaching?

"Take these medication with food."

A nurse is teaching a client who has a new prescription for omeprazole for management of heartburn. Which of the following information should the nurse including the teaching?

"This medication decrease the production of gastric acid."

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?

"This medication will relieve your mother's constipation.'

A nurse is evaluating a group of clients at a health fair to identify the need for folic acid therapy. Which of the following clients require folic acid therapy? (Select all that apply.)

24-year-old female who has no health problems 55-year-old female who has alcohol use disorder

A nurse is caring for four clients who have peptic ulcer disease. The nurse should recognize misoprostol is contraindicated for which of the following clients?

A client who is pregnant

A nurse is teaching a client who is taking sucralfate PO for peptic ulcer disease has a new prescription for phenytoin to control seizures. Which of the following instructions should the nurse include?

Allow a 2-hour interval between these medication.

A nurse is reviewing the health history of a client who has migraine headaches and is to being prophylactic therapy with propranolol. Which of the following findings should the nurse report to the provider?

An ECG indicates a first-degree heart block

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?

Assess IV site for thrombophlebitis

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 to stop taking metronidazole and notify the provider?

Ataxia

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?

Butorphanol can cause abstinence syndrome in opioid-dependent clients.

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?

Dexamethasone

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 when administered concurrently with fentanyl?

Diazepam

A nurse is caring for a client who received prochlorperazine 4 hours ago. The client reports spasms of his face. The nurse should anticipate a prescription for which of the following medications?

Diphenhydramine

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.)

Dry Mouth Drowsiness Urinary Hesitation

A nurse is infusing IV amphotericin 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?

Fever

A nurse is planning to administer ondansetron IV for an older adult client who has a history of diabetes mellitus and cardiac myopathy and is receiving chemotherapy for cancer. For which of the following adverse effects of ondansetron should the nurse monitor? (Select all that apply.)

Headache Diarrhea Prolonged QT interval

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.)

Identify and avoid triggers Lie down in a dark quiet room Avoid food that contain tyramine

A nurse is teaching a client about a new prescription for celecoxib. Which of the following information should the nurse include in the teaching?

Increase the risk for a myocardial infarction

A nurse is preparing to administer potassium chloride IV to a client who has hypokalemia. Which of the following actions should the nurse take? (Select all that apply.)

Infuse medication through a large-bore needle Implement cardiac monitoring. Administer the infusion using an IV pump.

A nurse is caring for a client who has increased liver enzymes and is taking herbal supplements. Which of the following herbal supplement should the nurse report to the provider?

Kava

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?

Keep the client NPO until pharyngeal response returns

A nurse is caring for a client who has diabetes and is experiencing nausea due to gastroparesis. The nurse should anticipate a prescription for which of the following medication?

Metoclopramide

A nurse is planning cause for a client who has cancer and is taking 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.)

Monitor Serum Glucose Monitor Serum Potassium Monitor For Gastric Bleeding

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 these medications together? (Select all the apply.)

Need for reduced dosage of opioid Reduce adverse effects of the opioid Increase analgesic effects

A nurse is administering amitriptyline to a client who is experiencing cancer pain. For which of the following adverse effects should the nurse monitor?

Orthostatic Hypotension

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.)

Positive home pregnancy test Numbness and tingling in the fingers Muscle pain

A nurse is caring for a client who has diabetes mellitus, pulmonary tuberculosis and a new prescription for isoniazid. Which of the following supplement should the nurse expect to administer to prevent an adverse effect of INH?

Pyridoxine