Pharm ATI Set 2
A nurse who has a new prescription for aluminum hydroxide to treat heartburn. The nurse should instruct the client to monitor and report what adverse reaction?
Constipation (recommend increased fiber intake)
A nurse is caring for a client who has developed agranulocytosis as a result of taking propylthiouracil to treat hyperthyroidism. The nurse should understand that this client is at an increased risk for what?
Infection (agranulocytosis is a failure of the bone marrow making WBC's which is important in fighting off infection)
A nurse is preparing medication for a client when another client has emergency. What action should the nurse take?
Lock the medication in a room and finish preparing it after returning from the emergency
A nurse is caring for an older adult client who has rheumatoid arthritis and is taking aspirin 650 mg every 4 hours. What diagnostic tests should the nurse monitor to evaluate the effectiveness of the medication?
Erythrocyte sedimentation rate (ESR)--> want to see a decrease as the disease improves
A nurse is initiating an IV catheter for an older client in preparation for an outpatient procedure. What vein should the nurse select?
Median vein in the forearm (it avoids areas of flexion)
A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for which potential adverse effect of this medication?
Miosis (can cause visual disturbances)
A nurse is caring for a client who has chronic kidney disease and states she has heartburn. The provider prescribes aluminum hydroxide. The client asks, "Why can't I just take the antacid magaldrate my husband has at home?" The nurse should explain to the patient that aluminum hydroxide is preferred because it lowers what levels?
Serum phosphorus levels (aluminum based are a phosphate binder to help lower levels in pt's with CKD)