ATI Pharmacology Proctor new
nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess?
• Decreased bowel soun
...
ATI Pharmacology Proctor new
nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess?
• Decreased bowel sounds • Distended neck veins
• Bilateral muscle weakness
• Thread pulse
• A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?
• Absent Chvostek’s sign • Improved cognition
• Decreased vomiting
• Cardiac arrhythmias absent
• A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include?
• “Discontinue the patch if you experience a headache.”
• “Apply a new patch if you have chest pain.”
• “Cover the patch with dry gauze when taking a shower.” • “Remove the patch prior to going to bed.”
• A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider?
• Creatinine 0.72 mg/dL
• Sodium 138 mEq/L
• Magnesium 2 mEq/L • Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level, so the PN should monitor the client's serum potassium level
• A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? • The client has a negative sputum culture
• The client tests negative for HIV
• The client has a positive purified protein derivative test
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• The client’s liver function test results are within the expected reference range
• A client is caring for a client who develops an anaphylactic reaction to IV administration. After assessing the client’s respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?
• Replace the infusion with 0.9% sodium chloride
• Give diphenhydramine IM
• Elevate the client’s legs and feet • Administer epinephrine IM
• A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? • St. John’s Wort
• Ginger root
• Black cohosh
• Coenzyme Q10
• A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects
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