ATI Pharmacology Proctored Exam latest version 100% accurate

ATI Pharmacology Proctored Exam 2021 latest version 100% accurate A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider (select all that apply) Correct Answer: Hemoglobin 7.0 g/dL Platelets 75000/mm3 Potassium 5.2 mEq/L Hemoglobin 7.0 g/dL is correct. A hemoglobin level of 7.0 g/dL indicates hydroxyurea toxicity, and the nurse should report it to the provider. Creatinine 1 mg/dL is incorrect. A creatinine level of 1 mg/dL is within the expected reference range. RBC 4.7 million/mm3 is incorrect. A RBC 4.7 million/mm3 is within the expected reference range. Platelets 75,000/mm3 is correct. A platelet level of 75,000/mm3 indicates hydroxyurea toxicity, and the nurse should report it to the provider. Potassium 5.2 mEq/L is correct. A potassium level of 5.2 mEq/L indicates tumor lysis syndrome, and the nurse should report it to the provider. A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect? Correct Answer: Miosis A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for the treatment of histoplasmosis. Which of the following findings should the nurse identify as an adverse reaction to the medication. Correct Answer: Oliguria A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory test should the nurse review before administering the medication? Correct Answer: Total Cholesterol A nurse is teaching about zolpidem with a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching? Correct Answer: "I will use this medication for a short period of time." A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching? Correct Answer: "I should let my dentist know I'm taking this medication." A nurse is caring for a client who reports lethargy and myalgia after taking clozapin for 6 months. Which of the following actions should the nurse plan to take? Correct Answer: Obtain WBC with absolute neutrophil count A nurse is providing discharge teaching about the handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information should the nurse include in the teaching? Correct Answer: Store unused medication sticks in a storage container A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first? Correct Answer: Discontinue the medication on IV infusion A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching? Correct Answer: "I know smoking makes ranitidine less effective." A nurse is teaching a client who is start taking diltiazem. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? Correct Answer: Shortness of breath A nurse is providing teaching to a client who has a prescription for a MAOI inhibitor. Which of the following foods should the nurse instruct the client to avoid while taking this medication. Correct Answer: Smoked Sausage A nurse is providing teaching to a client who is taking lisinopril. Which of the following findings is an adverse effect that the nurse should instruct the client to monitor and report to the provider? Correct Answer: Dry Cough A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider? Correct Answer: Chest Pressure A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The amount available is amoxicillin oral suspension 200 mg/5mL. How many mL should the nurse administer per dose? (round the answer to the nearest tenth. Use a leading zero if it applies. Do no use a trailing zero.) Correct Answer: 6.3mL A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. Which of the following findings should the nurse identify as an adverse effect on the medication? Correct Answer: Orthostatic hyptension A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication to receiving propranolol? Correct Answer: Asthma A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? Correct Answer: Administer the medication outside the 5-cm (2-in) radius of the umbilicus. A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care? Correct Answer: Place monitoring cords and tubes in a stockinet. A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should receive his first diptheria, tetanus, and pertussis vaccine (dTap). The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages. Correct Answer: 2 months A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicates that the medication is effective? Correct Answer: Increased cardiac output A nurse is providing teaching about insulin glargine to a client who has type 1 diabetes mellitus. Which of the following information should the nurse include in the instructions? Correct Answer: Do not mix this medication in a syringe with other insulin. A nurse is preparing to administer to a client 0.9% sodium chloride 1000 mL IV over 8 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? Correct Answer: 31 gtt/min A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? Correct Answer: A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (Select all that apply) A. Blood glucose levels will need to be monitored during therapy. B. Avoid contact with persons who have known infections. C. Take the medication 1 hour before a meal. D. Decrease intake of foods containing potassium. E. Grapefruit juice can increase the blood levels of the medication. Correct Answer: Blood glucose levels will be monitored during therapy is correct. The nurse should monitor the client for hyperglycemia while providing this medication to the client. Glucocorticoids, such as methylprednisolone, increase serum glucose levels and can require management with insulin or antihyperglycemics. Avoid contact with people who have known infections is correct. The nurse should instruct the client to avoid exposure to infectious agents, such as contact with those who have active infections or illnesses. Glucocorticoids, such as methylprednisolone, depress the immune system, placing the client at an increased risk for developing an infection. Take the medication 1 hr before breakfast is incorrect. The nurse should instruct the client to take the medication with food or milk to decrease gastrointestinal upset. Decrease dietary intake of foods containing potassium is incorrect. The nurse should instruct the client to increase dietary intake of potassium-rich foods while taking this medication. Glucocorticoids, such as methylprednisolone, deplete potassium in the body, which manifests as hypokalemia. Grapefruit juice can increase the effects of the medication is correct. The nurse should instruct the client that grapefruit and grapefruit juice can increase the level of methylprednisolone in the body.