VATI Pharmacological and Parenteral Therapies Quiz/Answered|rationales.

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VATI Pharmacological and Parenteral Therapies Quiz A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The health care provider prescribes atropine sulfate. Which of the following best ... describes the intended action of atropine for this client? Select one: b. To stimulate the SA node and sympathetic fibers to increase the rate. c. To dry oral and tracheobronchial secretions. d. To reduce peristalsis and urinary bladder tone. A client is prescribed digoxin 1mg by mouth QID. The client states that the objects in his room have a yellowish tinge and he is nauseated. Select the most appropriate nursing action at this time. Select one: a. Count the apical pulse; if it is regular and above 60, administer the drug as ordered. b. Administer the medication and observe the client for further nausea. d. Hold the medication and count the apical pulse before the next dose is to be given. A client diagnosed with preterm labor has been prescribed nifedipine. The client asks the nurse why this particular medication has been prescribed. Which of the following statements by the nurse is correct? Select one: a. To decrease the intensity of your pain c. To lower your blood pressure d. To promote development of your baby’s lungs A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis (DKA). An intravenous infusion of regular insulin has been started. Which of the following nursing interventions is most appropriate for this client? Select one: a. Monitor blood glucose levels every 4 hours c. Add the prescribed dose of NPH insulin to the IV infusion d. Obtain an arterial blood gas every 2 hours A nurse is evaluating a client’s understanding of lithium. Which statement by the client indicates a need for further education? Select one: b. “I will drink 8-12 glasses of water a day.” c. “I will contact my provider if I develop diarrhea.” d. “I should have my blood level drawn as directed.” A nurse is caring for a client taking captopril. Which finding would require immediate attention for this client? Select one: a. Sodium 133 c. Pulse 56 d. Blood pressure 96/48 A nurse is caring for a client taking captopril who has started experiencing a frequent dry cough. What action should the nurse take? Select one: a. Encourage the client to continue taking the medication as prescribed. b. Instruct the client to decrease the dosage of the medication. d. Encourage the client to use over the counter cough syrup for the cough. A nurse is caring for a client receiving total parenteral nutrition (TPN). Which of the following outcomes best demonstrates that TPN therapy is effective? Select one: a. The client’s urinary output increases by 800 mL per day. b. The client gains one kilogram per day. c. The client reports less frequent bowel movements. A client with Type 1 diabetes has the following values from the morning laboratory testing: fasting plasma glucose = 115 mg/dL and HgA1C = 7.5%. How would a nurse interpret these values with regard to the client’s glucose control? Select one: a. Short term values elevated, long term values elevated c. Short term values normal, long term values normal d. Short term values elevated, long-term values normal A nurse is reviewing the morning laboratory results while preparing to administer a client their dose of digoxin. Which result would the nurse need to report to the primary care provider? Select one: a. Digoxin level of 0.5 ng/ml b. Calcium level of 11mg/dl c. Sodium level of 133 mEq/l A nurse is monitoring client compliance with the diabetes mellitus treatment regimen. Which of the following values best indicates compliance with the regimen? Select one: a. Blood glucose level of 125 mg/dL c. Pre-meal glucose of 140 mg/dL d. Fasting blood glucose level of 127 mg/dL A nurse is caring for a client prescribed omeprazole. What information should the nurse provide to the client regarding administration of this medication? Select one: b. Take the medication after a meal twice daily. c. Take the medication at bedtime. d. You may crush the medication for easier swallowing. A client has an order for an IV of 1000 ml of lactated ringers with 20 mEq of potassium/L to infuse at 40 ml/hr. The drip factor is 15 drops/ml. The nurse calculates the flow rate to be: - gtt/min. Select one: a. 9 drops/min c. 11 drops/min d. 12 drops/min A nurse is to administer nitroglycerin to a client for the treatment of angina. Which of the following should the nurse first advise the client? Select one: a. Dizziness may occur. b. A headache may occur. d. To rise slowly A clinic nurse is preparing to administer a Penicillin IM injection to a client who has never taken the medication before. Which of the following interventions should be included in the plan of care? Select one: a. Ask the client if they are allergic to shell fish before administering. c. Instruct the client to expect a slight rash to develop at the injection site. d. Inject the client with a small test dose of Penicillin subcutaneously. A nurse is caring for a client with a history of rheumatoid arthritis who is receiving methotrexate. Which of the following should be included in client education? Select one: b. Daily monitoring of blood glucose is recommended c. Methotrexate can be administered during pregnancy d. Methotrexate will decrease the risk of developing cancer. A client is prescribed digoxin. Which of the following statements by the client indicates to the nurse the need for further teaching? Select one: a. “I will take my medication at the same time each day.” b. “I will check my pulse every day before taking my medication.” c. “I should eat bananas and drink orange juice when I am on this medication.” A client experiences postural hypotension during initial drug therapy with diltiazem. Which of the following would be most important for the nurse to recommend to this client? Select one: a. Lie down for 30 minutes after taking the medication. b. Drink additional oral fluids each day. c. Eat small, frequent meals during the day. A client ingested a full bottle of imipramine hydrochloride. Which of the following toxic effects is most important for the nurse monitor? Select one: a. Photophobia b. Blurred vision d. Hypertension The nurse is providing client education regarding the combined use of herbal supplements with prescribed medications. Which of the following statements indicates the client correctly understands the interaction of ginkgo biloba and warfarin? Select one: b. “The ginkgo and warfarin work together to help my memory.” c. “I should take the warfarin in the morning and the ginkgo at bedtime so that they do not interact.” d. “Ginkgo and warfarin should be taken at the same time during the day.” A client diagnosed with bipolar disorder and prescribed lithium carbonate is being discharged from the hospital. Which of the following medication prescriptions should the nurse should question? Select one: a. Captopril 25 mg by mouth twice per day b. Valproic acid 250 mg by mouth three times per day d. Ranitidine 150 mg by mouth daily A nurse notes the following prescription for a client with thrombophlebitis: Heparin sodium 25,000 units in 500 mL of D5W to infuse at 1,200 units/hour. What is the flow rate in mL per hour? Select one: a. 25 ml/hr b. 10 ml/hr c. 50 ml/hr A client with a recent myocardial infarction is prescribed digoxin. Which of the following findings indicate to the nurse that a therapeutic response to this medication has been attained? Select one: a. A decrease in urinary output. c. An increase in apical pulse rate. d. A rise in central venous pressure. During administration of vancomycin IV, the nurse notices the client's neck and face becoming flushed. Which of the following actions should the nurse take first? Select one: b. Obtain an order for an antihistamine. c. Check the client's temperature. d. Notify the health care provider. A client is prescribed lisinopril. Which of the following is most important for the nurse to assess before administering this medication to the client? Select one: a. Peripheral edema. b. Body temperature. d. Breath sounds. A client experiencing pain has been prescribed meperidine 30mg IM every three hours, as needed for pain. The vial available is merperidine 75mg/1 mL. How much merperidine should the nurse administer? Select one: b. 0.5 ml c. 2.5 ml d. 1.4 ml A nurse is caring for a client who is prescribed gentamicin sulfate. Which of the following side effects would indicate an adverse reaction to this medication? Select one: b. Fine tremors in the fingers and hands. c. Muscular cramping in the lower extremities. d. Pruritis in the forearms and upper arms. A client diagnosed with depression has been prescribed fluoxetine. Which of the following information should the nurse emphasize? Select one: a. Take the medication at bedtime c. Maintain an adequate fluid and sodium balance d. Avoid foods high in tyramine A client is prescribed phenytoin 5 mg/kg/day in 3 divided doses. The client weighs 36 lb. The drug is available at 50mg/mL. What is the total daily dosage in milliliters for this client? Select one: a. 7.8 mL b. 0.5 mL d. 2.6 mL A client in the behavioral health unit began taking fluoxetine 20 mg per day three days ago for depression. Which of the following should the nurse immediately report to the health care provider? Select one: a. Sexual dysfunction c. Weight gain d. Headache and nausea A nurse is providing discharge instructions for a client who is taking atenolol. Which instructions should the nurse give to the client to prevent postural hypotension? Select one: a. Lie down if dizziness or lightheadedness occurs b. Take the medication immediately after awakening c. Take the medication with plenty of fluids A nurse is to administer morphine sulfate 10 mg intramuscular (IM) to an adult client for post- operative pain. Which injection site is the most appropriate? Select one: a. Dorsogluteal c. Epidural d. Deltoid A client is prescribed linsinopril. Which of the following findings indicates to the nurse that the client is experiencing an adverse effect of this medication? Select one: a. Creatine kinase (CK) 120 units/L b. White blood cell count 10,000mm3 d. Fasting blood glucose 40 mg/dl A nurse is teaching a client with gout who is starting allopurinol. Which of the following should the nurse include in the client teaching? Select one: a. Sudden onset of muscle pain can result with initiation of this therapy. b. Do not take allopurinol within 2-3 weeks of an acute gout attack. d. Take allopurinol on an empty stomach. A client admitted with an acute exacerbation of asthma has been prescribed methylprednisolone sodium succinate IV. Which of the following findings should the nurse report to the provider immediately? Select one: a. Mild wheezing c. Increased hunger d. Blood glucose 120 mg/dL A client has been prescribed spironolactone for treatment of heart failure. Which statement made by the client would indicate a need for further teaching? Select one: a. “I will need to have routine labs drawn while taking this medication.“ b. “I will weigh myself daily and report any changes in weight.” c. “I should take my medication at the same time each day in the morning.” A nurse is administering mannitol to the client with increased intracranial pressure. What supplies are necessary when administering this medication? Select one: a. Alcohol wipe, syringe, 18 gauge needle c. Pill cup, glass of water, straw d. Pressure cuff, 1000mL bag of normal saline A client is a Jehovah’s Witness and is scheduled for an elective hysterectomy secondary to prolonged and heavy menses. Which medication would the nurse anticipate being ordered prior to surgery for this client? Select one: a. Retrovir b. Methylergonovine d. Interferon A client has been prescribed bupropion to assist with smoking cessation therapy. Which of the following findings would a nurse report to the health care provider immediately? Select one: b. Nausea and Vomiting c. Photosensitivity d. Dry mouth A nurse has just taught a client about the side effects of levodopa. Which client statement would indicate to the nurse that further instructions is needed? Select one: b. “I will administer the medication with food. [Show More]

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