ATI Pharmacology 2019 A

A nurse is providing teaching to a client who has peptc ulcer disease and is to start a new prescripton for sucralfate. Which of the following actons of sucralfate should the nurse include in the teaching? A. Decrease ...

A nurse is providing teaching to a client who has peptc ulcer disease and is to start a new prescripton for sucralfate. Which of the following actons of sucralfate should the nurse include in the teaching? A. Decreases stomach acid secreton B. Neutralizes acids in the stomach C. Forms a protectve barrier over ulcers D. Treats ulcers by eradicatng H. pylori A nurse is providing teaching for a client who has multple sclerosis and a new prescripton for methylprednisolone. Which of the following instructons should the nurse include? (SATA) A. Blood glucose levels will be monitored during therapy. B. Avoid contact with people who have known infectons. C. Take the medicaton 1 hr before breakfast. D. Decrease dietary intake of foods containing potassium. E. Grapefruit juice can increase the effects of this medicaton. A nurse is providing discharge teaching about handling medicaton to a client who is to contnue taking oral transmucosal fentanyl raspberry flavored lozenges on a stck. Which of the following informaton should the nurse include in the teaching? A. Chew on the medicaton stck to release the medicaton. B. Leave the medicaton stck in on locaton of the mouth untl melted. C. Allow the medicaton 1 hr for analgesia effects to begin. D. Store unused medicaton stcks in a storage container. A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identfy which of the following as an indicaton of hypokalemia? A. Tall, tented T-waves B. Presence of U-waves C. Widened QRS complex D. ST elevaton The nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that takin the docusate sodium daily can minimize which of the following adverse effects of morphine? A. Constpaton B. Drowsiness C. Facial flushing D. Itching A nurse is planning care for a client who is receiving mannitol via IV contnuous infusion. The nurse should monitor the client for which of the following adverse effects? A. Weight loss B. Increase intraocular pressure C. Auditory hallucinatonsD. Bibasilar crackles * A nurse is providing teaching to a client who has gastric ulcer and a new prescripton for ranitdine. Which of the following instructons should the nurse include? A. "Take the medicaton on an empty stomach for full effectveness." B. "You may discontnue this medicaton when stomach discomfort subsides." C. "Report yellowing of the skin." D. "Store the medicaton in the refrigerator." A nurse is assessing a client afer administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following medicatons should the nurse administer frst? A. Diphenhydramine B. ALbuterol inhaler C. Epinephrine D. Prednisone A nurse is planning care for a client who has hypertension and is to start taking metoprolol. Which of the following interventons should the nurse include in the plan of care? A. Weigh the client weekly B. Determine apical pulse prior to administering C. Administer the medicaton 30 min prior to breakfast. D. Monitor the client for jaundice A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs 44 lb. How many mg should the nurse administer per dose? 300 mg A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medicatons should the nurse antcipate administering? A. Ondansetron B. Magnesium sulfate C. Flumazenil D. Protamine sulfate A nurse is reviewing laboratory results for a client who is receiving heparin via contnuous IV infusion for DVT. The nurse should discontnue the medicaton infusion for which of the following client fndings? A. Potassium 5.0 B. aPTT 2x the control C. Hemoglobin 15 D. Platelets 96,000A nurse is reviewing the medicaton administraton record of a client who has hypocalcemia and a new prescripton for IV calcium gluconate. The nurse should identfy that which of the following medicatons can interact with calcium gluconate? A. Felodipine B. Guaifenesin C. Digoxin D. Regular insulin A Nurse administers a dose of metormin to a client instead of the prescribed dose of metoclopramide. Which of the following actons should the nurse take frst? A. Report the incident to the charge nurse B. Notfy the provider C. Check the client's blood glucose D. Fill out an incident report A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following informaton should the nurse include in the teaching? A. The medicaton should be taken 1 hr prior to eatng B. It takes 48 hr for therapeutc effects to occur. C. Tablets should not be crushed or chewed. D. Decreased respiratons might occur. A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medicatons should the nurse plan to administer? A. Methadone B. Naloxone C. Diazepam D. Bupropion A nurse is reviewing the medicaton list of a client who wants to begin taking oral contraceptves. The nurse should identfy that which of the following client medicatons will interfere with the effectveness of oral contraceptves? A. Carbamazepine B. Sumatriptan C. Atenolol D. Glipizide A nurse is assessing a client's vital signs prior to the administraton of PO digoxin. The client's BP is 144/86 mm Hg, heart rate 55/min, and respiratory rate is 20/min. The nurse should withhold the medicaton and contact the provider for which of the following fndings? A. Diastolic BP B. Systolic BPC. Heart Rate D. Respiratory Rate A nurse at a clinic is providing follow-up care to a client who is taking fluoxetne for depression. Which of the following fndings should the nurse identfy as an adverse effect of the medicaton? A. Tingling toes B. Sexual dysfuncton C. Absence of dreams D. Pica A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking the warfarin. Which of the following responses should the nurse make? A. "It is safe to take an enteric coated aspirin." B. "Aspirin will increase the risk of bleeding." C. "Acetaminophen may be substtuted for aspirin." D "The INR lab work must be monitored more frequently if aspirin is taken." A nurse is assessing a client who is postoperatve following an outpatent endoscopy procedure using midazolam. The nurse should monitor for which of the following fndings as an indicaton that the client is ready for discharge? A. The client's capnography has returned to baseline B. The client can respond to their name when called. C. The client is passing flatus. D. The client is requestng oral intake A nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn should receive the frst diptheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the parent that their newborn should receive the immunizaton at which of the following ages? A. At birth B. 2 months C. 6 months D. 15 months A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following informaton should the nurse enter as a complete documentaton of the incident? A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notfed B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notfed. C. 1 L of 0.9% sodium chloride completed at 09:00. Client denies shortness of breath. D. IV fluid initated at 05:00. Lungs clear to auscultaton.A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following fndings should the nurse identfy as an indicaton that the medicaton has been effectve? A. Decrease in WBC count B. Decrease in amount of tme sleeping. C. Increase in appette D. Increase in ability to focus A nurse is preparing to administer medicatons to a client who tells the nurse, "I don't want to take my fluid pill untl I get home today." Which of the following actons should the nurse take? A. Document the refusal and inform he client’s provider B. File an incident report with the risk manager C. Contact the pharmacist to pick up the medicaton D. Give the client the medicaton to take home and document it was administered A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following fndings should the nurse report to the provider immediately? A. Dyspepsia B. Diarrhea C. Dizziness D. Dyspnea A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect? A. Tachycardia B. Oliguria C. Xerostomia D. Miosis A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? A. "I will have increased saliva production." B. "I will continue taking the medication until the rash disappears." C. "I will taper off the medication before discontinuing it." D. "I will report any urinary incontinence." A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence which of the following symptoms should the nurse tell the client to expect. ( all that apply) Dry mouth Tinnitus Blurred vision Bradycardia Dry eyesA nurse is preparing to administer dextrose 5 in water 400ml iv to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtts/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? 100 A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Cough B. Joint pain C. Alopecia D. Insomnia A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should report which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome (NMS)? A. Temp of 39.7 C (103.5 F) B. Urinary retention C. HR 56/min D. Muscle flaccidity A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first? A. Turn the client to a side-lying position. B. Disconnect the client's oxytocin from the maintenance IV. C. Apply oxygen to the client by face mask. D. Increase the client's maintenance IV infusion rate. A nurse is teaching a group of unit nurses about medicaton reconciliaton. Which of the following informaton should the nurse include in the teaching? A. The client's provider is required to complete medicaton reconciliaton. B. Medicaton reconciliaton at discharge is limited to the medicaton ordered at the tme of discharge. C. A transiton in care requires the nurse to conduct medicaton reconciliaton. D. Medical reconciliaton is limited to the name of the medicatons that the client is currently taking. A nurse in an emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medicatons should the nurse plan to administer? A. Potassium iodide B. Glucagon C. Atropine D. ProtamineA nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following fndings to the provider as an adverse effect of the medicaton? A. Constpaton B. Tinnitus C. Hypoglycemia D. Joint Pain A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching? A. Hot flashes B. Urinary retenton C. Constpaton D. Bradycardia A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? A. Minimize diaphoresis B. Maintain abstnence C. Lessen craving D. Prevent delirium tremens A nurse in an urgent care clinic is collectng data from a female client who has a urinary tract infecton. The nurse antcipates a prescripton for ciprofloxacin. The nurse should identfy that which of the following client statements indicates a contraindicaton for administering this medicaton? A. "I have tendonits, so I haven't been able to exercise." B. "I take a stool sofener for chronic constpaton." C. "I take medicine for my thyroid." D. "I am allergic to sulfa." A nurse is collectng a medicaton history from a client who has a new prescripton for lithium. The nurse should identfy that the client should discontnue which of the following over-thecounter medicatons? A. Aspirin B. Ibuprofen C. Ranttnde D. Bisacodyl A nurse is preparing to administer a scheduled antbiotc at 0800 to a client and discovers the antbiotc is not present in the client's medicaton drawer. The nurse should identfy that administraton of the medicaton can occur at which of the following tme periods without requiring an incident report? A. 1000B. 0900 C. 0830 D. 1200 A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identfy which of the following statements as an indicaton that the client understands the teaching? A. I will drink a glass of milk when I take the risedronate B. I will take the risedronate 15 minutes afer my evening meal C. I should take an antacid with the risedronate to avoid nausea D. I should sit up for 30 min afer taking the risedronate * A nurse is caring for a client who is receiving heparin therapy via contnuous IV infusion to treat a pulmonary embolism. Which of the following fndings should the nurse identfy as an adverse effect of the medicaton and report to the provider? A. Vomitng B. Blood in the urine C. Positve Chvostek's sign D. Ringing in the ears A nurse is developing a teaching plan for a client who has a new prescripton for simvastatn. Which of the following instructons should the nurse include in the teaching plan (SATA)? Report muscle pain to the provider Avoid taking the medicaton with grapefruit juice Take the medicaton in the morning Expect a flushing of the skin as a reacton to the medicaton Expect therapy with this medicaton to be lifelong A nurse is caring for a 20-year-old female client who has a prescripton for isotretnoin for severe nodulocystc acne vulgaris. Before the client can obtain a refll, the nurse should advice the client that which of the following tests is required? Serum calcium Pregnancy test 24 hr urine collecton for protein Aspartate aminotransferase level A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor? Muscle weakness Sedaton Tinnitus Peripheral edemaA nurse is providing teaching to a client who has a prescripton for ergotamine sublingual to treat migraine headaches. Which of the following informaton should the nurse include in her instructons? A. Take one tablet three tmes a day before meals. B. Take one tablet at onset of migraine. C. Take up to eight tablets as needed within a 24-hour period. D. Take one tablet every 15 minutes untl migraine subsides. A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actons should the nurse plan to take? A. Administer the medicaton outside the 5-cm (2 in) radius of the umbilicus B. Aspirate for blood return before injectng C. Rub vigorously afer the injecton to promote absorpton D. Place a pressure dressing on the injecton site to prevent bleeding A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? Tingling of fngers Constpaton Weight gain Oliguria A nurse is preparing to administer medicaton to a client who has gout. The nurse discovers that an error was made during the previous shif and the client received atenolol instead of allopurinol. Which of the following actons should the nurse take frst? Obtain the client’s BP Contact the client’s provider Inform the charge nurse Complete an incident report A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia. Which of the following actons should the nurse plan to take? A. Hold the client's other oral medicatons for 8 hr post administraton B. Inform the client that this medicaton can turn stool a light tan color C. Keep the client's soluton in the refrigerator for up to 72 hr. D. Monitor the client for constpaton A nurse is planning to teach about the use of a spacer to a child who has a new prescripton for a flutcasone inhaler to treat chronic asthma. The nurse should include that the spacer decreases the risk for which of the following adverse effects of the medicaton? A. Oral candidiasis B. HeadacheC. Joint pain D. Adrenal suppression A nurse is reviewing the lab results of a client who is taking digoxin for heart failure. Which of the following results should the nurse report to the provider? A. Calcium level 9.2 mg/dL B. Magnesium level 1.6 mEq/L C. Digoxin level 1.1 ng/mL D. Potassium level 2.8 mEq/L * A nurse receives a verbal order from the provider to administer morphine fve milligrams every 4 hours subcutaneously for severe pain as needed. The nurse should identfy which of the following entries as the correct format for the medicaton administraton record (MAR)? A. MSO4 5mg subcut every 4hr PRN severe pain B. Morphine 5 mg subcut every 4 hr. PRN severe pain C. MSO4 5mg SQ every 4 hr PRN severe pain D. Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain. A nurse is providing discharge instructons to a client who has heart failure and a new prescripton for captopril. Which of the following client statements indicates an understanding of the teaching? A. I should take the medicaton with food. B. I should take naproxen if I develop joint pain. C. I should tell my provider if I develop a sore throat. D. I should expect the medicaton to cause my urine to look orange. A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should antcipate administering which of the following medicatons? A. Vitamin K B. Acetylcysteine C. Benztropine D. Physostgmine A nurse is assessing a client 1 hr afer administering morphine for pain. The nurse should identfy which of the following fndings as the best indicaton that the morphine has been effectve? A. The client's vital signs are within normal limits. B. The client has not requested additonal medicaton. C. The client is restng comfortably with eyes closed. D. The client rates the pain at a 3 on a scale from 0 to 10. A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructons should the nurse include in the teaching?A. "Take beclomethasone to avoid an acute atack." B. "Use beclomethasone 5 min before using albuterol." C. "Limit your calcium and vitamin D intake when taking beclomethasone." D. "Rinse your mouth afer inhaling the beclomethasone." A nurse is caring for a client who is receiving flgrastm. Which of the following fndings should the nurse document to indicate the effectveness of the therapy? Increased neutrophil count Increased RBC count Decreased prothrombin tme Decreased triglycerides A nurse is instructng a client on the applicaton of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? I should apply a patch every 5 minutes if I develop chest pain I will take the patch off right afer my evening meal * I will leave the patch off at least 1 day each week I should discard the used patch by flushing it down the toilet