ATI RN PHARMACOLOGY 2020 EXAM PACKBEST FOR 2022 ACTUAL EXAM

ATI RN PHARMACOLOGY 2020 EXAM PACKBEST FOR 2022 ACTUAL EXAMA nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching? A. Decreases stomach acid secretion B. Neutralizes acids in the stomach C. Forms a protective barrier over ulcers D. Treats ulcers by eradicating H. pylori 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? (SATA) A. Blood glucose levels will be monitored during therapy. B. Avoid contact with people who have known infections. C. Take the medication 1 hr before breakfast. D. Decrease dietary intake of foods containing potassium. E. Grapefruit juice can increase the effects of this medication. A nurse is providing discharge teaching about 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? A. Chew on the medication stick to release the medication. B. Leave the medication stick in on location of the mouth until melted. C. Allow the medication 1 hr for analgesia effects to begin. D. Store unused medication sticks in a storage container. A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following as an indication of hypokalemia? A. Tall, tented T-waves B. Presence of U-waves C. Widened QRS complex D. ST elevation 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. Constipation B. Drowsiness C. Facial flushing D. Itching A nurse is planning care for a client who is receiving mannitol via IV continuous infusion. The nurse should monitor the client for which of the following adverse effects? A. Weight loss B. Increase intraocular pressure C. Auditory hallucinations D. Bibasilar crackles * A nurse is providing teaching to a client who has gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse include?A. "Take the medication on an empty stomach for full effectiveness."B. "You may discontinue this medication when stomach discomfort subsides." C. "Report yellowing of the skin." D. "Store the medication in the refrigerator." A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first? 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 interventions should the nurse include in the plan of care? A. Weigh the client weekly B. Determine apical pulse prior to administering C. Administer the medication 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 medications should the nurse anticipate 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 continuous IV infusion for DVT. The nurse should discontinue the medication infusion for which of the following client findings? A. Potassium 5.0 B. aPTT 2x the control C. Hemoglobin 15 D. Platelets 96,000 A nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gluconate? A. Felodipine B. Guaifenesin C. Digoxin D. Regular insulin A Nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take first?A. Report the incident to the charge nurse B. Notify 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 information should the nurse include in the teaching? A. The medication should be taken 1 hr prior to eating B. It takes 48 hr for therapeutic effects to occur. C. Tablets should not be crushed or chewed. D. Decreased respirations 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 medications should the nurse plan to administer? A. Methadone B. Naloxone C. Diazepam D. Bupropion 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? A. Carbamazepine B. Sumatriptan C. Atenolol D. Glipizide A nurse is assessing a client's vital signs prior to the administration 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 medication and contact the provider for which of the following findings? A. Diastolic BP B. Systolic BP C. Heart Rate D. Respiratory Rate A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Tingling toes B. Sexual dysfunction 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 substituted for aspirin." D "The INR lab work must be monitored more frequently if aspirin is taken."A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using midazolam. The nurse should monitor for which of the following findings as an indication 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 requesting oral intake A nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn should receive the first diptheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the parent that their newborn should receive the immunization 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 information should the nurse enter as a complete documentation of the incident? A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notified B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified. C. 1 L of 0.9% sodium chloride completed at 09:00. Client denies shortness of breath. D. IV fluid initiated at 05:00. Lungs clear to auscultation. A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? A. Decrease in WBC count B. Decrease in amount of time sleeping. C. Increase in appetite D. Increase in ability to focus A nurse is preparing to administer medications to a client who tells the nurse, "I don't want to take my fluid pill until I get home today." Which of the following actions 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 medication D. Give the client the medication 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 findings should the nurse report to the provider immediately? A. Dyspepsia B. Diarrhea C. Dizziness D. DyspneaA 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 eyes A 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 medication reconciliation. Which of the following information should the nurse include in the teaching? A. The client's provider is required to complete medication reconciliation. B. Medication reconciliation at discharge is limited to the medication ordered at the time of discharge. C. A transition in care requires the nurse to conduct medication reconciliation. D. Medical reconciliation is limited to the name of the medications 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 medications should the nurse plan to administer? A. Potassium iodide B. Glucagon C. Atropine D. Protamine A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication? A. Constipation 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 retention C. Constipation 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 abstinence C. Lessen craving D. Prevent delirium tremens A nurse in an urgent care clinic is collecting data from a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication? A. "I have tendonitis, so I haven't been able to exercise." B. "I take a stool softener for chronic constipation." C. "I take medicine for my thyroid." D. "I am allergic to sulfa." A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-thecounter medications? A. Aspirin B. Ibuprofen C. Rantitinde D. Bisacodyl A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? A. 1000 B. 0900 C. 0830 D. 1200 A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication 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 after my evening meal C. I should take an antacid with the risedronate to avoid nausea D. I should sit up for 30 min after taking the risedronate * A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? A. Vomiting B. Blood in the urine C. Positive Chvostek's sign D. Ringing in the ears A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching plan (SATA)? Report muscle pain to the provider Avoid taking the medication with grapefruit juice Take the medication in the morning Expect a flushing of the skin as a reaction to the medication Expect therapy with this medication to be lifelong A nurse is caring for a 20-year-old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advice the client that which of the following tests is required? Serum calcium Pregnancy test 24 hr urine collection 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 Sedation Tinnitus Peripheral edema A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in her instructions? A. Take one tablet three times 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 until migraine subsides. A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? A. Administer the medication outside the 5-cm (2 in) radius of the umbilicus B. Aspirate for blood return before injecting C. Rub vigorously after the injection to promote absorption D. Place a pressure dressing on the injection 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 fingers Constipation Weight gain Oliguria A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? 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 actions should the nurse plan to take? A. Hold the client's other oral medications for 8 hr post administration B. Inform the client that this medication can turn stool a light tan color C. Keep the client's solution in the refrigerator for up to 72 hr. D. Monitor the client for constipation A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. The nurse should include that the spacer decreases the risk for which of the following adverse effects of the medication? A. Oral candidiasis B. Headache C. Joint pain D. Adrenal suppressionA 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 five milligrams every 4 hours subcutaneously for severe pain as needed. The nurse should identify which of the following entries as the correct format for the medication administration 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 instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching? A. I should take the medication 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 medication to cause my urine to look orange. A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications? A. Vitamin K B. Acetylcysteine C. Benztropine D. Physostigmine A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings as the best indication that the morphine has been effective? A. The client's vital signs are within normal limits. B. The client has not requested additional medication. C. The client is resting 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 instructions should the nurse include in the teaching? A. "Take beclomethasone to avoid an acute attack." B. "Use beclomethasone 5 min before using albuterol." C. "Limit your calcium and vitamin D intake when taking beclomethasone." D. "Rinse your mouth after inhaling the beclomethasone." A nurse is caring for a client who is receiving filgrastim. Which of the following findings should the nurse document to indicate the effectiveness of the therapy? Increased neutrophil countIncreased RBC count Decreased prothrombin time Decreased triglycerides A nurse is instructing a client on the application 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 after 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 ATI PHARMACOLOGY 2020 A nurse is providing discharge dietary teaching to a client who has a something and is taking medication theophylline and to provide general instructions the nurse should include? Avoid caffeinated beverages the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first? Inject air into the NPH vial a nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. What instructions should the nurse include? Sit upright for at least 30 mins after taking the medication a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine? Bladder distention nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following information should the nurse include in the teaching?Administer the medication into one nostril once per week a nurse is teaching a newly license nurse about medication reconciliation. The nurse should instruct the newly license nurse for medication reconciliation for which of the following clients? A client who has been transferred to a step-down unit a nurse is assessing a client how received a dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurses priority? Uterine tachysystole a nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching?Administers the medication into the abdomen a nurse is assessing a client how has been taking digoxin and …… which of the following findings to the nurse indicates this client has developed digoxin toxicity? Blurred vision a nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestations should the nurse expect? Excessive salivation a nurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications? Clopidogrel math problem: a nurse is preparing to administer 4000 units of heparin available is 10,000 units = 0.4 a nursing is caring for a client who reports that his current pain medication is no longer relieving her pain. Which of the following medications requires the nurse to obtain a written rather than a verbal prescription from the provider? Fentanyl charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following action by the newly licensed nurse requires the charge nurse to complete an incidentreport?a client who has a lithium level of 1.8 receives her morning dose a nurse is caring for a client who has an alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time? Implement seizure precautionsa nurse is planning care for a group of clients. which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?furosemide and amikacin a nurse is caring for a client who has major depression and a new prescription for citalopram. which of the following adverse effects is the priority for the nurse to report to the provider? 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 (SATA)? Hemoglobin 7.0 g/dl Platelets 75,000/mm3 Potassium 5.2 meq/l A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisone. Which of the following instructions should the nurse include (SATA)? Blood glucose levels will be monitored during therapy Avoid contact with people who have known infections Grapefruit juice can increase the effects of the medication A nurse is caring for a client who has pneumonia. The client tells the nurse that she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to receiving which of the following medications? Doxycycline A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematosus with prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic tests to monitor for long-term complications of prednisone? Bone density scansA 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? "I know smoking makes ranitidine less effective." A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages? 2 months A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? "I will taper off the medication before discontinuing it." 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? AsthmaPharmacology 2020 1.) A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following ;ndings as a manifestation of =uid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse 2.) A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following ;ndings should indicate to the nurse that the treatment is eFective? a. Absent Chvostek’s sign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent 3.) 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? a. “Discontinue the patch if you experience a headache.” b. “Apply a new patch if you have chest pain.” c. “Cover the patch with dry gauze when taking a shower.” d. “Remove the patch prior to going to bed.” 4.) 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? a. Creatinine 0.72 mg/dL b. Sodium 138 mEq/L c. Magnesium 2 mEq/L d. 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? a. The client has a negative sputum culture b. The client tests negative for HIV c. The client has a positive puri;ed protein derivative test d. 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. A]er assessing the client’s respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next? a. Replace the infusion with 0.9% sodium chloride b. Give diphenhydramine IM c. Elevate the client’s legs and feet d. Administer epinephrine IM 6.) 5.)7.) 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? a. St. John’s Wort b. Ginger root c. Black cohosh d. Coenzyme Q10 8.) A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse eFects should the nurse monitor when administering lisinopril? a. Bradycardia b. Hypokalemia c. Tinnitus d. Hypotension 9.) A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs? a. Decreased temperature b. Increased pulse rate c. Decreased respiratory rate d. Increased blood pressure 10.) A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize that which of the following staF members is responsible for completing an incident report? a. The quality improvement committee b. The nurse who identifies the error c. The nurse who caused the error d. The charge nurse 11.) A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following? a. Pruritus – Sign of allergic reaction to morphine b. Cough c. Tachypnea d. Gastric bleeding 12.)A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) a. Obtain the client’s apical heart rate b. Remove the medication from the dispensing system c. Open the medication package d. Compare the client’s wristband to the medication administration record e. Document administration of the medicationfor receiving this medication? a. Alcohol use disorder 13.) A nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following ;ndings should the nurse identify as a contraindication b. Chronic kidney disease c. Hepatitis B vaccine within the last week d. Diabetes mellitus 14.) A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identi;es that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following actions should the nurse take ;rst? a. Encourage the client to dangle the legs while sitting in a chair b. Teach the client about foods low in sodium c. Determine medication adherence by the client d. Notify the provider of the client’s weight gain 15.) A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection? a. Urticaria b. Bradycardia c. Pallor d. Dyspepsia 16.)A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? a. “Discard any tablets you do not use every 6 months.” b. “Take one tablet each morning 30 minutes prior to eating.” c. “Keep the tablets at room temperature in their original glass boXle.” d. “Place the tablet between your cheek and gum to dissolve.” 17.) A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching? a. “I can take my medication in the morning with my coYee.” b. “I may sprinkle the medication in applesauce.” c. “I should limit my =uid intake while on this medication.” d. “I will need to have blood levels drawn.” 18.)A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to client who has diabetes mellitus following actions should the nurse take ;rst? a. Withdraw the regular insulin from the viral b. Withdraw the NPH insulin form the vial 19.)A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take? d. Inject air into the regular insulin vial c. Inject air into the NPH viala. Massage the site a]er administering the medication b. Use a 21-gauge needle for the injection c. Aspirate before injecting the medication d. Insert the needle at least 5 cm (2 in) from the umbilicus 20.)A nurse is caring for a client who has a prescription for amoxicillin. Which of the following ;ndings indicates the client is experiencing an allergic reaction? a. Nausea d. Insomnia 21.)A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following? a. A client who has a referral for social services b. A client who is transdermal to radiology c. A client who is transferal to a step-down unit d. A client who has a consultation for physical therapy 22.)A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been eFective? a. BUN 15 mg/dL b. Blood glucose 90 mg/dL c. Urine speci;c gravity 1.020 d. LDL 120 mg/dL 23.)A nurse is receiving a medication prescription by telephone from a provider. The provider states, “Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.” How should the nurse transcribe the prescription in the client’s medical record? a. Morphine 6 mg IV push every 3 hr PRN acute pain b. MSO 6 mg IV push every 3 hr PRN acute pain c. MS 6 mg IV push every 3 hr PRN acute pain d. Morphine 6.0 mg IV push every 3 hr PRN acute pain 24.)A nurse is assessing a client’s IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take? a. Show the IV solution rate b. Initiate a new IV distal to the initial site c. Maintain the extremity below the level of the heart d. Apply a warm, moist compress 25.)A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? a. “Diarrhea is a common adverse eFect of this medication.” b. “Ringing in the ears is an expected adverse eFect of this medication.” c. “Notify your provider if you develop a fever while taking this medication.” d. “You might experience weight loss while taking this medication.” 26.)A nurse is teaching a client about oral contraceptive. Which of the following information should the nurse include in the teaching? b. Cardiac dysrhythmia c. Laryngeal edemaa. Abdominal pain is an expected adverse eFect of oral contraceptives b. It can take up to 1 year to become pregnant aber stopping an oral contraceptive c. Some herbal supplements can decrease the eFectiveness of an oral contraceptive d. A pelvic examination is needed prior to starting an oral contraceptive 27.)A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take? a. Tilt the client’s head back when administering the medications b. Mix the medications with a semisolid food for the client c. Administer more than one pill to the client at a time d. Place the medications on the back of the client’s tongue 28.)A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include? a. “You cannot take this medication with an antacid.” b. “You should reduce your intake of calcium while taking this medication.” c. “You should take this medication before meals.” d. “You can take a second dose if symptoms persist up to 2 hours a]er the ;rst dose.” 29.)A nurse is assessing for allergies with a client who is scheduled to receive the in=uenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine? a. Eggs b. Shell;sh c. Peanuts d. Milk 30.)A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse. “I do not take this medication. I would prefer a natural therapy.” Which of the following supplements should the nurse suggest the client discuss with the provider? a. Black cohosh b. Garlic c. Feverfew d. Saw palmeXo 31.)A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following predisposes this client to developing digoxin toxicity? a. Taking a high ceiling diuretic b. Having a 10-year history of COPD c. Having a prolapsed mitral valve d. Taking an HMG CoA reductase inhibitor 32.)A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following ;ndings as a therapeutic eFect of naloxone? a. Decreased nauseab. Increased pain relief c. Decreased blood pressure d. Increased respiratory rate 33.)A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider? a. The client has a BUN of 18 mg/dL b. The client takes an aspirin daily c. The client has a history of a severe penicillin allergy d. The client reports a history of nausea with cefuroxime 34.)A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? a. Protamine sulfate b. Acetylcysteine c. Calcium gluconate d. Flumazenil 35.)A nurse is assessing a client following the administration of ondansetron (Zofran). Which of the following ;ndings should indicate to the nurse that the ondansetron has been eFective? a. Client reports a decrease in pain b. Client reports a decrease in nausea c. Client reports a decrease in coughing d. Client reports a decrease in diarrhea 36.)A nurse manager is planning an in-service about pain management with opioids for client who has cancer. Which of the following information should the nurse manager include? a. IM administration is recommended if PO opioids are ineYective b. Respiratory depression decreases as opioid tolerance develops c. Meperidine is the opioid of choice for treating chronic pain d. Withhold PRN pain medication for the client who is receiving opioids every 6 hr 37.)A nurse is reviewing the list of current medication for a client who is to start prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine? a. Nicotine transdermal system b. Diphenhydramine c. Estrogen-progestin combination (Non-hormonal forms of contraception) d. Beclomethasone 38.)A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss? a. Rifampin b. Cipro=oxacin0.4 c. Decreased percentage of body fat c. Penicillin G d. Gentamicin 39.)A nurse is teaching a guardian of a school-age child who has a new prescription for a =uticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA) a. “Soak the inhaler in water a]er use.” b. “Have your child take one inhalation as needed for shortness of breath.” c. “Shake the device prior to administration.” d. “A spacer will make it easier to use the device.” e. “Rinse your child’s mouth following administration.” 40.)A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally 12 hr. available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trialing zero.) a. 7.5 mL 41.)A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching? a. “You will need liver function tests before beginning therapy.” b. “Avoid consuming dairy products while taking this medication.” c. “You may crush the medication and mix it with applesauce.” d. “You should take the medication in the morning.” 42.)A nurse is assessing a client who is receiving a peripheral IV infusion and notes in;ltration of =uid into the tissue surrounding the insertion site. Which of the following actions should the nurse take? a. Flush the IV catheter b. Apply pressure to the IV site c. Elevate the extremity d. Slow the infusion rate 43.)A nurse is preparing to administer 4,000 units of heparin subcutaneously to a client who has deep-vein thrombosis. Available is heparin 10,000 units. How many mL of heparin should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) a. mL 44.)A nurse us caring for a client who is in shock and is receiving an infusion of albumin. Which of the following ;ndings should the nurse expect? a. Oxygen saturation 96% b. PaCO2 30 mm Hg c. Increase in BP d. Decrease in protein 45.)A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following ;ndings should the nurse include as risk factors for an adverse drug reaction? (SATA) b. Increased rate of absorption a. Polypharmacy90 46.)A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider? a. Sodium 137 mEq/L b. Hct 4.3% c. Hgb 15 g/dL d. Creatinine 2.5 mg/dL 47.)A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take? a. Apply firm pressure to the injection site following administration b. Administer the medication into the client’s muscle c. Expel the air bubble from the syringe prior to injection d. Insert the syringe needle halfway into the client’s skin 48.)A nurse is reviewing a client’s 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report? a. ePTT seconds b. Hgb 16 g/dL c. INR 1.6 d. WBC 6,000/mm3 49.)A nurse is caring for a client who has breast cancer and reports pain. 1 hr a]er administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer? a. Naloxone IV b. Morphine tablet c. Lidocaine patch d. Fentanyl transmucosal 50.)A nurse is assessing a client who reports taking over-the-counter antacids. Which of the following ;ndings should the nurse identify as a manifestation of hypercalcemia? a. Constipation b. Decreased urine output c. Positive Trousseau’s sign d. Headache 51.) 52.)A nurse is caring for a client who is to receive potassium replacement. The provider’s prescription reads. “Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min.” which of the following reasons should the nurse clarify this prescription with the provider. a. Potassium chloride should be diluted in dextrose 5% in water. b. The potassium infusion rate is too rapid c. Another formulation of potassium should be given IV d. The client should be treated by giving potassium by IV bolus 53.)A nurse is monitoring laboratory values for a client who has chronic heart failure and is receiving digoxin. Which of the following values should the nurse report to the provider? d. Multiple health problems e. Decreased renal functionc. Colerain – Colesevelam (Welchol ) 54.) a. Sodium 1.38 mEq/dL b. Magnesium 1.5 mEq/L c. BUN level 10 mg/dL d. Potassium 2.9 mEq/L 55.)A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red tinge. Which of the following actions should the nurse take? a. Check the client’s liver function test results b. Instruct the client to increase his =uid intake c. Document this as an expected finding d. Prepare the client for dialysis 56.)A nurse accidently administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take? a. Monitor the client’s thyroid function levels b. Collect the client’s uric acid level c. Obtain the client’s HDL level d. Check the client’s glucose level 57.)A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. the medication is provided as hydromorphone 8 mg per tablets. Which of the following actions is appropriate for the nurse to take? a. Return the remaining medication to the facility’s pharmacy b. Store the remaining half of the pill in the automated medication dispensing system c. Place the remaining half of the pill in the unit dose package d. Dispose of the remaining medication while another nurse observes 58.)A nurse is caring for 4-year-old child following an orthopedic procedure. When assessing the child for pain. Which of the following pain scales should the nurse use? a. FACES b. Numeric c. CRIES d. Word graphic 59.)A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer? a. Colchicine b. Cimetidine d. Chlorpromazine 60.)A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following ;ndings should the nurse notify the provider? a. Potassium 3.8 mEq/L b. The client reports dizziness upon standing c. The client reports difficulty hearing d. BUN 15 mg/dL61.)A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include? a. Change the nicotine patch every other day b. Do not drink beverages while sucking on a nicotine lozenge c. Chew nicotine gum for 10 min before spitting it out d. Administer 2 sprays of nicotine nasal spray in each nostril with each dose 62.)A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use? a. Subcutaneous b. Intravenous c. Central venous access device d. Midline catheter 63.)A nurse is preparing to administer ;lgrastim 5mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) a. 325 mcg 64.)A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter? a. Nondominant dorsal venous arch b. Dominant distal dorsal vein c. Nondominant forearm basilic vein d. Dominant antecubital vein 65.)A nurse is assessing a client who is taking an osmotic laxative which of the following ;ndings should the nurse identify as an indication of =uid volume de;cit? a. Nausea b. Weight gain c. Headache d. Oliguria 66.)A nurse is reviewing the laboratory results of a client who is taking amitriptyline which of the following laboratory values should the nurse report to the provider? a. Total bilirubin 1.5 mg/dL b. Potassium 4.2 mEq/L c. Hct 0.44% d. WBC count 5,000/mm3 67.)? 68.)A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances? a. Hypocalcemia b. Hypokalemia c. Hyponatremia d. Hypomagnesemia69.)A nurse is assessing a client a]er administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse eFect of this medication? a. Hypoglycemia b. Bradycardia c. Red man syndrome d. Hypotension 70.)A nurse is consulting a formulary about a client’s new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions? a. Osteoporosis b. Hypothyroidism c. Urinary tract infection d. Deep vein thrombosis 1. A nurse is providing discharge dietary teaching to a client who has a something and is taking medication theophylline and to provide general instructions the nurse should include? Avoid caYeinated beverages Take the medication with meals Restrict milk products Limit sodium intake 2. the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take ;rst? Withdrawal NPH from the vial Inject air into the NPH vial Inject air into the regular vial Withdrawal regular insulin from the vial 3. a nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. What instructions should the nurse include? Take the medication immediately a]er breakfast Take the medication with an antacid Sit upright for at least 30 mins aber taking the medication Drink orange juice with the medication 4. a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine for pain. Which of the following ;ndings should the nurse recognize as an adverse eFect of morphine? Bladder distention Productive coughGastrointestinal bleeding Decrease deep tending re=exes 5. nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following information should the nurse include in the teaching? Use nasal decongestion 15 mins before the medication if you have a stuFy nose Lie down for 1 hour a]er administering the medication Administer the medication into one nostril once per week Plan to self-administer this medication for the next 6 months 6. a nurse is teaching a newly license nurse about medication reconciliation. The nurse should instruct the newly license nurse for medication reconciliation for which of the following clients? Client who is transported to radiology A client who has a consultation for …. A client who has a referral for social services A client who has been transferred to a step-down unit 7. a nurse is assessing a client how received a dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurse’s priority? Back pain Flushing nausea Uterine tachysystole 8. a nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching? Messages the site to enhance absorption Injections the medication into a muscleAdministers the medication into the abdomen Aspirates the medication a]er injection 9. a nurse is assessing a client how has been taking digoxin and …… which of the following ;ndings to the nurse indicates this client has developed digoxin toxicity? Ringing in the ears Hyperkalemia Blurred vision hypertension 10. a nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestations should the nurse expect? Headache Excessive salivation Fever Myoclonic seizure 11. a nurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications? NPH insulin Clopidogrel Furosemide Pantoprazole 12. a nurse is assessing a who is receiving clindamycin. Which of the following ;ndings should the nurse identify as an adverse eFect of this medication? Agitation Report of blurred vision Hypertension Watery diarrhea 13. a nurse is teaching a client who is to start taking Cromolyn. Which of the following information should the nurse include in the teaching? Cromolyn should take eFect within 5 mins Cromolyn should dilate the bronchiolesCromolyn can be used a]er exercise Cromolyn is a long-term management medication 14. a nurse is reviewing the medications of a client is experiencing orthostatic hypotension. The nurse should identify this ;nding as an adverse eFect of which of the following medications? Imipramine Levothyroxine Montelukast Omeprazole 15. a nurse is reviewing a client’s medical history before administering a new prescription of atropine. Which of the following client conditions is contraindicated? Glaucoma 16. a nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse eFects? insomnia Blurred vision Tachypnea Metallic taste 17. math problem: a nurse is preparing to administer 4000 units of heparin available is 10,000 units = 0.4 18. a nursing is caring for a client who reports that his current pain medication is no longer relieving her pain. Which of the following medications requires the nurse to obtain a written rather than a verbal prescription from the provider? Fentanyl 19. charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following action by the newly licensed nurse requires the charge nurse to complete an incident report? A client who has a lithium level of 1.8 receives her morning dose 20. a nurse is caring for a client who has a alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time? Encourage participation in a 12-step program Implement seizure precautions21. A nurse is planning care for a group of clients. which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction? Furosemide and Amikacin 22. A nurse is caring for a client who has major depression and a new prescription for citalopram. which of the following adverse eFects is the priority for the nurse to report to the provider? Insomnia Bruxism - Bruxism occurs in 1 % of patient with citalopram. This should be addressed but is no an immediate health concern. Confusion Weight loss 23. A nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. in which of the following locations should the nurse place the catheter? A vein on the client’s wrist 24. A nurse is assessing a client who is in labor and is receiving epidural anesthesia. which of the following ;ndings should the nurse identify as the priority? Hypotension 25. A nursing is providing teaching to a client who has a prescription for omeprazole. which of the following instructions should the nurse include in the teaching? Long term use increases risk of fractures 26. A nurse is reviewing a client’s laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse withhold the medication and contact the provider? Potassium 2.5 mEq/L 27. The nurse is assessing a client who takes glipizide for the treatment of type 2 diabetes mellitus. Which of the following ;ndings indicates eFectiveness of the medication? Hgba1c 6.5% 28. A nurse in the emergency department is caring for a client who reports a severe headache. the client's blood pressure is 280/160 mm hg. the nurse should plan to administer which of the following medications? Nitroprusside 29. a nurse is teaching the parent of a toddler who is to begin taking ferrous fumarate. which of the following statements by the parent indicates an understanding of the teaching? I will rinse my child's mouth with water aber she takes the medicine30. a nurse is caring for a client who is to start therapy with lovastatin. the nurse should prepare the client for which of the following diagnostic assessments? Liver function test 31. a nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. which of the following expected outcomes should the nurse include in the plan? The client will wear his reading glasses when drawing insulin glargine 32. a nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preterm labor. the nurse should discontinue the infusion and prepare to administer claim gluconate if the client demonstrates which of the following ;ndings? (Select all that apply) Absence of deep-tendon reflexes Urine output 80 mL/hr Decreased LOC 33. a nurse is teaching a client who has a new prescription for nitroglycerin patches. the nurse should identify which of the following statements as an indication that the client understands the teaching? I will rotate application site to avoid skin irritation 34. Nurse in a provider's office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of the following medications should the nurse plan to teach the client about ;rst? Metformin 35. a nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. which of the following statements is appropriate for the nurse to make? You will need to take two or more medication to treat your disease 36. a nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. which of the following actions should the nurse include in the plan of care? Monitor for hearing loss 37. a nurse is obtaining a medication history from a client who has gout and is prescribed probenecid. the nurse should notify the provider that the client is taking which of the following over-the counter medications? Salicylic acid 38. A nurse is teaching a client who has HIV and a new prescription for efavirenz. Which of the following instructions should the nurse include in the teaching? Notify provider for the appearance of a skin rash39. a nurse is evaluating a client who has tuberculosis and has been taking rifampin for 1 month. which of the following laboratory tests should the nurse review to evaluate for an adverse eFect of this medication? ALT 40. A nurse is teaching a client who has multiple allergies about using an epinephrine auto-injector. Which of the following instructions should the nurse include? Administer the medication through clothing if necessary 41. for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching? I should stay upright for 15 minutes aber taking this medication. 42. nurse is preparing to administer methylprednisolone sodium succinate 80 mg IV bolus. the nurse reconstitutes the 125 mg in the vial in powder form to 2 mL. How many mL should the nurse administer? 1.3 43. a nurse is caring for a client who has heart failure. the nurse administered furosemide 60 mg IV bolus 30 min earlier. for which of the following ;ndings should the nurse notify the provider? Client reports difficulty hearing 44. A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse eFects? 45. a nurse is wanting to report a n infusion reaction for a client who is receiving a dose via IV of amphotericin B. which is the following ;ndings that indicate to the nurse that the patient is experiencing an acute infusion reaction? Fever 46. a nurse is providing teaching to a client who has a new prescription for paroxetine. the nurse should instruct the client to monitor for which of the following adverse eFects? Drowsiness - Nausea, drowsiness, dizziness, trouble sleeping, loss of appetite, weakness, dry mouth, sweating, blurred vision, and yawning may occur. If any of these eUects persist or worsen, tell your doctor or pharmacist promptly. 47. A client who has Graves' disease is prescribed methimazole. Which of the following eFects should the nurse expect to see a]er the client has taken, he medication for 2 months? Increased sleeping Orthostatic hypotension48. A nurse is teaching a client who has a new prescription for ergotamine to treat vascular headaches. The nurse should inform the client that which of the following is a potential adverse eFect of this medication? Muscle pain 49. A nurse is reviewing a client's 0800 laboratory values at 1100. the nurse notes that the client received heparin at 1000. which of the following laboratory values warrants an incident report? aPX 90 50. A nurse is administering medications to a client. which of the following medications should the nurse plan to administer by a parental route? Fondaparinux 51. A nurse is assessing a client who takes levothyroxine for hypothyroidism. the nurse should identify that which of the following ;ndings indicates the need for an increase in dosage? Select all that apply Heart rate 46 Cold intolerance Impaired short-term memory 52. a nurse is providing teaching to a client who has a new prescription for warfarin about potential interactions with over the counter products. which of the following products should the nurse instruct the client to avoid? Naproxen 53. A nurse is teaching a client who is to begin cyclophosphamide therapy to treat cancer. Which of the following adverse eFects of this medication should the nurse include in the teaching? Leukopenia 54. a nurse is reviewing the medical record of a client who is receiving vancomycin daily. the nurse should review which of the following laboratory results prior to administering the next dose? creatinine level 55. a nurse is providing teaching to a client who has a new prescription for phenelzine. which of the following foods should the nurse instruct the client to avoid? Cheddar cheese 56. a nurse is preparing to administer nitroglycerin topical ointment to a client. which of the following actions should the nurse plan to take? measure dosage on medication applicator paper57. a nurse is caring for a client who is taking azathioprine to treat rheumatoid arthritis. which of the following laboratory values indicates an adverse eFect of this medication? WBC 3000 58. a nurse is providing teaching to a client who has a new prescription for phenelzine. the nurse instruct the client to avoid which of the following foods? smoked salmon 59. a nurse is reviewing the laboratory data of a client who is receiving ;lgrastim. which of the following laboratory values should the nurse monitor to evaluate the eFectiveness of the treatment? WBC count 60. a nurse is planning to administer medications to a client who weighs 198 lb. he prescription reads, ";lgrastim 5mcg/kg, subcutaneous, daily". available is ;lgrastim 300 mcg/mL. how many ml should the nurse plan to give with each dose? 1.5 61. a nurse is providing teaching to a client who has a new prescription for nitroglycerin. which of the following client statements indicates an understanding of the teaching? I will call 911 if pain is not relieved aber taking the medication 62. a nurse is providing discharge teaching to a client who is receiving warfarin. Which of the following statements is appropriate to make? Avoid eating large amounts of cabbage and broccoli 63. a nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. which of the following client information is the priority for the nurse to report to the provider? a client with a history of severe Penicillin allergy 64. a nurse recently administered ;lgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. for which of the following data, discovered a]er the medication was administered, should the nurse ;le an incident report.? vile sat out for 2 hours at room temperature before administration 65. A nurse is assessing a client who is receiving heparin therapy for deep-vein thrombosis. Which of the following ;ndings should indicate to the nurse that the therapy is eFective? platelets within the expected range 66. A nurse receives a prescription to give tobramycin to a client daily. Which of the following laboratory values should th