CMS pharmacology Proctored 2021

CMS pharmacology Proctored 2021A nurse is reviewing a client's 0800 Laboratory values at 1100. The nurse notes that the client received heparin at 1100. Which of the following laboratory values warrants an incident report ? ans: aPTT 90 seconds A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing a client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next? ans: Administer Epinephrine IM A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication? ans: Potassium 5.3 mEq/ L 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) ans: Obtain the client's apical heart rate Remove the medication from the dispensing system Open the medication package Compare the client's wristband to the medication administration record Document administration of the medication A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify which of the following medications interacts with carbamazepine? ans: estrogen-containing contraceptives 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? ans: Notify your provider if you develop a fever while taking this medication" you should have your WBC monitor every week A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting for prescription for sildenafil. the nurse should identify which of the following medications is a contraindication for receiving medication? ans: nitroglycerin A nurse in a medical surgical unit is preparing to administer an influenza vaccine to a client. The client tells the nurse I no longer want this vaccine. Which of the following responses should the nurse make? ans: the influenza vaccine this strongly and coverage but I understand you would like to decline right now A nurse is discussing adverse reactions to pain medications in older adults clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? select all that applies ans: multiple health problems decrease percentage of body fat decreased renal function A nurse is reviewing a client's medical record before administering acetaminophen 650 mg by mouth every 6 hours. Which of the following findings indicate a need for the nurse to notify the provider? ans: history of alcohol use disorder a nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? ans: improve cognition A nurse is reviewing the laboratory results of a client who is receiving genital medicine for Staphylococcus. Which of the following findings should the nurse report to there immediately? ans: fasting blood glucose 130 mg A nurse is reviewing the laboratory results of a client who is receiving Heparin by continuous IV infusion. Which of the following Results indicates the nurse should decrease the infusion rate? ans: aPTT 90 sec The 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 effects? ans: orthostatic hypotension A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction? ans: Hypotension A nurse is reviewing the laboratory results of a client who received a dose of sodium polystyrene sulfonate. Which of the following findings should a nurse identify as an indication that the medication has been effective? ans: calcium 8 mg- under normal range potassium 4.6 meq- in normal range A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations has an adverse effect of the medication? ans: hypokalemia A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report? ans: The medication vial sat at room temperature for 2 hours before it was administered. A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months. Which of the following statements by the client indicate a therapeutic response to the medication? ans: I have noticed I'm not as cold as I used to be a nurse is receiving the laboratory results of a client who has rheumatoid arthritis and a prescription for cyclosporine. The nurse should report which of the following laboratory results of the provider? ans: creatinine 2.8 mg A nurse is teaching a newly-licensed nurse about expired medication. Which of the following instructions should the nurse include in the teaching? ans: return the medication to the pharmacy a nurse is administering naloxone to a client who has developed an adverse reaction to Morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone? ans: increased respiratory rate a nurse is preparing to administer Heparin subcutaneously to a client. Which of the following should the nurse plan to minimize bleeding following the injection? ans: grasp skin between thumb and forefinger throughout the injection A nurse is caring for an older adult client who is taking Prednisone for long term treatment for rheumatoid arthritis. The nurse should monitor the client for which of the following adverse reactions to the drug? ans: bone loss A nurse is interviewing a client who reports a desire to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe? ans: bupropion A nurse is teaching a client about self-administration of an enoxaparin. Which of the following instructions should the nurse include to select all that applies? ans: alternate the injection site between the sides of the abdomen grasp the skin between the thumb and forefinger while injecting the medication insert the entire length of the needle into the skin during injection a nurse is assessing a client who is in septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of the infusion? ans: headache A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is 2.6 meq. Which of the following actions should the nurse take? ans: prepare the client for hemodialysis A nurse is interviewing a client who was newly admitted prior to administering medication. The client tells the nurse, " I forgot to tell the doctor I like albuterol for asthma". for which of the following medications should the nurse withhold the dose and notify the provider? ans: propranolol A nurse is teaching a client who is to start taking clopidogrel. the nurse should instruct the client to Monitor and Report which of the following adverse effects of the medication? ans: blurred vision A nurse is providing teaching to a client who has a new prescription for paroxetine. the nurse should instruct the client to monitor which of the following adverse effects? ans: Drowsiness A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia. Which of the following actions should the nurse take? ans: administer the medication through a straw A nurse is caring for a client who is receiving Total parenteral Nutrition. Which of the following actions should the nurse take? ans: monitor the client's weight daily a nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? ans: calcium gluconate