NSG 376 Exam 2 ATI Questions AND ANSWERS ALL CORRECT

NSG 376 Exam 2 ATI Questions A nurse is providing teaching for a client who has gout and a new prescription for allopurinol. For which of the following adverse effects should the client be taught to monitor? (Select all that apply) Correct Answer: Nausea Rash Increased gout pain A nurse is caring for a client who has a new prescription for adalimumab for rheumatoid arthritis. Based on the route of administration of adalimumab, which of the following should the nurse plan to monitor? Correct Answer: The subcutaneous site for redness following injection. A nurse is preparing to administer belimumab for a client who has systemic lupus erythematous. Which of the following actions should the nurse plan to take? Correct Answer: Monitor the client for hypersensitivity reactions. A nurse is caring for a client who has a new diagnosis of fibromyalgia. Which of the following medications should the nurse anticipate being prescribed for this client? Correct Answer: Duloxetine. A nurse is evaluating teaching for a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following statements by the client indicates understanding of the teaching? Correct Answer: "I'll let the doctor know if I develop sores in my mouth while taking this medication." A nurse is providing teaching to a client who is taking raloxifine to prevent postmenopausal osteoporosis. The nurse should advise the client that which of the following are adverse effects of this medication? (Select all that apply) Correct Answer: Hot flashes Swelling or redness in calf Shortness of breath A nurse is teaching a client who has osteoporosis and a new prescription for alendronate. Which of the following instructions should the nurse provide? (Select all that apply) Correct Answer: Take medication in the morning before eating Drink an 8 oz. glass of water with each tablet Avoid lying down after taking this medication A nurse is caring for a client who has a new prescription for calcitonin-salmon for osteoporosis. Which of the following tests should the nurse tell the client to expect before beginning this medication? Correct Answer: Skin test for allergy to the medication. A nurse is caring for a young adult client whose serum calcium is 8.8 mg/dL. Which of the following medications should the nurse anticipate administering to this client? Correct Answer: Calcium carbonate A nurse is providing instruction to a client who has a new prescription for calcitonin-salmon for postmenopausal osteoporosis. Which of the following instructions should the nurse include in the teaching? Correct Answer: Alternate nostrils each time calcitonin-salmon is inhaled. A nurse is instructing a client who has a new prescription for timolol how to insert eye drops. The nurse should instruct the client to person which of the following areas to prevent systemic absorption of the medication? Correct Answer: Nasolacrimal duct A nurse is teaching a client who has a new prescription for brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching? Correct Answer: This medication can absorb into your contacts. A nurse in an emergency unit is reviewing the medical record of a client who is being evaluated for angle-closure glaucoma. Which of the following findings are indicative of this condition? Correct Answer: Severe pain around eyes. A nurse is teaching a client about preventing otitis external. Which of the following instructions should the nurse include? Correct Answer: Tip the head to the side to remove water from the ears after showering. A nurse in a provider's offie is instructing a parent of a toddler how to administer ear drops. Which of the following instructions should the nurse include? (select all that apply.) Correct Answer: Place the child on his unaffected side when you are ready to administer the medication. Warm the medication by gently rolling it between your hands for a few minutes. Gently shake medication that is in suspension form. Keep the child on his side for 5 minutes after instillation of the ear drops. A nurse is implementing a plan of care for a client who has a wound infection. Which of the following actions should the nurse perform first? Correct Answer: Obtain a wound specimen for culture. A nurse is caring for a client who has a urinary tract infection and a history of recurrence of this type of infection. The client asks why the provider has not yet prescribed an antibiotic. The nurse should explain that the provider has to wait for the results of which of the following laboratory tests to identify which antibiotic to prescribe? Correct Answer: Sensitivity A nurse is preparing information for the unit's nurses about the effectiveness of antimicrobial therapy for clients who have bacterial infections. Which of the following host factors should the nurse include as conditions that affect antimicrobial effectiveness? (select all that apply.) Correct Answer: Meningitis Pacemaker Endocarditis A nurse is caring for a group of clients who are receiving antimicrobial therapy. Which of the following clients should the nurse plan to monitor for manifestations of antibiotic toxicity? Correct Answer: An older adult client who has prostatitis. A charge nurse is teaching a group of nurses about the importance of prophylactic antimicrobial therapy. Which of the following information should the charge nurse include in the teaching? (select all that apply.) Correct Answer: Administer prophylactic antimicrobial therapy to clients who report exposure to a sexually transmitted infection. Administer prophylactic antimicrobial therapy to clients who are having orthopedic surgery. Instruct clients who have a prosthetic heart valve about the need for prophylactic antimicrobial therapy before dental work. Consult the provider for prophylactic antimicrobial therapy for clients who have recurrent urinary tract infections. A nurse in an outpatient facility is preparing to administer nafcillin IM to an adult client who has an infection. Which of the following actions should the nurse plan to take? (select all that apply) Correct Answer: Administer the medication deeply into the ventrogluteal muscle. Ask the client about an allergy to penicillin before administering the medication. Monitor the client for 30 minutes following the injection. A nurse is preparing to administer cefotaxime IV to a client who has a severe infection and has been receiving cefotaxime for the past week. Which of the following findings indicates a potentially serious adverse reaction to this medication that the nurse should report to the provider? Correct Answer: Diarrhea. A nurse is obtaining a medication history from a client who is to receive imipenem-cilastatin IV to treat an infection. Which of the following medications the client also receives puts him at risk for a medication interaction? Correct Answer: Valproid acid. A nurse is caring for a client who has a cerebrospinal fluid infection with gram-negative bacteria. Which of the following cephalosporin antibiotics should the nurse expect to administer IV to treat this infection? Correct Answer: Cefepime. A nurse is preparing to administer penicillin V to a client who has a streptococcal infection. The client tells the nurse that she has difficulty swallowing tablets and doesn't "do well" with liquid or chewable medications because the taste gags her, even when the nurse mixes the medication with food. The nurse should request a prescription for which of the following medications? Correct Answer: Nafcillin. A nurse is teaching a client about taking tetracycline to treat a GI infection due to H. pylori. Which of the following statements should the nurse identify as an indication that the client understands the instructions? Correct Answer: "I will let my doctor know if I start having diarrhea." A nurse is administering gentamicin by IV infusion at 0900. The medication will take 1 hr to infuse. When should the nurse plan to obtain a blood sample for a peak serum level of gentamicin? Correct Answer: 1030 A nurse is caring for a client who is starting a course of gentamicin IV for a serious respiratory infection. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? (select all that apply.) Correct Answer: Pruritus Hematuria