Pharm B Assessment| ATI

Pharm B Assessment A nurse is caring for a client diagnosed with sickle cell anemia who is taking hydroxyurea. Which of the following findings should the nurse provider Correct Answer: Hemoglobin 4.2, platelets 75,000, neutrophils 1400 A nurse is assessing a client who is experiencing cariogenic shock and is receiving a continuous IV infusion of dopamine. Which of the following findings indicates the medication is effective Correct Answer: Increased blood pressure A nurse in the ED is caring for a client who has myasthenia graves and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer Correct Answer: Atropine A nurse is providing teaching to a client who has a new prescription for profiled epinephrine injector. Which of the following should the nurse include in the teaching Correct Answer: Massage the site for 10 seconds after injection A nurse is caring for a client who has a prescription for 5mg of warfarin. Which of the following findings should the nurse report to the provider prior to administration Correct Answer: INR 4.5 A nurse is caring for a client who has a new diagnosis of diabetes insidious and is to start taking desmopressin. Which of the following should the nurse monitor Correct Answer: Urine specific gravity, creatine clearance, serum osmolality A client is receiving chemotherapy and tells the nurse that she is trying to get pregnant. Which of the following statements by the nurse is the highest priority Correct Answer: There is a high risk of fetal malformations while on chemotherapy A nurse is caring for a client who is receiving treatment for opioid addiction. Which of the following medications should the nurse expect to administer Correct Answer: Methadone A client has been prescribed furosemide. Which of the following findings should indicate to the nurse to withhold the medication Correct Answer: Potassium of 3.1 A nurse is providing teaching for a client who has hypercholesterolemia and has a new prescription for rosuvastatin. Which of the following instructions should the nurse include in the teaching Correct Answer: This medication can cause muscle pain or tenderness A client receiving end of life care has been prescribed fentanyl patches topically every 72 hours. Which of the following instructions regarding adverse effects of fentanyl should the nurse plan to give to the client and family. Correct Answer: A stool softener should be taken on a daily basis A nurse is caring for a client who has cancer and has been receiving pegfilgrastim. Which of the following indicates the medication has been effective Correct Answer: Increased WBC count A client is experiencing acute angle closure glaucoma and IV mannitol 25% is prescribed. Which of the following client findings should the nurse recognize as being the best indication that the medication is achieving therapeutic effect Correct Answer: Decrease in intraocular pressure 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 Correct Answer: Obtain the clients blood pressure A nurse is reviewing the prescriptions of a client who has TB. The nurse should recognize that which of the following medications is used to treat TB Correct Answer: Rifampicin, isoniazid A nurse is caring for a client with chronic back pain who is receiving 650 mg acetaminophen q4h for pain. The primary provider has prescribed oxycodone/acetaminophen q4-6 PRN for breakthrough pain. Which of the following actions should the nurse take Correct Answer: Notify the primary care provider A nurse is caring for several clients that report allergies. Which of the following client statements indicates a medication allergy Correct Answer: I cannot take celecoxib because of the rash I develop taking trimethoprim/sulfamethoxazole A nurse is planning teaching for a client who has depression and is to start a new prescription for tranylcypromine. Which of the following should the nurse include in the teaching Correct Answer: Move slowly when changing to standing position A nurse is taking a medication history from a client who has a new prescription for lithium. Which of the following OTC medications should the client discontinue Correct Answer: Ibuprofen A nurse at an urgent care cliic is collecting a history from a female client who has urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. Which of the following client statements indicates a contraindication for this medication Correct Answer: I have tendonitis, so I haven't been able to exercise A nurse is caring for a client who is postoperative following a cholecystectomy and is prescribed cefazolin 1g by intermittent IV bolus q6h. The amount available is 1g in 100ml 0.9% NaCl to be delivered in 30 minutes. The drop factor on the package of IV tubing is 15 gtt/ml. The nurse should set the IV to deliver how many gtt/min Correct Answer: 50 gtt/ml A nurse is preparing to administer 0.9% NaCl 1500 ml over 8 hours to a client who is postoperative. The nurse should set the IV pump to deliver how many ml per hour Correct Answer: 188 ml/h A nurse is providing teaching to a client who has DM and is learning how to administer NPH insulin and regular insulin in a single syringe. The nurse should instruct the client to take the following steps in which order Correct Answer: Insert air into NPH, insert air into regular, draw up regular, draw up NPH A nurse is caring for a school-aged child prescribed methylphenidate for ADHA. The nurse has initiated interventions to minimize adverse effects. Which of the following findings indicates a successful intervention Correct Answer: Maintains age-appropriate weight A nurse is providing teaching for a client who has a new prescription for spironolactone. The nurse should instruct the client that which of the following is an adverse effect