NURS 7950 ATI Renal MC 200 Questions & Answers Graded A Plus

1. A nurse is providing teaching to a client who has renal failure and an elevated phosphorus level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times a daily. For which of the following adverse eects should the nurse inform the client? a. Constipation 2. A nurse is monitoring a client who received epinephrine for angioedema after a first dose of losartan. Which of the following data indicates a therapeutic response to the epinephrine? a. Respirations are unlabored 3. A nurse in a public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions? a. Grapefruit juice 4. A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer? a. Allopurinol 5. A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client’s PRN bethanechol when the client reports which of the following manifestations? a. An inability to void 6. A nurse is preparing to use the z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure? a. Aspirate for 5 to 10 seconds 7. A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect? a. Decreased sodium level 8. A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic? a. Relief of heartburn 9. A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication? a. Increase in energy 10. A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3g/5mL. 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 trailing zero.) a. 0.4 mL 11. A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse eects? a. Adrenocortical insufficiency 12. A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client? a. Leuprolide 13. A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide? a. The medication should be applied on a regular schedule for the rest of the client’s life 14. A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should include in the teaching that which of the following antagonist medication is used for benzodiazepines? a. Flumazenil 15. A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication. a. Alcohol 16. A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching? a. “I’ll take this medication once a day in the evening” 17. A nurse in the emergency dept. is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make? a. “A headache is an expected adverse eect of the medication” 18. A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations? a. Metabolic alkalosis 19. A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed? a. Thyroid hormone assay 20. A nurse is reviewing the medical record of a client who has hypertension and a new prescription for metoprolol. Which of the following findings should the nurse investigate further? a. A history of left-sided heart failure 21. A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number) a. 50 mL 22. A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is morphine sulfate 10 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest 10th) a. 0.2 mL 23. A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide? a. Take the medication with OJ to enhance absorption 24. A nurse is assessing a client prior to administering a seasonal inuenza vaccine. The client says he read about an inuenza vaccine that is given as a nasal spray and wants to receive it. The nurse should recognize that which of the following findings is a contraindication for the client receiving the live attenuated inuenza vaccine (LAIV)? a. The clients age is 62 25. A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following statements by the nurse indicates an understanding of the teaching? a. “I should report a cough to my provider” 26. A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse? a. “I’ve been taking an antacid to help with indigestion” 27. A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round to the nearest 10th) a. 0.5 tablets 28. A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule? a. Tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break o the top by bending it toward the body