ATI Pharmacology

) 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 Inject the medication into the abdomen Avoid massaging the site after injection Aspirate prior to administration of the medication 2) A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report? The quality improvement committee The nurse who identifies the error The nurse who caused the error The charge nurse 3) A nurse is preparing to administer propranolol to a client. which of the following should the nurse assess prior to administering this medication? Temperature Heart rate Respiratory rate Pain level 4) 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 as an adverse effect of the medication? Hypernatremia Hypocalcemia Hypokalemia Hypermagnesemia 5) A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis and a prescription for cyclosporine. Which of the following laboratory values to the provider? Potassium 4.2 mEq/L Creatinine 2.5mg /dl BUN 18mg /dl Sodium 139 mEq/L 6) A nurse is preparing to administer medications to a group of clients. Which of the following prescriptions should the nurse clarify with the provider before administering? Tetracycline 1g orally every 6hr Warfarin 100 units subcutaneously daily Penicillin G 5,000.000 units intramuscularly every 4hr Zoledronate 5 mg intravenously x 1 dose 7) A nurse is reviewing the laboratory report of a client who has bipolar prior to the administration of lithium carbonate. The client's lithium level is 2.6 mEq/L. Which of the following actions should the nurse take? Implement fluid restrictions Request a dosage increase from the provider Assist the client to a left lateral position Prepare the client for hemodialysis 8) A nurse is caring for a client who is receiving total parenteral nutrition (TPN), Which of the following actions should the nurse take? Monitor the client's weight daily Downloaded by Victor Muia () lOMoARcPSD| Titrate TPN solution to blood pressure Obtain the client's blood glucose level weekly Hang the TPN solution to gravity to infuse. 9) A nurse Is initiating IV therapy for a client who had a right-sided mastectomy. In which of the following locations should the nurse place a catheter? Wrist Cordlike vein Most proximal site Left arm 10) A nurse is discussing adverse reactions to pain medications in order to older adult 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 apply) Decreased percentage of body fat Multiple health problems Decreased renal function Increased rate of absorption Polypharmacy 11) A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion? Chest pain Headache Extravasation Hypotension 12) A nurse is assessing a client who has a graves disease and is taking methimazole. Which of the following findings indicates the client needs a lower dose of the medication? Bradycardia Exophthalmos Weight loss Diaphoresis 13) A nurse is preparing to administer sulfadiazine 150mg/kg PO to divide equally every 6 hr to an adolescent who weighs 88lb. Available sulfadiazine . How many tablets should the nurse administer per dose? (round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero) 3 14) A nurse is reviewing the laboratory results of a client who received a dose of sodium polystyrene sulfonate. Which of the following findings should the nurse identify as an indication that the medication has been effective? Sodium 150mEq/L Potassium 4.6mEq/L Magnesium 1.1mEq/L Calcium 8mg/dL 15) A nurse is preparing to administer enoxaparin 1mg/kg subcutaneously every 12hr. The client's weight is 121lb. Available is enoxaparin 60mg /0.6 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 trailing zero.) 0.6 16) A nurse in the emergency department is admitting client who has a diabetics ketoacidosis and a blood sugar level of 800 mg/dl which of the following intervention should the nurse initiate Subcutaneous insulin injection Bicarbonate by iv injection Potassium chloride 10mEq/hr. Downloaded by Victor Muia () lOMoARcPSD| 0.9% sodium chloride 15 mL/kg/hr. 17) A nurse is reviewing agency protocol before administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take? Dilute the vital of medication with sterile water Discard the vial of medication if the solution is cloudy Shake the vial of medication to dissolve particulates Thaw the medication in the vial 30 min before administration 18) A nurse is providing discharge teaching about warfarin to a client who has deep- vein thrombosis. The nurse should instruct the client to obtain which of the following laboratory tests monthly? Fibrinogen aPTT INR Platelet count 19) 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 indicates a therapeutic response to the medication? I am taking a laxative for constipation I seem to be sleeping more than usual I am losing weight without dieting I have noticed I'm not as cold as I use to be 20) 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? Bruising Weight loss Constipation Blurred vision 21) A nurse is reviewing the laboratory results of a client who has diabetes mellitus and is taking glipizide. Which of the following values indicates that the client is adhering to the treatment plan? Positive urinary ketones Total cholesterol 225mg /dL HbA1c 6.8% Creatinine 1.0mg /dL 22) A nurse is caring for a client who has diabetes mellitus and is teaching pioglitazone. The nurse should plan to monitor the client for which of the following adverse effe