ATI PHARM: practice B well elaborated 2023/2024.

A nurse contacts a client's provider on the telephone to obtain a prescription for pain medication. Which of thee following actions should the nurse take? - answersHave the provider spell out the unfamiliar medication names The nurse should ask the provider to spell out the name of the medication if the stated name is one the nurse is not familiar with. A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should id which of the following findings as an indication that the client is beginning to exhibit salicylism? - answersTinnitus (ringing in ears) Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other manifestations include sweating, headache, and dizziness. A circulatory nurse is planning care for a client who is scheduled for a surgery and has a latex allergy. Which of the following actions should the nurse include in the plan? - answersPlace monitoring cords and tubes in a stockinet. The nurse should place monitoring devices in a stockinet to prevent direct contact with the client's skin. A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor? - answersIncreased blood pressure The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which can result in an increase in a client's blood pressure. If the client's hematocrit level rises too rapidly, hypertension and seizures can result. The nurse should monitor the client's blood pressure and ensure hypertension is controlled prior to administering the medication. A nurse is preparing to administer HCTZ to a client. Which of the following actions should the nurse take prior to administering the medication? - answersObtain clients blood pressure. HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and edema. The nurse should obtain the client's blood pressure prior to administration of the medication. A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of teh following medications should the nurse expect to administer. - answersMethadone The nurse should expect to administer methadone for treatment of opioid use disorder. Methadone can be administered for withdrawal and to assist with maintenance and suppressive therapy. A nurse is reviewing the medical record of a client who has hypertension. The nurse should id which of teh following findings as a contraindication for receiving propranolol. - answersAsthma Asthma is a contraindication for receiving propranolol. Propranolol is an adrenergic antagonist which blocks the beta2 receptors in the lungs, causing bronchoconstriction and leading to serious airway resistance and possibly respiratory arrest. A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant and that she has not told her provider yet. The nurse should id that the pregnancy is a contraindication for receiving which of the following medications? - answersDoxycycline Doxycycline is a tetracycline antibiotic. The nurse should identify that doxycycline can cause teratogenic effects such as staining of the infant's teeth when exposed to this medication. Therefore, this medication is contraindicated for the client. A nurse is teaching about self administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should id that which of the following statments by the client indicates an understanding of the teaching? - answersI will remove the patch after 14 hr A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly developed dyspnea and widespread hives. Which of the following actions should the nurse take first? - answersDiscontinue the medication IV infusion. The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore, the first action the nurse should take is to discontinue the medication IV infusion to prevent the client from receiving more medication. However, the nurse should not remove the IV catheter. Instead, the nurse should change the tubing and administer 0.9% sodium chloride by continuous IV infusion. A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should id which of the following client findings as an indication that she should complete an incident report? - answersThe client has shortness of breath A severe penicillin allergy is a contraindication for taking ceftazidime, a cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness of breath can indicate the client is developing anaphylaxis. A nurse is precepting a newly licensed nurse who is caring for four clients. the nurse should complete an incident report for which of the following actions by the newly licensed nurse? - answersAdministers isosorbide mononitrate to a client who has BP 82/60 mm Hg Isosorbide mononitrate is a nitrate used for clients with angina. Taking isosorbide mononitrate leads to vasodilation, which can result in hypotension. The nurse should withhold the medication and notify the provider if the client's systolic blood pressure is below the expected reference range of 120/80. A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise-induced asthma. which of the following medications should the nurse plan to instruct the client to use prior to physical activity? - answersCromolyn Cromolyn sodium stabilizes mast cells, which inhibit the release of histamine and other inflammatory mediators. The client should use cromolyn 10 to 15 min before planning to exercise to prevent bronchospasms. A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. which of the following client laboratory values should the nurse monitor? - answersCreatinine Kinase The client who is taking atorvastatin can develop an adverse effect called rhabdomyolysis, which causes muscle weakness or pain and can progress to myositis. Creatinine kinase levels rise in response to enzymes released with muscle injury.