ATI Pharmacology Proctor 2019 A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider? a) The client has a BUN of 18 mg/dL b) The client takes an aspirin daily c) The client has a history of a severe penicillin allergy d) The client reports a history of nausea with cefuroxime A nurse is assessing a client who has hypermagnesemia. Wh ich of the following medications should the nurse prepare to administer? a) Protamine sulfate b) Acetylcysteine c) Calcium gluconate d) Flumazenil A nurse is reviewing the list of current medication for a client who is to start prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine? a) Nicotine transdermal system b) Diphenhydramine c) Estrogen -progestin combination d) Beclomethasone Estrogen -progestin combination ( non-hormonal forms of contrac eption) A nurse is assessing a client following the administration of ondansetron (Zofran). Which of the following findings should indicate to the nurse that the ondansetron has been effective? a) Client reports a decrease in pain b) Client reports a decrease in nau sea c) Client reports a decrease in coughing d) Client reports a decrease in diarrhea A nurse manager is planning an in -service about pain management with opioids for client who has cancer. Which of the following inf ormation should the nurse manager include ? a) IM administration is recommended if PO opioids are ineffective b) Respiratory depression decreases as opioid tolerance develops c) Meperidine is the opioid of choice for treating chronic pain d) Withhold PRN pain medication for the client who is receiving opioids every 6 hrs. A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss? a) Rifampin b) Ciprofloxacin c) Penicillin G d) Gentamicin A nurse is teaching a guardian of a school -age child who has a new prescription for a fluticasone metered -dose inhaler. Which of the following information should the nurse include in the teaching? (SATA) a) "Soak the inhaler in water after use." b) "Have your child take one inhalation as needed for shortness of breath." c) "Shake the device prior to administration." d) "A spacer will make it easier to use the device." e) "Rinse your child's mouth following administration." A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally 12 hr. available is 6.7 mEq/5 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 trialing zero.) - 7.5 mL A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching? a) "You will need liver function tests before beginning therapy." b) "Avoid consuming dairy products while taking this medication." c) "You may crush the medication and mix it with applesauce." d) "You should take the medication in the morning." A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissue surrounding the insertion site. Which of the following actions should the nurse take? a) Flush the IV catheter b) Apply pressure to the IV site c) Elevate the extremity d) Slow the infusion rate A nurse is preparing to administer 4000 units of heparin subcutaneously to a client who has deep -vein thrombosis. Available is heparin 10,000 units. How many mL of heparin should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - 0.4 mL A nurse us caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect? a) Oxygen saturation 96% b) PaCO2 30 mm Hg c) Increase in B P d) Decrease in protein A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reactio n? (SATA) a) Polypharmacy b) Increased rate of absorption c) Decreased percentage of body fat d) Multiple health problems e) Decreased renal function A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider? a) Sodium 137 mEq/L b) Hct 4.3% c) Hgb 15 g/dL d) Creatinine 2.5 mg/dL A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take? a) Apply firm pressure to the injection site following administration b) Administer the medication into the client's muscle c) Expel the air bubble from the syringe prior to injection d) Insert the syringe needle halfway into the client's skin
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