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ATI Capstone Pharmacology
Assessment 2 Questions and Answers
A nurse is preparing to administer a bisacodyl (Dulcolax) 10 mg suppository. Which of the following are correct administration guidelines for the nurse to implement? (Select all that apply.) - ANS
- Lubricate index finger - Insert suppository just beyond internal sphincter A nurse is caring for a client who has anemia and has difficulty swallowing pills. The client's provider has prescribed a liquid oral iron supplement. The client should be instructed by the nurse to take the iron - ANS with orange juice to enhance absorption. Which of the following are appropriate references for the nurse to use to ensure safe medication administration? (Select all that apply.) - ANS - Published journals - Pharmacists - Physicians' Desk Reference A nurse is developing home instructions for a client who is prescribed phenytoin (Dilantin) via the tube. Which of the following should the nurse include in the instructions? - ANS Alcohol increases the chance of phenytoin toxicity.
A nurse is talking with a client about how to use montelukast (Singulair) to treat asthma. Which of the following client statements should indicate that the client understood the nurse's instructions? - ANS "I'll take this medication once a day in the evening." A nurse is caring for a client who received morphine sulfate 30 min ago. Which of the following best determines therapeutic client response to this medication? - ANS 0 rating on pain scale A nurse is administering ipratropium bromide (Atrovent) via nebulizer to a client who has emphysema. Which of the following client findings should cause the nurse to consult the provider before administering the next dose? - ANS Visual changes A nurse is reviewing medications for a client who has a diagnosis of a small bowel obstruction. The nurse should withhold senna (Senoket) prescribed orally based on understanding of which of the following? - ANS Laxatives are contraindicated in clients who have a small bowel obstruction. A nurse is talking with a client about taking diphenhydramine (Benadryl). The nurse should explain that the most common side
A nurse is teaching a client who has asthma the appropriate use of inhaled beclomethasone (Beclovent). To avoid complications related to the use of beclomethasone, the nurse should encourage the client to - ANS rinse the mouth after administration. A client is taking ibuprofen (Advil, Motrin) to treat hip pain. The nurse should teach the client that, to minimize gastric mucosal irritation, she should take this medication at which of the following times? - ANS Immediately after a meal A nurse is monitoring a client's IV site. Which of the following findings are associated with phlebitis and should be reported to the RN? (Select all that apply.) - ANS - Erythema
- Throbbing - Warmth at insertion site - Streak formation A nurse is teaching medication safety to a group of healthy older adults at a community center. The nurse explains that due to the high frequency of food-drug interactions, the clients should avoid taking their medications with which of the following? - ANS Grapefruit juice
A nurse is caring for a client who asks how albuterol (Proventil) helps his breathing. Which of the following should the nurse include in the response? (Select all that apply.) - ANS - The medication will prevent wheezing
- The medication will open the airways. - The medication will decrease coughing episodes. A client diagnosed with oral candidiasis has received instructions from the nurse about the use of nystatin (Mycostatin) suspension. Which of the following statements made by the client should indicate to the nurse that the teaching has been effective? - ANS "I will hold the medication in my mouth for as long as possible." A nurse is preparing a medication and is converting 0.8 grams to milligrams. The nurse should do which of the following? - ANS Move the decimal point 3 places to the right. A nurse is reinforcing the controlled substance guidelines with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply.) - ANS - Count each dose of narcotics in inventory. - Match number of available doses to record. - Sign acceptance of narcotic count if correct.
might cause you to have a stomachache or indigestion."
A client tells the nurse she took a dose of dimenhydrinate (Dramamine) before coming to the health care clinic. The nurse determines that the medication is effective when the client reports relief of - ANS nausea A nurse is caring for a client who reports daily use of acetaminophen (Tylenol) to manage mild knee pain. Which of the following statements by the client should be of most concern to the nurse? - ANS "I take three or four Vicodin ES tablets a day for severe knee and joint pain." A nurse is instructing a hospitalized client who has asthma about how to use an albuterol (Proventil) inhaler. The nurse should recognize that the client understands how to use the inhaler when the client demonstrates by - ANS holding a breath for 10 seconds after inhaling the medication. A hospice nurse makes weekly visits to a client who has terminal cancer. For several weeks, the client has been taking morphine sulfate for pain relief. At today's visit, the client reports to the nurse that the usual dose of morphine does not seem to be working. The nurse should understand that the most likely explanation is that the client has - ANS developed a tolerance to the medication.
A nurse is caring for a child in status asthmaticus. Which of the following is the priority action for the nurse to take? - ANS Administer a short-acting ß
- agonist. A nurse is caring for an older adult client who is hospitalized. Which of the following medications is likely to put the client at risk for orthostatic hypotension? (Select all that apply.) - ANS - Furosemide (Lasix) - Telmisartan (Micardis) - Phenelzine sulfate (Nardil) A nurse is caring for a client who has been on levothyroxine (Synthroid) for several months. If the dose of this medication has been adequate, the nurse should expect to see a decrease in the - ANS thyroid stimulating hormone (TSH). A provider prescribes a transfusion of one unit of packed RBC for a client who has a low hemoglobin level. The provider also prescribes diphenhydramine (Benadryl) for administration before the transfusion to prevent - ANS urticaria. A nurse is teaching a client who takes pain medication and was recently prescribed docusate sodium (Colace). Which of the following statements indicates the client understands the
information? - ANS "I am to have 1 to 2 soft stools each day."
A nurse is caring for a client who has poison ivy and dermatitis and is started on diphenhydramine (Benadryl). Which of the following nursing recommendations is
appropriate for decreasing the dry mouth associated with the use of diphenhydramine? - ANS "Chew on sugarless gum or suck on hard, sour candies." An older adult client's provider prescribes aspirin, 650 mg/q6h PO to treat rheumatoid arthritis. The nurse should teach the client that a possible adverse effect of aspirin therapy is - ANS bleeding. A nurse is caring for a client who is taking levothyroxine (Synthroid). Which of the following manifestations should suggest to the nurse that the client may have taken an overdose of levothyroxine? - ANS Insomnia A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration? - ANS Specific characteristics of the medications A nurse is caring for a client who has several environmental allergies and was admitted in status asthmaticus. The provider prescribes cromolyn sodium (Intal) via metered dose inhaler (MDI) to be added to the client's home management along with an albuterol (Proventil) MDI. When performing discharge teaching, the nurse should identify the need for additional teaching when the
Following surgery, a client has a prescription for nalbuphine (Nubain) for moderate to severe pain. The nurse caring for the client should check for possible adverse reactions by assessing for which of the following findings? - ANS Blurred vision A nurse is caring for a client who requests pain medication. The nurse should understand that acute pain can cause which of the following? - ANS Increased heart rate A nurse is caring for a client treated with intermittent IV vancomycin (Vancocin). The client reports pain at the IV site when the nurse starts the infusion. Which of the following nursing actions is appropriate at this time? - ANS Assess the patency of the IV site. A nurse is caring for a client who reports taking bisacodyl (Ducolax) to promote a daily bowel movement. Which of the following should be the nurse's priority response? - ANS "How long have you been taking the Ducolax?" A female client who has rheumatoid arthritis asks the nurse if it is safe for her to take aspirin. Which of the following is a contraindication to this medication? - ANS History of gastric ulcers.
A nurse is caring for a client who reports occasionally self- medicating with an over-the-counter calcium carbonate antacid. To avoid the adverse effects of calcium carbonate, the nurse should recommend that the client take this medication with - ANS water. A home health nurse is reviewing the medication list of an older adult client who reports falling a couple of times over the past week. Which of the following medications should the nurse suspect is contributing to the client's falls? - ANS Alprazolam (Xanax) 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? - ANS Aspirate for 5 to 10 seconds. A nurse is preparing to administer an intramuscular (IM) dose of meperidine (Demerol) to a client, which of the following is the priority for the nurse to take? - ANS Respiratory rate A nurse is preparing to administer potassium chloride (KCL). The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 5.2 mEq/L. Which of the following actions should the nurse take? - ANS Call the prescribing physician and inform her of the client's serum potassium level
