ATI practice

A nurse is caring for a client who received neostigmine 1 hour ago and is experiencing

muscarinic response. Which if the following manifestations should the nurse expect?

Excessive salivation.

A nurse is preparing to administer 4000 units of heparin available is 10,000 units

0.4

What adverse effect should be reported for a client on citalopram?

Confusion

a nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. which of the following statements is appropriate for the nurse to make?

you will need to take two or more medications to treat your disease

What dietary instruction should a nurse provide to a client taking theophylline?

Avoid caffeinated beverages.

What is the first action a nurse should take when mixing regular insulin and NPH?

Inject air into the NPH vial.

What instruction should a nurse give to a client taking Alendronate for osteoporosis?

Sit upright for at least 30 minutes after taking the medication.

What adverse effect should a nurse recognize in a postoperative client receiving morphine?

Bladder distention.

How should a client self-administer cyanocobalamin for pernicious anemia?

Administer the medication into one nostril once per week.

For which client should a newly licensed nurse perform medication reconciliation?

A client who has been transferred to a step-down unit.

What is the priority assessment for a client who received dinoprostone gel?

Uterine tachysystole.

What indicates a client understands the teaching for enoxaparin administration?

Administers the medication into the abdomen.

What finding indicates digoxin toxicity in a client?

Blurred vision.

Which medication should be discontinued for a client reporting vomiting blood?

Clopidogrel.

What adverse effect should a nurse identify for a client receiving clindamycin?

Watery diarrhea.

What should a nurse include in teaching about Cromolyn?

Cromolyn is a long-term management medication.

Which medication can cause orthostatic hypotension as an adverse effect?

Imipramine.

What condition contraindicates the use of atropine?

Glaucoma.

What adverse effect should a client on carbamazepine monitor for?

Blurred vision.

Which medication requires a written prescription due to its potential for misuse?

Fentanyl.

What action by a newly licensed nurse requires an incident report?

A client with a lithium level of 1.8 receives her morning dose.

What is the priority intervention for a client experiencing alcohol withdrawal?

Implement seizure precautions.

Which medications should be monitored for hearing loss?

Furosemide and amikacin.

Where should a nurse place a peripheral venous catheter?

A vein on the client's wrist.

What finding should a nurse identify as a priority for a client receiving epidural anesthesia?

Hypotension.

What should a nurse teach about long-term use of omeprazole?

Increases risk of fractures.

What potassium level should prompt a nurse to withhold furosemide?

Potassium 2.5 mEq/L.

What indicates effectiveness of glipizide for type 2 diabetes?

HbA1c 6.5%.

What medication should be administered for a client with severe headache and high blood pressure?

Nitroprusside.

What indicates a parent understands the teaching for ferrous fumarate?

I will rinse my child's mouth with water after she takes the medicine.

What diagnostic assessment should a client starting lovastatin prepare for?

Liver function test.

What expected outcome should be included for a client with a new prescription for insulin glargine?

The client will wear his reading glasses when drawing insulin glargine.

What findings require discontinuation of magnesium sulfate infusion?

Absence of deep-tendon reflexes, urine output 80 mL/hr, decreased LOC.

What indicates understanding of teaching about nitroglycerin patches?

I will rotate application site to avoid skin irritation.

What medication should a nurse teach first for a client with metabolic syndrome?

Metformin.

What should a nurse monitor for when administering erythromycin lactobionate IV bolus?

Hearing loss

What over-the-counter medication should a nurse notify the provider about for a client prescribed probenecid?

Salicylic acid

What should a nurse instruct a client with HIV taking efavirenz to do?

Notify provider for the appearance of a skin rash

Which laboratory test should a nurse review for a client taking rifampin for tuberculosis?

ALT

What should a nurse instruct a client with multiple allergies about using an epinephrine auto-injector?

Administer the medication through clothing if necessary

What indicates a client's understanding of ferrous gluconate teaching?

I should stay upright for 15 minutes after taking this medication.

How many mL should a nurse administer when reconstituting methylprednisolone sodium succinate 125 mg in 2 mL?

1.3 mL

What should a nurse notify the provider about after administering furosemide to a client with heart failure?

Client reports difficulty hearing

What adverse effect should a nurse monitor for in a client taking pioglitazone?

Orthostatic hypotension

What finding indicates an acute infusion reaction in a client receiving amphotericin B?

Fever

What adverse effect should a nurse instruct a client taking paroxetine to monitor for?

Drowsiness

What effect should a nurse expect after a client with Graves' disease takes methimazole for 2 months?

Increased sleeping

What potential adverse effect should a nurse inform a client taking ergotamine for headaches?

Muscle pain

What laboratory value warrants an incident report for a client who received heparin?

aPTT 90

Which medication should a nurse administer by a parenteral route?

Fondaparinux

What findings indicate the need for an increase in levothyroxine dosage?

Heart rate 46, cold intolerance, impaired short-term memory

What over-the-counter product should a client taking warfarin avoid?

Naproxen

What adverse effect should a nurse include in teaching for a client starting cyclophosphamide therapy?

Leukopenia

What laboratory result should a nurse review before administering vancomycin?

Creatinine level

What food should a client taking phenelzine avoid?

Cheddar cheese

What action should a nurse take when administering nitroglycerin topical ointment?

Measure dosage on medication applicator paper

What laboratory value indicates an adverse effect for a client taking azathioprine?

WBC 3000

What laboratory value should a nurse monitor to evaluate the effectiveness of filgrastim treatment?

WBC count

How many mL should a nurse administer for filgrastim 5 mcg/kg for a client weighing 198 lb?

1.5 mL

What indicates a client understands the teaching about nitroglycerin?

I will call 911 if pain is not relieved after taking the medication

What statement is appropriate for a nurse to make to a client receiving warfarin?

Avoid eating large amounts of cabbage and broccoli

What client information is a priority to report for a client with sinusitis prescribed cefuroxime?

A client with a history of severe penicillin allergy

What should a nurse file an incident report for after administering filgrastim?

Vial sat out for 2 hours at room temperature before administration

What finding indicates effective heparin therapy for deep-vein thrombosis?

Platelets within the expected range

What laboratory value should a nurse report for a client receiving tobramycin?

Serum creatinine 2.5

What indicates a client understands the teaching about nitroglycerin sublingual tablets?

Keep tablets in dark container at room temperature

What finding indicates a need to notify the provider before administering acetaminophen?

History of alcohol use disorder

What should a nurse monitor for as an indication of an allergic reaction after administering penicillin G IM?

Urticaria

What client report is the nurse's priority for a client taking lithium?

Mild thirst