ATI RN Pharmacology Online Practice Exam 2 2024
NGN: A nurse at a clinic is evaluating a client. Drag 1 condition and 1 client finding to fill in each blank in the following sentence. Relevant info: Heart rate 110/min Nurses' Notes: Today: Adult female client is here for 3 month follow up visit after receiving a new prescription 3 months ago. Client reports feeling nervous and being irritable. Client is alert and oriented to person place and time. Skin moist and intact some sweating noted on forehead. Heart rate regular and fast. Respirations even and non-labored. Bowel sounds hyperactive in all 4 quadrants. Reports occasional loose stools that have increased lately. Lab Results: TSH 0.1 mU/L (0.3 to 5 mU/L); Triiodothyronine 220 ng/dL (70 to 205 ng/dL); Thyroxine 4 ng/dL (0.8 to 2.8 ng/dL) Provider Prescriptions: 3 months ago: Levothyroxine 50 mcg PO daily - The client is likely experiencing hyperthyroidism as evidenced by the client's blood thyroxine level. A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching? - "Rinse your mouth after inhaling the beclomethasone" The client should rinse their mouth after using beclomethasone, a glucocorticoid inhaler, to prevent oropharyngeal candidiasis and hoarseness. NGN: A nurse is caring for a client in an inpatient setting. The nurse is preparing to administer the client's 1300 antibiotic doses. Click to highlight the findings that would indicate the nurse should hold the next dose of gentamycin until further direction from the provider. - BUN 48 mg/dL (10 to 20 mg/dL); Creatinine 2.7 mg/dL (0.5 to 1.1 mg/dL); Output 60 mL; Urine is dark amber When recognizing cues, the nurse should review the client's EMR, the nurse should recognize the client's elevated BUN, elevated creatinine level, urine output of less than 30mL/hr, and dark amber colored urine are manifestations of nephrotoxicity which is an adverse effect gentamycin and other aminoglycosides. Therefore, the nurse should hold the dose until further directions from the provider. A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? - Administer the medication outside the 5cm (2in) radius of the umbilicus The nurse should admi. the heparin by subQ injection to the abdomen in an area that is above the iliac crest and at least 5 cm (2 in) away fro the umbilicus.
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