ATI PN Pharmacology Online Practice 2020 B

A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawal. The nurse should identify which of the following interventions as the priority? Suggest the client attend a support group. Administer naltrexone. Implement seizure precautions. Assist the client to identify triggers of alcohol use. - Implement seizure precautions. A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new prescription for sumatriptan. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication? Insomnia Photophobia Chest tightness Respiratory depression - Chest tightness A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? Hypokalemia Blurred vision Tremors Dry cough - Dry cough A nurse is caring for a client who has genital herpes. Which of the following medications should the nurse expect to administer? Levofloxacin Acyclovir Ceftriaxone Metronidazole - Acyclovir A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about adverse effects of metformin. The nurse should instruct the client to monitor for which of the following findings as manifestations of lactic acidosis? (Select all that apply.) Muscle pain Hyperventilation Weight gain Constipation Dizziness - Muscle pain Hyperventilation Dizziness A nurse in a provider's office is reviewing the immunization records of a 12-monthold infant who is immunocompromised. Which of the following vaccines should the nurse identify as contraindicated for this client? Hepatitis A (Hep A) Measles, mumps, and rubella (MMR) Pneumococcal conjugate (PCV13) Haemophilus B conjugate (Hib) - Measles, mumps, and rubella (MMR) A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is learning to self-administer NPH insulin. Which of the following client actions indicates an understanding of the teaching? The client shakes the insulin vial prior to drawing up the dose. The client uses the tip of the plunger to measure the correct dose. The client injects air into the vial after inverting it. The client wipes the cap with alcohol prior to filling the syringe. - The client wipes the cap with alcohol prior to filling the syringe. A nurse is caring for a client who is having an acute asthma attack. Which of the following medications should the nurse administer first? Beclomethasone Albuterol Cromolyn Prednisone - Albuterol A nurse is collecting data from a client who received morphine IV for pain relief. Which of the following findings is the nurse's priority to report to the provider? Emesis Sedation Respiratory rate 11/min Blood pressure 90/54 mm Hg - Respiratory rate 11/min A nurse is caring for a client who has a new prescription for risperidone to manage schizophrenia. Which of the following laboratory tests should the nurse plan to obtain prior to administering the first dose? Fasting blood glucose level Albumin level CD4 T-cell count Blood creatinine level - Fasting blood glucose level A nurse is performing the third check before administering hydromorphone to a client. After opening the unit-dose packet, the client tells the nurse they do not want to take the medication now. Which of the following actions should the nurse take? Complete an occurrence report of the incident. Encourage the client to take the medication. Leave the medication at the client's bedside in case they change their mind. Dispose of the medication with a second nurse as a witness. - Dispose of the medication with a second nurse as a witness. A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. Which of the following adverse reactions is the priority finding to report to the provider? Hyperemesis Severe headache Palpitations Respiratory depression - Respiratory depression A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. For which of the following manifestations should the nurse monitor to determine whether the treatment is effective? Improved social interactions Decreased obsessive-compulsive thoughts Decreased hand tremors Improved urinary control - Improved social interactions A nurse is preparing to administer phenobarbital 3 mg/kg PO twice a day to a schoolage child who weighs 44 lb. Available is phenobarbital elixir 20 mg/5 mL. How many mL should the nurse plan to administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - 15 A nurse is reviewing a client's medical history before administering hydromorphone for postoperative pain. The nurse should notify the provider of which of the following findings before administering this medication? Benign prostatic hyperplasia History of hypertension Rheumatoid arthritis Allergy to aspirin - Benign prostatic hyperplasia A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should the nurse take? Document the completion of an incident report in the medical record of the client who received the zolpidem. Administer a dose of naloxone to reverse the effects of the medication. Keep a copy of the incident report on the unit. Document the notification of the client's provider - Document the notification of the client's provider A nurse is reinforcing discharge teaching with a client who has a prescription for a metered-dose inhaler (MDI). Which of the following information should the nurse include in the teaching? "Wait for 15 seconds between each puff of the same medication." "Hold your breath for 5 seconds after inhaling the medication."