Pharm ATI proctored
Study online at https://quizlet.com/_h1chpt
1. A nurse is caring for a client who is to receive Methadone
treatment for opioid use disorder. Which of the
following medications should the nurse expect explanation
to administer? The nurse should expect to ad-
Bupropion minister methadone for treatment
Disulfiram of opioid use disorder. Methadone
Modafinil can be administered for withdrawal
Methadone and to assist with maintenance and
suppressive therapy.
2. A nurse is caring for a client on a medical-surgi- The nurse should first address the
cal unit. client's Select....(vitals, pain, glu-
Exhibit 1 Exhibit 2 Exhibit 3 Complete the follow- cose). followed by the client's Se-
ing sentence by using the lists of options. lect.. (CVAD, albumin level, bowel
The nurse should first address the client's Se- sound)..
lect....(vitals, pain, glucose). followed by the
client's Select.. (CVAD, albumin level, bowel Glucose, CVAD
sound).. explanation:
When analyzing cues, the nurse
Nurses' Notes Yesterday: Client was admitted should identify that the client is
1 week ago with a Crohn's disease exacerba- developing hypoglycemia and ex-
tion. A central venous access device (CVAD) was periencing a complication with the
placed in the client's right subclavian vein. To- central venous line (CVL). Hypo-
tal parental nutrition (TPN) and lipids initiated 3 glycemia can occur if the TPN is
days ago. The client is NPO. The client reports stopped abruptly. A CVAD can be-
abdominal pain as 5 on a scale of 0 to 10. Bowel come occluded or infected. Find-
sounds are hyperactive and lower right quad- ings of a CVL complication can in-
rant is tender to palpation. clude difficulty flushing, pain while
Today: The 24-hr bag of TPN infusion was com- flushing, fever, or chills.
plete 1 hr ago, pharmacy notified and waiting
for a new bag. CVAD dressing is clean, dry. and
, Pharm ATI proctored
Study online at https://quizlet.com/_h1chpt
intact. CVAD is difficult to flush. The client re-
ports abdominal pain as 4 on a s
3. A nurse is preparing to administer hy- Obtain blood pressure
drochlorothiazide (HCTZ) to a client. Which of
the following actions should the nurse take prior explnation HCTZ is a thiazide di-
to administering the medication? uretic administered to promote
Ask the client to drink 8 oz of water. urine output and reduce blood
Review the client's most recent Hgb level. pressure and edema. The nurse
Obtain the client's blood pressure. should obtain the client's blood
Determine if the client is allergic to NSAIDs pressure prior to administration of
the medication.
4. A nurse is planning care for a client who is Bibasilar crackles
receiving mannitol via continuous IV infusion.
Which of the following adverse effects should explanation-Mannitol, an osmotic
the nurse monitor the client for? diuretic, can precipitate heart fail-
Weight loss Increased ure and pulmonary edema. There-
intraocular pressure fore, the nurse should recognize
Auditory hallucinations lung crackles as an indicator of a
Bibasilar crackles potential complication and stop the
infusion.
5. A nurse is caring for a client who is taking ni- Assist the client into bed, elevate
troglycerin for angina and reports feeling faint the lower extremities, check their
when standing up. Which of the following ac- blood pressure
tions should the nurse take?
inform the client that feeling faint is caused by explanation- The nurse should first
rapid constriction of the blood vessels in the assist the client into bed to pre-
legs. vent injuries from a fall. The nurse
should elevate the client's legs on
Assist the client into bed, elevate the lower ex- pillows to enhance venous return
tremities, and check their blood pressure. from the lower extremities. The
, Pharm ATI proctored
Study online at https://quizlet.com/_h1chpt
nurse should then check the client's
Request a prescription for dobutamine from the blood pressure.
client's provider.
Check the client's blood pressure while they're
still standing
6. A nurse is preparing medication instructions for Taking a stool softener
a client who is receiving end-of-life care and
their family. The client has a prescription for explanation- Constipation is an ad-
fentanyl patches. Which of the following infor- verse effect of opioid use. Stool
mation regarding the manifestations and use of softeners can decrease the severity
fentanyl should the nurse include in the instruc- of this adverse effect.
tions?
Respiratory depression as a result of fentamyl
use will cause a need for an at home nefazodone
prescription.
Removing the patch will immediataly reverse
any adverse effects of fentanyl
An increase in urinary output should be expect-
ed
Taking a stool softener daily will be needed
7. A nurse is providing teaching to a client who report yellowing of skin
has a gastric ulcer and a new prescription for
famotidine. Which of the following instructions explanation- Famotidine can be
should the nurse include? hepatotoxic and cause jaundice.
"Take the medication on an empty stomach for The nurse should instruct the client
full effectiveness." to monitor for and report yellowing
"You may discontinue this medication when of the skin or eyes to the provider.
stomach discomfort subsides." "Report yellow-
, Pharm ATI proctored
Study online at https://quizlet.com/_h1chpt
ing of the skan."
"You will be taking this medication for 2 weeks."
8. A nurse is providing discharge teaching about Store unused medication sticks in a
handling medication to a client who is to contin- storage container
ue taking oral transmucosal fentanyl raspberry-
flavored lozenges on a stick. Which of the follow- explanation- The nurse should in-
ing information should the nurse include in the struct the client to store unused,
teaching? used, or partially used medication
Chew on the medication stick to release the sticks in the safe storage contain-
medication. er that comes in the kit when the
Leave the medication stick in one location of the medication is initially prescribed.
mouth until melted.
Allow the medication 1 hr for analgesia effects
to begin.
Store unused medication sticks in a storage con-
tainer
9. A nurse is preparing to administer a scheduled 0830
antibiotic at 0800 to a client and discovers the
antibiotic is not present in the client's med- explanation- The nurse should
ication drawer. The nurse should identify that identify that an antibiotic can be
administration of the medication can occur at administered 30 min before or af-
which of the following time periods without re- ter the scheduled time to main-
quiring an Incident report? 1000 tain therapeutic blood levels with-
0900 out requiring an incident report.
0830
1200
10. A nurse is caring for a client who is receiving fil- increased neutrophils
grastim. Which of the following findings should
the nurse document to indicate the effective- explanation- Filgrastim stimulates
the bone marrow to produce
Study online at https://quizlet.com/_h1chpt
1. A nurse is caring for a client who is to receive Methadone
treatment for opioid use disorder. Which of the
following medications should the nurse expect explanation
to administer? The nurse should expect to ad-
Bupropion minister methadone for treatment
Disulfiram of opioid use disorder. Methadone
Modafinil can be administered for withdrawal
Methadone and to assist with maintenance and
suppressive therapy.
2. A nurse is caring for a client on a medical-surgi- The nurse should first address the
cal unit. client's Select....(vitals, pain, glu-
Exhibit 1 Exhibit 2 Exhibit 3 Complete the follow- cose). followed by the client's Se-
ing sentence by using the lists of options. lect.. (CVAD, albumin level, bowel
The nurse should first address the client's Se- sound)..
lect....(vitals, pain, glucose). followed by the
client's Select.. (CVAD, albumin level, bowel Glucose, CVAD
sound).. explanation:
When analyzing cues, the nurse
Nurses' Notes Yesterday: Client was admitted should identify that the client is
1 week ago with a Crohn's disease exacerba- developing hypoglycemia and ex-
tion. A central venous access device (CVAD) was periencing a complication with the
placed in the client's right subclavian vein. To- central venous line (CVL). Hypo-
tal parental nutrition (TPN) and lipids initiated 3 glycemia can occur if the TPN is
days ago. The client is NPO. The client reports stopped abruptly. A CVAD can be-
abdominal pain as 5 on a scale of 0 to 10. Bowel come occluded or infected. Find-
sounds are hyperactive and lower right quad- ings of a CVL complication can in-
rant is tender to palpation. clude difficulty flushing, pain while
Today: The 24-hr bag of TPN infusion was com- flushing, fever, or chills.
plete 1 hr ago, pharmacy notified and waiting
for a new bag. CVAD dressing is clean, dry. and
, Pharm ATI proctored
Study online at https://quizlet.com/_h1chpt
intact. CVAD is difficult to flush. The client re-
ports abdominal pain as 4 on a s
3. A nurse is preparing to administer hy- Obtain blood pressure
drochlorothiazide (HCTZ) to a client. Which of
the following actions should the nurse take prior explnation HCTZ is a thiazide di-
to administering the medication? uretic administered to promote
Ask the client to drink 8 oz of water. urine output and reduce blood
Review the client's most recent Hgb level. pressure and edema. The nurse
Obtain the client's blood pressure. should obtain the client's blood
Determine if the client is allergic to NSAIDs pressure prior to administration of
the medication.
4. A nurse is planning care for a client who is Bibasilar crackles
receiving mannitol via continuous IV infusion.
Which of the following adverse effects should explanation-Mannitol, an osmotic
the nurse monitor the client for? diuretic, can precipitate heart fail-
Weight loss Increased ure and pulmonary edema. There-
intraocular pressure fore, the nurse should recognize
Auditory hallucinations lung crackles as an indicator of a
Bibasilar crackles potential complication and stop the
infusion.
5. A nurse is caring for a client who is taking ni- Assist the client into bed, elevate
troglycerin for angina and reports feeling faint the lower extremities, check their
when standing up. Which of the following ac- blood pressure
tions should the nurse take?
inform the client that feeling faint is caused by explanation- The nurse should first
rapid constriction of the blood vessels in the assist the client into bed to pre-
legs. vent injuries from a fall. The nurse
should elevate the client's legs on
Assist the client into bed, elevate the lower ex- pillows to enhance venous return
tremities, and check their blood pressure. from the lower extremities. The
, Pharm ATI proctored
Study online at https://quizlet.com/_h1chpt
nurse should then check the client's
Request a prescription for dobutamine from the blood pressure.
client's provider.
Check the client's blood pressure while they're
still standing
6. A nurse is preparing medication instructions for Taking a stool softener
a client who is receiving end-of-life care and
their family. The client has a prescription for explanation- Constipation is an ad-
fentanyl patches. Which of the following infor- verse effect of opioid use. Stool
mation regarding the manifestations and use of softeners can decrease the severity
fentanyl should the nurse include in the instruc- of this adverse effect.
tions?
Respiratory depression as a result of fentamyl
use will cause a need for an at home nefazodone
prescription.
Removing the patch will immediataly reverse
any adverse effects of fentanyl
An increase in urinary output should be expect-
ed
Taking a stool softener daily will be needed
7. A nurse is providing teaching to a client who report yellowing of skin
has a gastric ulcer and a new prescription for
famotidine. Which of the following instructions explanation- Famotidine can be
should the nurse include? hepatotoxic and cause jaundice.
"Take the medication on an empty stomach for The nurse should instruct the client
full effectiveness." to monitor for and report yellowing
"You may discontinue this medication when of the skin or eyes to the provider.
stomach discomfort subsides." "Report yellow-
, Pharm ATI proctored
Study online at https://quizlet.com/_h1chpt
ing of the skan."
"You will be taking this medication for 2 weeks."
8. A nurse is providing discharge teaching about Store unused medication sticks in a
handling medication to a client who is to contin- storage container
ue taking oral transmucosal fentanyl raspberry-
flavored lozenges on a stick. Which of the follow- explanation- The nurse should in-
ing information should the nurse include in the struct the client to store unused,
teaching? used, or partially used medication
Chew on the medication stick to release the sticks in the safe storage contain-
medication. er that comes in the kit when the
Leave the medication stick in one location of the medication is initially prescribed.
mouth until melted.
Allow the medication 1 hr for analgesia effects
to begin.
Store unused medication sticks in a storage con-
tainer
9. A nurse is preparing to administer a scheduled 0830
antibiotic at 0800 to a client and discovers the
antibiotic is not present in the client's med- explanation- The nurse should
ication drawer. The nurse should identify that identify that an antibiotic can be
administration of the medication can occur at administered 30 min before or af-
which of the following time periods without re- ter the scheduled time to main-
quiring an Incident report? 1000 tain therapeutic blood levels with-
0900 out requiring an incident report.
0830
1200
10. A nurse is caring for a client who is receiving fil- increased neutrophils
grastim. Which of the following findings should
the nurse document to indicate the effective- explanation- Filgrastim stimulates
the bone marrow to produce
