ATI RN PHARMACOLOGY 2020 EXAM PACKBEST FOR 2022 ACTUAL EXA

ATI RN PHARMACOLOGY 2020 EXAM PACKBEST FOR 2022 ACTUAL EXAM 1. A home health nurse is teaching the parents of a toddler about complication of influenza. Which of the following complication is the priority for the nurse to discuss? a. Pneumonia b. Sinusitis c. Dehydration d. Otitis Media 2. A nurse working with parents suspected of child abuse recognizes that the social most predictive of abusive behaviour is a. Inadequate living conditions b. Relationship difficulties c. Social isolation d. Prior exposure to violence 3. In the last month, three cases of tuberculosis have been referred to the health department. Which of the following would be the priority information for the community health nurse to obtain from each client? a. Demographics b. Health history c. Occupation d. Household members 4. The wife of an adult client who has Alzheimer’s disease reports that he is not eating. The home health aide later tells the nurse that the wife is refusing to feed him, insisting that he do it himself. Which of the following is the priority action the nurse should take? a. Refer the client’s wife to an Alzheimer’s support group. b. Direct the home health aide to assist with meals. c. Arrange for Meals on Wheel assistance. d. Determine the clients’ ability to self-feed 5. A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention a. Presenting community education programs on stress management b. Urging community leaders to make nonviolence a priority c. Assessing for risk factors of intimate partner abuse during health examination d. Developing resources for victims abuse 6. A home health nursing is conducting an initial assessment for a client who is prescribed warfarin sodium (Coumadin). Which of the following clinical findings is associated with thrombocytopenia? a. Distended jugular veins b. Polyuria c. Akathisia d. Black tarry stools 7. A nurse is reviewing data for communicable disease in his rural public health region. Which of the following data should the nurse identify as an agent factors affecting the spread of communicable disease? a. A change in the prevalence of older adults obtaining the pneumococcal vaccine b. An increase in the migrant farm workers living in the community c. A decrease in the number of ambulatory clinics in the area d. An antigenic shift in the composition of the strain of influenza 8. A community health nurse in the initial phase of planning a smoke cessation program. Which of the following is the following is the first action the nurse should take? a. Determine the prevalence of smoking in the community b. Formulate objectives for the smoking cessation program c. Gain community support for the program d. Evaluate the methods of successful smoke cessation programs 9. Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from rips in the heating duct insulation? a. Department of Health and Human Resources b. National Institute of Health c. Centers of Disease Control and Prevention d. Environmental Protection Agency 10. A nurse manager in a local community health agency is creating a job description for a new nurse who will practice community-oriented nursing. Which of the following would be appropriate to include in the job description? (Select all that apply) a. Initiate support groups for parents of autistic children. b. Provide health-related education to community groups c. Investigate potential health and environmental issues d. Provide wound care for client in their homes e. Participate in local health surveillance activities 11. A home health nurse is providing education for a client who has esophageal cancer and reports dysphagia. Which of the following instructions should the nurse include in the teaching? a. “You should include thin soups and liquids in you meal plan?” b. “You should weigh yourself once each week” c. “You should place you food on the front of your tongue when eating” d. “You should maintain a chin tuck position when swallowing” 12. A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in the teaching? a. Pregnant adolescents need to gain less weight than adult mothers b. The need for supplemental folic acid is greatest during the 3rd trimester c. Caffeinated beverages should be replaced with caffeine-free d. The incidence of high birth weight infants is higher adolescent pregnancy 13. A client comes to a mental health clinic and tells the nurse that he has no purpose in life. Which of the following is the nurse’s priority response? a. Tell what is going on with you right now? b. Do you really think your life has no purpose? c. Have you been thinking about harming yourself? d. How long have you been feeling this way? 14. A nurse in a pediatric clinic is evaluating a child who has fifth disease. Which of the following finding is associated with this diagnosis? a. Facial rash b. Epistaxis c. Raised blisters d. Conjunctivitis 15. A nurse is working with a client who presents with whooping cough. Based on the epidemiological triangle, which of the following is considered the environment for this situation? a. Human population distribution b. Immunization status c. Pertussis virus d. Decreased disease resistance 16. A community health nurse is planning to use a web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider in selecting appropriate resources for the client? a. The website provides a peer review process for publishing information b. The website is hosted by a dialysis equipment marketing group. c. The website is sponsored by a health care political action committee d. The website is updated every 5 years 17. A home health nurse is conducting an initial intake assessment with a client who has hypothyroidism. Which of the following assessment findings is associated with this disease? a. Bradycardia b. Profuse sweating c. Bulging eyes d. Muscle weakness 18. A client with Diabetes Mellitus asks the home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following is the first action the nurse should take when assisting this client? a. Provide the client with printed recipes b. Observe the client during preparation of traditional foods c. Use cookbooks to include traditional foods in meal plans d. Explain the diabetes exchange list 19. A nurse has provided a training session about disease prevention for staff at a community summer camp. When asked to provide an example of vector-borne illness, which of the following response indicated the teaching has been effective? a. E. Coli b. Lyme disease c. Chicken pox d. Pediculosis 20. Several nurses affiliated with a church are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following is appropriate to include in regard to care they could provide? a. Perform wound care in the home of members b. Organize flu immunization clinic with the American Red Cross c. Facilitate discharge from the hospital to the home d. Provide end-of-life care for terminal members 21. The wife and son of a client with a terminal illness have just received information regarding hospice care from a nurse. Which of the following statement indicated a need for further teaching? A or B a. My husbands physician will no long be involved in his care b. My father’s care will be provided by a variety of health care specialists c. Hospice can be discontinued if my husband decides to start treatment again d. My father can be cared for either in the hospital or at home 22. A home health nurse is educating a client diagnosed with COPD about home oxygen use. Which of the following statements by the client indicated a need for additional teaching? a. I should keep my oxygen tank at least 5 feet away from the television b. I should notify the local fire department that oxygen is being used in my home c. I should use wool blanket on my bed when oxygen is in use d. I should avoid being in the same room as burning candles when I’m using oxygen 23. A case manager nurse is caring for a client being discharged post total hip arthroplasty. Which of the following activities is an example of the nurse functioning in the negotiator role? a. Scheduling appointments for physical therapy services b. Discussing payment options with various pharmacies c. Providing social services with a list of needed referrals d. Reporting safety concerns to the home health agency 24. A nurse is preparing a presentation on the epidemiology of HIV and AIDS for an organization planning to open an HIV clinic. Which of the following information should the nurse include? a. Document cases of HIV transmission in school settings are increasing b. HIV diagnosis rates are disproportionately higher among minority groups c. People with injection drug use disorder are at greater risk for HIV diagnosis d. Enzyme-linked immunosorbent essay (EIA) testing diagnoses HIV in infants 25. A community health nurse is teaching a group of parents about manifestation of alcohol withdrawal syndrome. Which of the following manifestations should the nurse include in the teaching? a. Tactile hallucinations b. Hypotension c. Somnolense d. Slow reactive pupils 26. A nurse at a clinic is caring for a client during a post partum visit following vaginal delivery. The client has a perineal laceration and reports pain. Which of the following interventions should the nurse recommend? a. Apply witch hazel pads after defecation b. Insert glycerin rectal suppositories as needed c. Place a pillow across the lower abdomen when coughing d. Decrease fiber in the diet 27. A home health nurse is making a home safety evaluation visit with an older adult client recently discharged from the hospital after being diagnosed with diabetes mellitus. Which of the following findings indicates a need for a corrective intervention. (select all that apply.) a. A rubber-backed bath mat is on the floor outside of the shower b. An extension cord extends across the floor from the electrical outlet to floor lamp c. A hot water heater is a set at 130 F d. A red light is kept on in the bedroom at night e. The floors of the house are made of wood 28. A nurse is preparing a presentation about disease management for a group of older adults who have osteoarthritis. Which of the following guidelines should the nurse include? a. Sit with the back of the chair recline while resting b. Bend at the waist to pick up objects off the floor c. Increase exercise repetitions when joints are inflamed d. Removed hot dishes from oven with both hands 29. A community health nurse is caring for clients in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group? a. Maintaining eye contact when interviewing a Native- American client b. Including both hot and cold food items on a Hispanic client’s menu c. Offering to shake hands when meeting in Asian client of the opposite gender d. Touching the hair of an African-American client during assessment 30. A home health nurse is completing an assessment of a client who is undergoing radiation therapy for cancer of the mastoid. Which of the following is an expected finding? a. Pale skin over the affected area b. Increased salivation c. Excessive lacrimation d. Hoarseness 31. A Parish nurse is planning activities for faith-based community. Which of the following activities should the nurse include? a. Change a wound vac dressing b. Provide case management c. Teach stress management strategies d. Offer primary care to uninsured members 32. A home health care nurse is visiting a clent who has heart failure and a new prescription for furosemine (Lasix). Which of the following instructions should the nurse give the client? a. Eat high-potassium foods b. Take aspirin if muscle aches develop c. Expect some swelling in the hands and feet d. Take the medication at bedtime 33. A group of technicians from a local automotive repair shop present to an urgent care clinic with reports of dizziness, headaches, and nausea. After providing needed care to the clients, which of the following government agencies should the nurse notify to follow up on these reports? a. Environmental protection agency b. Department of health and human services c. Centers of disease control and prevention d. Occupational Safety and Health Administration 34. A School nurse is preparing in educational program about pediculosis capitis (head lice) for the parents of elementary school children. Which of the following instructions should the nurse include in the teaching? a. Soak combs in boiling water for 10 min b. Use a nit comb in the child’s hair every other day c. Apply a second permethrin (nix) treatment within 3 days d. Seal stuffed animals in plastic bags for 7 days 35. Which of the following should the nurse include in a cultural assessment? a. Family relationships b. Personal medical history c. Primary health concerns d. Occupational status 36. A community health nurse is reviewing the health record of a client who has a new prescription for aspirin. Which of the following findings places the client at risk of an adverse effect of this medication? a. Peptic ulcer disease b. Rheumatoid arthritis c. History of ischemic stroke d. Family history of colorectal cancer 37. A nurse is planning an educational program for a new inmate in a correctional facility. Which of the following topics is most important for the nurse to include in the teaching? a. Communicable disease b. Stress reduction techniques c. Anger management techniques d. Substance abuse prevention 38. A community health nurse working with a migrant population recognizes that which of the following is necessary to provide care to the population? a. Offering health screenings at a community center b. Requiring clients to show a work visa before they receive care c. Providing health services at work sites d. Treating clients on a free for service basis 39. A community health nurse notes that 6 new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, 5 cases were reported. The population of the community is 15,000 people. What is the prevalence proportion for the community? a. 40.0/100,000 b. 73.3/100,000 c. 33.3/100,000 d. 0.9/100,000 40. A nurse at a shelter is assisting with client triage after a tornado destroyed a community. Which of the following clients should receive priority care? a. An adult client who is short of breath b. An infant client who is crying c. An older adult client who has a fractured arm d. A school-age client who has a head abrasion 41. During a routine school visit to a physical education class, a nurse receives multiple reports of shortness of breath, coughing, and nausea. Which if the following actions should the nurse take first? a. Administer oxygen therapy b. Establish a triage area c. Contact the local health department d. Notify the parents of the students 42. The nurse instructing a child who has asthma how to use the MDI. After depressing the canister, in which order should the client continue to use the MDI? (put it in order) a. Inhale slowly, hold breathe, breath out slowly, remove inhaler 43. A home health care nurse is teaching a client how to manage a central venous access device at home. Which of the following statement by the client indicates an understanding of the teaching? a. Ill replace the cap on each lumen every 14 hours b. Ill make sure we flush the central line once every week c. Ill expect occasional drainage where the catheter goes in d. Ill make sure to keep the catheter taped to my skin 44. A nurse volunteering at a local community center is addressing a variety of health needs with a group of older adult clients. Which of the following interventions would be considered a tertiary prevention strategy? a. Distributing literature regarding signs and symptoms of a stroke b. Providing a class on living with arthritis c. Calculating the BMI of all the clients d. Holding cooking class that focuses on low sodium meal 45. A community health nurse is calculating mortality rates due to AIDS. Of 24,600 deaths in population in a year 1,088 deaths were attributed to AIDS. What is the proportionate mortality ratio of death due to AIDS expressed as a percentage? a. 4.4% 46. A school nurse is planning a primary prevention activities for the new school year. Which of the following should the nurse include? Select all that apply a. Recommending a seating arrangement for a child in a body cast b. Creating a plan of care for children diagnosed with diabetes c. Lobbying for funding for health promotion efforts d. Teaching a class about the risk of cigarette smoking e. Organizing a program to promote skateboard safety 47. The home health nurse is teaching a client who is newly diagnosed with diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? a. I will limit any fluid intake to one liter daily b. I will take my insulin 30 minutes before exercise c. I will use a mirror to inspect my feet daily d. I will eat a low residue diet 48. A nurse is providing education to the family of a school age child who has pertussis. Which of the following should be included in the teaching? a. Household contacts will receive prophylactic antibiotics b. Transmission will be limited because of herd immunity c. The child is most contagious after the rash develops d. A dehumidifier should be placed beside the child’s bed 49. A nurse is serving one a state task force of disaster planning. The nurse is engaging in disaster preparedness efforts when performing which of the following actions? a. Functioning as manager at a temporary shelter b. Assisting with the identification of a biological agent c. Implementing a disaster triage plan with a local hospital d. Organizing a mass casualty drill for community members 50. A nurse is working in an occupational health setting. Which of the following is a primary prevention activity for the nurse? a. Demonstrating proper body mechanics b. Conducting smoking cessation classes c. Developing health surveillance programs d. Processing workers compensation claims 51. A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity? a. Promotion of appropriate lifestyle changes b. Early detection of disease c. Client enrolment in prevention programs d. Identification of family history of medical problems 52. A nurse is providing teaching to client who has a confirmed case of tuberculosis. Which of the following statements by the client indicates teaching has been effective? a. I will be contagious until I have completed the full medication regimen b. I will be take medication daily for at least 6 months c. I will have a repeat tuberculin skin test in 6 weeks d. I will need to have a special HEPA filter installed in my home 53. A home health nurse is providing teaching to a client who has chronic obstructive disease and is experiencing weight loss. Which of the following should the nurse include in the teaching? a. Begin meals with high calorie foods b. Use the prescribed bronchodilators after meals c. Drink additional fluids with meals d. Eat high carbohydrates, low protein foods 54. A community health nurse has recognized an outbreak of influenza at a local school. Which of the following actions is secondary level of preventions? a. Checking for possible exposure to influenza b. Recommending annual influenza vaccines c. Instructing about proper hand hygiene d. Sending febrile children home from school 55. A nurse working in an assisted care facility is developing a disaster plan. Which of the following is the first action the nurse should take? a. Identify materials needed for staff and resident education b. Determine potential environmental health hazards c. Develop response strategies specific to older adults d. Verify dates of the annual community wide mass casualty drill 56. A nurse is caring for a client who asks, “Can I decide not to continue with chemotherapy? The nurse response, “this is your choice and ill support whatever decision you make. “The nurse’s response is an example of which of the following ethical principles? a. Nonmaleficience b. Beneficence c. Veracity d. Autonomy 57. A community health clinic nurse manager is reviewing incidence rate of chlamydia in the state. In a given year 3,144 new cases were reported and the population was estimated at 325, 986. Which of the following is the incidence rate in the state for the year? a. About 10 reported cases per 1,000 population b. About 1 reported case per 10,000 population c. About 3 reported cases per 10,000 population d. About 300 reported cases 100,000 population 58. A nurse is caring for a client who is having difficulty performing activities of daily living. The nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client. a. Nurse consultant b. Case manager c. Clinician d. Administrator 59. A nurse is teaching the family of a client who was recently admitted to hospice care about pain management. Which of the following statements by the clients’ partner indicates in understanding of the teaching? a. I will avoid giving breakthrough medication as the progression toward death b. I will give her the lowest dose possible to prevent dependency c. I will plan to give long acting pain medication to her on a regular basis d. Once she is taking the maximum dosage of pain medicines, it means death is near 60. Upon performing routine screenings, a school nurse identifies three classrooms with students who have pediculosis. Using principles of epidemiology, which of the following is the next action the nurse should take? a. Calculate the incidence rate among students in the school b. Search the CDC database to determine the typical incidence rate for this age group c. Review class rosters to determine whether a common host exists in the three classrooms. d. Provide education to the parents of children who are infected A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription forsucralfate. Which of the following actions ofsucralfate should the nurse include in the teaching? A. Decreasesstomach acid secretion B. Neutralizes acids in the stomach C. Forms a protective barrier over ulcers D. Treats ulcers by eradicating H. pylori A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (SATA) A. Blood glucose levels will be monitored during therapy. B. Avoid contact with people who have known infections. C. Take the medication 1 hr before breakfast. D. Decrease dietary intake of foods containing potassium. E. Grapefruit juice can increase the effects of this medication. A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry flavored lozenges on a stick. Which of the following information should the nurse include in the teaching? A. Chew on the medication stick to release the medication. B. Leave the medication stick in on location of the mouth until melted. C. Allow the medication 1 hr for analgesia effectsto begin. D. Store unused medication sticksin a storage container. A nurse isreviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following as an indication of hypokalemia? A. Tall, tented T-waves B. Presence of U-waves C. Widened QRS complex D. ST elevation The nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that takin the docusate sodium daily can minimize which of the following adverse effects of morphine? A. Constipation B. Drowsiness C. Facial flushing D. Itching A nurse is planning care for a client who isreceiving mannitol via IV continuous infusion. The nurse should monitor the client for which of the following adverse effects? A. Weight loss B. Increase intraocular pressure C. Auditory hallucinations D. Bibasilar crackles * A nurse is providing teaching to a client who has gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse include? A. "Take the medication on an empty stomach forfull effectiveness." B. "You may discontinue this medication when stomach discomfort subsides." C. "Report yellowing of the skin." D. "Store the medication in the refrigerator." A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notesthe client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first? A. Diphenhydramine B. ALbuterol inhaler C. Epinephrine D. Prednisone A nurse is planning care for a client who has hypertension and isto start taking metoprolol. Which of the following interventions should the nurse include in the plan of care? A. Weigh the client weekly B. Determine apical pulse prior to administering C. Administer the medication 30 min prior to breakfast. D. Monitor the client for jaundice A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs 44 lb. How many mg should the nurse administer per dose? 300 mg A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering? A. Ondansetron B. Magnesium sulfate C. Flumazenil D. Protamine sulfate A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV infusion for DVT. The nurse should discontinue the medication infusion for which of the following client findings? A. Potassium 5.0 B. aPTT 2x the control C. Hemoglobin 15 D. Platelets 96,000 A nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gluconate? A. Felodipine B. Guaifenesin C. Digoxin D. Regular insulin A Nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take first? A. Report the incident to the charge nurse B. Notify the provider C. Check the client's blood glucose D. Fill out an incident report A nurse isteaching a client who isto start taking hydrocodone with acetaminophen tabletsfor pain. Which of the following information should the nurse include in the teaching? A. The medication should be taken 1 hr prior to eating B. It takes 48 hrfor therapeutic effectsto occur. C. Tabletsshould not be crushed or chewed. D. Decreased respirations might occur. A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? A. Methadone B. Naloxone C. Diazepam D. Bupropion A nurse isreviewing the medication list of a client who wantsto begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? A. Carbamazepine B. Sumatriptan C. Atenolol D. Glipizide A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mm Hg, heart rate 55/min, and respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings? A. Diastolic BP B. Systolic BP C. Heart Rate D. Respiratory Rate A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findingsshould the nurse identify as an adverse effect of the medication? A. Tingling toes B. Sexual dysfunction C. Absence of dreams D. Pica A nurse isteaching a client about warfarin. The client asks if they can take aspirin while taking the warfarin. Which of the following responses should the nurse make? A. "It issafe to take an enteric coated aspirin." B. "Aspirin will increase the risk of bleeding." C. "Acetaminophen may be substituted for aspirin." D "The INR lab work must be monitored more frequently if aspirin istaken." A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge? A. The client's capnography hasreturned to baseline B. The client can respond to their name when called. C. The client is passing flatus. D. The client isrequesting oral intake A nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn should receive the first diptheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the parent that their newborn should receive the immunization at which of the following ages? A. At birth B. 2 months C. 6 months D. 15 months A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident? A. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notified B. 0.9% sodium chloride 1 L IV infused over 4 hr. Vitalsignsstable, provider notified. C. 1 L of 0.9% sodium chloride completed at 09:00. Client deniesshortness of breath. D. IV fluid initiated at 05:00. Lungs clear to auscultation. A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findingsshould the nurse identify as an indication that the medication has been effective? A. Decrease in WBC count B. Decrease in amount of time sleeping. C. Increase in appetite D. Increase in ability to focus A nurse is preparing to administer medications to a client who tells the nurse, "I don't want to take my fluid pill until I get home today." Which of the following actionsshould the nurse take? A. Document the refusal and inform he client’s provider B. File an incident report with the risk manager C. Contact the pharmacist to pick up the medication D. Give the client the medication to take home and document it was administered A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately? A. Dyspepsia B. Diarrhea C. Dizziness D. Dyspnea A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect? A. Tachycardia B. Oliguria C. Xerostomia D. Miosis A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? A. "I will have increased saliva production." B. "I will continue taking the medication until the rash disappears." C. "I will taper off the medication before discontinuing it." D. "I will report any urinary incontinence." A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence which of the following symptoms should the nurse tell the client to expect. ( all that apply) Dry mouth Tinnitus Blurred vision Bradycardia Dry eyes A nurse is preparing to administer dextrose 5 in water 400ml iv to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtts/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? 100 A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Cough B. Joint pain C. Alopecia D. Insomnia A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should report which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome (NMS)? A. Temp of 39.7 C (103.5 F) B. Urinary retention C. HR 56/min D. Muscle flaccidity A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first? A. Turn the client to a side-lying position. B. Disconnect the client's oxytocin from the maintenance IV. C. Apply oxygen to the client by face mask. D. Increase the client's maintenance IV infusion rate. A nurse isteaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching? A. The client's provider isrequired to complete medication reconciliation. B. Medication reconciliation at discharge islimited to the medication ordered at the time of discharge. C. A transition in care requires the nurse to conduct medication reconciliation. D. Medical reconciliation islimited to the name of the medicationsthat the client is currently taking. A nurse in an emergency department is caring for a client who has myasthenia gravis and isin a cholinergic crisis. Which of the following medications should the nurse plan to administer? A. Potassium iodide B. Glucagon C. Atropine D. Protamine A nurse on the acute care unit is caring for a client who isreceiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication? A. Constipation B. Tinnitus C. Hypoglycemia D. Joint Pain A nurse isteaching a client who isto begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching? A. Hot flashes B. Urinary retention C. Constipation D. Bradycardia A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? A. Minimize diaphoresis B. Maintain abstinence C. Lessen craving D. Prevent delirium tremens A nurse in an urgent care clinic is collecting data from a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication? A. "I have tendonitis,so I haven't been able to exercise." B. "I take a stoolsoftener for chronic constipation." C. "I take medicine for my thyroid." D. "I am allergic to sulfa." A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the- counter medications? A. Aspirin B. Ibuprofen C. Rantitinde D. Bisacodyl A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discoversthe antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? A. 1000 B. 0900 C. 0830 D. 1200 A nurse isteaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching? A. I will drink a glass of milk when I take the risedronate B. I will take the risedronate 15 minutes after my evening meal C. Ishould take an antacid with the risedronate to avoid nausea D. I should sit up for 30 min after taking the risedronate * A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? A. Vomiting B. Blood in the urine C. Positive Chvostek'ssign D. Ringing in the ears A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructionsshould the nurse include in the teaching plan (SATA)? Report muscle pain to the provider Avoid taking the medication with grapefruit juice Take the medication in the morning Expect a flushing of the skin as a reaction to the medication Expect therapy with this medication to be lifelong A nurse is caring for a 20-year-old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advice the client that which of the following tests is required? Serum calcium Pregnancy test 24 hr urine collection for protein Aspartate aminotransferase level A nurse is planning care for a client who is prescribed metoclopramide following bowelsurgery. For which of the following adverse effects should the nurse monitor? Muscle weakness Sedation Tinnitus Peripheral edema A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in her instructions? A. Take one tablet three times a day before meals. B. Take one tablet at onset of migraine. C. Take up to eight tablets as needed within a 24-hour period. D. Take one tablet every 15 minutes until migraine subsides. A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? A. Administer the medication outside the 5-cm (2 in) radius of the umbilicus B. Aspirate for blood return before injecting C. Rub vigorously after the injection to promote absorption D. Place a pressure dressing on the injection site to prevent bleeding A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of the following adverse effectsshould the nurse instruct the client to monitor and report? Tingling of fingers Constipation Weight gain Oliguria A nurse is preparing to administer medication to a client who has gout. The nurse discoversthat an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? Obtain the client’s BP Contact the client’s provider Inform the charge nurse Complete an incident report A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia. Which of the following actions should the nurse plan to take? A. Hold the client's other oral medicationsfor 8 hr post administration B. Inform the client that this medication can turn stool a light tan color C. Keep the client'ssolution in the refrigerator for up to 72 hr. D. Monitor the client for constipation A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. The nurse should include that the spacer decreases the risk for which of the following adverse effects of the medication? A. Oral candidiasis B. Headache C. Joint pain D. Adrenalsuppression A nurse is reviewing the lab results of a client who is taking digoxin for heart failure. Which of the following results should the nurse report to the provider? A. Calcium level 9.2 mg/dL B. Magnesium level 1.6 mEq/L C. Digoxin level 1.1 ng/mL D. Potassium level 2.8 mEq/L * A nurse receives a verbal order from the provider to administer morphine five milligrams every 4 hours subcutaneously for severe pain as needed. The nurse should identify which of the following entries asthe correct format for the medication administration record (MAR)? A. MSO4 5mg subcut every 4hr PRN severe pain B. Morphine 5 mg subcut every 4 hr. PRN severe pain C. MSO4 5mg SQ every 4 hr PRN severe pain D. Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain. A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following clientstatementsindicates an understanding of the teaching? A. Ishould take the medication with food. B. Ishould take naproxen if I develop joint pain. C. Ishould tell my provider if I develop a sore throat. D. Ishould expect the medication to cause my urine to look orange. A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications? A. Vitamin K B. Acetylcysteine C. Benztropine D. Physostigmine A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings asthe best indication that the morphine has been effective? A. The client's vital signs are within normal limits. B. The client has not requested additional medication. C. The client isresting comfortably with eyes closed. D. The client rates the pain at a 3 on a scale from 0 to 10. A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructionsshould the nurse include in the teaching? A. "Take beclomethasone to avoid an acute attack." B. "Use beclomethasone 5 min before using albuterol." C. "Limit your calcium and vitamin D intake when taking beclomethasone." D. "Rinse your mouth after inhaling the beclomethasone." A nurse is caring for a client who isreceiving filgrastim. Which of the following findings should the nurse document to indicate the effectiveness of the therapy? Increased neutrophil count Increased RBC count Decreased prothrombin time Decreased triglycerides A nurse isinstructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? I should apply a patch every 5 minutes if I develop chest pain I will take the patch off right after my evening meal * I will leave the patch off at least 1 day each week I should discard the used patch by flushing it down the toilet ATI PHARMACOLOGY 2020 A nurse is providing discharge dietary teaching to a client who has a something and is taking medication theophylline and to provide general instructions the nurse should include? Avoid caffeinated beverages the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first? Inject air into the NPH vial a nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. What instructions should the nurse include? Sit upright for at least 30 mins after taking the medication a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine? Bladder distention nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following information should the nurse include in the teaching? Administer the medication into one nostril once per week a nurse is teaching a newly license nurse about medication reconciliation. The nurse should instruct the newly license nurse for medication reconciliation for which of the following clients? A client who has been transferred to a step-down unit a nurse is assessing a client how received a dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurses priority? Uterine tachysystole a nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching? Administers the medication into the abdomen a nurse is assessing a client how has been taking digoxin and …… which of the following findings to the nurse indicates this client has developed digoxin toxicity? Blurred vision 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 in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications? Clopidogrel math problem: a nurse is preparing to administer 4000 units of heparin available is 10,000 units = 0.4 a nursing is caring for a client who reports that his current pain medication is no longer relieving her pain. Which of the following medications requires the nurse to obtain a written rather than a verbal prescription from the provider? Fentanyl charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following action by the newly licensed nurse requires the charge nurse to complete an incidentreport?a client who has a lithium level of 1.8 receives her morning dose a nurse is caring for a client who has an alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time? Implement seizure precautions a nurse is planning care for a group of clients. which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?furosemide and amikacin a nurse is caring for a client who has major depression and a new prescription for citalopram. which of the following adverse effects is the priority for the nurse to report to the provider? A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider (SATA)? Hemoglobin 7.0 g/dl Platelets 75,000/mm3 Potassium 5.2 meq/l A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisone. Which of the following instructions should the nurse include (SATA)? Blood glucose levels will be monitored during therapy Avoid contact with people who have known infections Grapefruit juice can increase the effects of the medication A nurse is caring for a client who has pneumonia. The client tells the nurse that she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to receiving which of the following medications? Doxycycline A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematosus with prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic tests to monitor for long-term complications of prednisone? Bone density scans A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching? "I know smoking makes ranitidine less effective." A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages? 2 months A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? "I will taper off the medication before discontinuing it." A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication to receiving propranolol? Asthma Pharmacology 2020 1.) A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following ;ndings as a manifestation of =uid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse 2.) A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following ;ndings should indicate to the nurse that the treatment is eFective? a. Absent Chvostek’ssign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent 3.) A nurse isteaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructionsshould the nurse include? a. “Discontinue the patch if you experience a headache.” b. “Apply a new patch if you have chest pain.” c. “Coverthe patch with dry gauze when taking a shower.” d. “Remove the patch prior to going to bed.” 4.) A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? a. Creatinine 0.72 mg/dL b. Sodium 138 mEq/L c. Magnesium 2 mEq/L d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level,so the PN should monitor the client's serum potassium level A nurse is caring for a client who hastuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? a. The client has a negative sputum culture b. The client tests negative for HIV c. The client has a positive puri;ed protein derivative test d. The client’s liver function test results are within the expected reference range A client is caring for a client who develops an anaphylactic reaction to IV administration. A]er assessing the client’s respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next? a. Replace the infusion with 0.9% sodium chloride b. Give diphenhydramine IM c. Elevate the client’slegs and feet d. Administer epinephrine IM 6.) 5.) 7.) A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? a. St. John’s Wort b. Ginger root c. Black cohosh d. Coenzyme Q10 8.) A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse eFects should the nurse monitor when administering lisinopril? a. Bradycardia b. Hypokalemia c. Tinnitus d. Hypotension 9.) A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vitalsigns? a. Decreased temperature b. Increased pulse rate c. Decreased respiratory rate d. Increased blood pressure 10.) A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize that which of the following staF members is responsible for completing an incident report? a. The quality improvement committee b. The nurse who identifies the error c. The nurse who caused the error d. The charge nurse 11.) A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following? a. Pruritus – Sign of allergic reaction to morphine b. Cough c. Tachypnea d. Gastric bleeding 12.)A nurse is preparing to administer digoxin orally to a client. Identify the sequence ofsteps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) a. Obtain the client’s apical heart rate b. Remove the medication from the dispensing system c. Open the medication package d. Compare the client’s wristband to the medication administration record e. Document administration of the medication 13.) A nurse isreviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following ;ndings should the nurse identify as a contraindication c. Hepatitis B vaccine within the last week d. Diabetes mellitus 14.) A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identi;es that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following actions should the nurse take ;rst? a. Encourage the client to dangle the legs while sitting in a chair b. Teach the client about foods low in sodium c. Determine medication adherence by the client d. Notify the provider of the client’s weight gain 15.) A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection? a. Urticaria b. Bradycardia c. Pallor d. Dyspepsia 16.)A nurse isteaching a client who has angina a new prescription for sublingual nitroglycerin tablets. Which of the following instructionsshould the nurse include in the teaching? a. “Discard any tablets you do not use every 6 months.” b. “Take one tablet each morning 30 minutes prior to eating.” c. “Keep the tablets at room temperature in their original glass boXle.” d. “Place the tablet between your cheek and gum to dissolve.” 17.) A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching? a. “I can take my medication in the morning with my coYee.” b. “I may sprinkle the medication in applesauce.” c. “Ishould limit my =uid intake while on this medication.” d. “I will need to have blood levels drawn.” 18.)A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to client who has diabetes mellitus following actions should the nurse take ;rst? a. Withdraw the regular insulin from the viral b. Withdraw the NPH insulin form the vial 19.)A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take? d. Inject air into the regular insulin vial c. Inject air into the NPH vial for receiving thismedication? a. Alcohol use disorder b. Chronic kidney disease a. Massage the site a]er administering the medication b. Use a 21-gauge needle for the injection c. Aspirate before injecting the medication d. Insert the needle at least 5 cm (2 in) from the umbilicus 20.)A nurse is caring for a client who has a prescription for amoxicillin. Which of the following ;ndings indicates the client is experiencing an allergic reaction? a. Nausea d. Insomnia 21.)A nurse isteaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following? a. A client who has a referral for socialservices b. A client who is transdermal to radiology c. A client who istransferal to a step-down unit d. A client who has a consultation for physical therapy 22.)A nurse is reviewing the laboratory values of a client who istaking atorvastatin. Which of the following laboratory values indicates the treatment has been eFective? a. BUN 15 mg/dL b. Blood glucose 90 mg/dL c. Urine speci;c gravity 1.020 d. LDL 120 mg/dL 23.)A nurse isreceiving a medication prescription by telephone from a provider. The providerstates, “Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.” How should the nurse transcribe the prescription in the client’s medical record? a. Morphine 6 mg IV push every 3 hr PRN acute pain b. MSO 6 mg IV push every 3 hr PRN acute pain c. MS 6 mg IV push every 3 hr PRN acute pain d. Morphine 6.0 mg IV push every 3 hr PRN acute pain 24.)A nurse is assessing a client’s IV infusion site and notesthat the site is cool and edematous. Which of the following actions should the nurse take? a. Show the IV solution rate b. Initiate a new IV distal to the initialsite c. Maintain the extremity below the level of the heart d. Apply a warm, moist compress 25.)A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? a. “Diarrhea is a common adverse eFect of this medication.” b. “Ringing in the ears is an expected adverse eFect of this medication.” c. “Notify your provider if you develop a fever while taking this medication.” d. “You might experience weight loss while taking this medication.” 26.)A nurse is teaching a client about oral contraceptive. Which of the following information should the nurse include in the teaching? b. Cardiac dysrhythmia c. Laryngeal edema a. Abdominal pain is an expected adverse eFect of oral contraceptives b. It can take up to 1 year to become pregnant aberstopping an oral contraceptive c. Some herbalsupplements can decrease the eFectiveness of an oral contraceptive d. A pelvic examination is needed prior to starting an oral contraceptive 27.)A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take? a. Tilt the client’s head back when administering the medications b. Mix the medications with a semisolid food for the client c. Administer more than one pill to the client at a time d. Place the medications on the back of the client’stongue 28.)A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include? a. “You cannot take this medication with an antacid.” b. “You should reduce your intake of calcium while taking this medication.” c. “You should take thismedication before meals.” d. “You can take a second dose if symptoms persist up to 2 hours a]er the ;rst dose.” 29.)A nurse is assessing for allergies with a client who is scheduled to receive the in=uenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine? a. Eggs b. Shell;sh c. Peanuts d. Milk 30.)A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse. “I do not take this medication. I would prefer a natural therapy.” Which of the following supplements should the nurse suggest the client discuss with the provider? a. Black cohosh b. Garlic c. Feverfew d. Saw palmeXo 31.)A nurse is caring for a client who istaking digoxin to treat heart failure. Which of the following predisposes this client to developing digoxin toxicity? a. Taking a high ceiling diuretic b. Having a 10-year history of COPD c. Having a prolapsed mitral valve d. Taking an HMG CoA reductase inhibitor 32.)A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following ;ndings as a therapeutic eFect of naloxone? a. Decreased nausea b. Increased pain relief c. Decreased blood pressure d. Increased respiratory rate 33.)A nurse is reviewing the medical record of a client who hassinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider? a. The client has a BUN of 18 mg/dL b. The client takes an aspirin daily c. The client has a history of a severe penicillin allergy d. The client reports a history of nausea with cefuroxime 34.)A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? a. Protamine sulfate b. Acetylcysteine c. Calcium gluconate d. Flumazenil 35.)A nurse is assessing a client following the administration of ondansetron (Zofran). Which of the following ;ndings should indicate to the nurse that the ondansetron has been eFective? a. Client reports a decrease in pain b. Client reports a decrease in nausea c. Client reports a decrease in coughing d. Client reports a decrease in diarrhea 36.)A nurse manager is planning an in-service about pain management with opioids for client who has cancer. Which of the following information should the nurse manager include? a. IM administration isrecommended if PO opioids are ineYective b. Respiratory depression decreases as opioid tolerance develops c. Meperidine is the opioid of choice for treating chronic pain d. Withhold PRN pain medication for the client who is receiving opioids every 6 hr 37.)A nurse is reviewing the list of current medication for a client who isto start prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine? a. Nicotine transdermalsystem b. Diphenhydramine c. Estrogen-progestin combination (Non-hormonal forms of contraception) d. Beclomethasone 38.)A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss? a. Rifampin b. Cipro=oxacin 0.4 c. Penicillin G d. Gentamicin 39.)A nurse is teaching a guardian of a school-age child who has a new prescription for a =uticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA) a. “Soak the inhaler in water a]er use.” b. “Have your child take one inhalation as needed forshortness of breath.” c. “Shake the device prior to administration.” d. “A spacer will make it easier to use the device.” e. “Rinse your child’s mouth following administration.” 40.)A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally 12 hr. available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trialing zero.) a. 7.5 mL 41.)A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching? a. “Youwill need liver function tests before beginning therapy.” b. “Avoid consuming dairy products while taking this medication.” c. “You may crush the medication and mix it with applesauce.” d. “You should take the medication in the morning.” 42.)A nurse is assessing a client who is receiving a peripheral IV infusion and notes in;ltration of =uid into the tissue surrounding the insertion site. Which of the following actions should the nurse take? a. Flush the IV catheter b. Apply pressure to the IV site c. Elevate the extremity d. Slow the infusion rate 43.)A nurse is preparing to administer 4,000 units of heparin subcutaneously to a client who has deep-vein thrombosis. Available is heparin 10,000 units. How many mL of heparin should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) a. mL 44.)A nurse us caring for a client who is in shock and is receiving an infusion of albumin. Which of the following ;ndings should the nurse expect? a. Oxygen saturation 96% b. PaCO2 30 mm Hg c. Increase in BP d. Decrease in protein 45.)A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following ;ndings should the nurse include as risk factors for an adverse drug reaction? (SATA) b. Increased rate of absorption a. Polypharmacy c. De