ATI 2023 Pharm
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A nurse is teaching about self-administration of transdermal medication with a client
who has a new prescription for nitroglycerin. Which of the following client statements
indicates an understanding of the teaching? - ANSWER...-"I will remove the patch after
14 hours."
The client should remove the patch after 12 to 14 hr to prevent tolerance of the
medication.
Nurses' Notes 0815: Client has history of fibromyalgia and is being admitted for pain
management. Client rates pain as 7 on a scale of 0 to 10. Client is alert and oriented to
person place and time. Skin dry and intact. Heart rate regular with S1 and S2 present.
Respirations even and non-labored. Bowel sounds hyperactive in all 4 quadrants. 20 G
IV saline lock present in the right basilic.
The nurse is preparing to administer the 0900 medications to the client, which of the
following actions should the nurse take? - ANSWER...-Not exactly sure what answers I
sent you are wrong, but here is an explanation - When generating solutions, the nurse
should prepare to administer morphine sulfate via IV bolus route. Therefore, prior to
administering the medication, the nurse should clean the injection port with an antiseptic
swab to prevent infection, flush the IV catheter with 0.9% sodium chloride before and
after to ensure and maintain patency of the IV, and check for blood return to ensure the
IV is in the vein. When administering a fentanyl transdermal patch, the nurse should
apply clean gloves and cleanse the skin area with soap and water.
A nurse is teaching a group of unit nurses about medication reconciliation. Which of the
following information should the nurse include in the teaching? - ANSWER...-A
transition in care requires the nurse to conduct medication reconciliation.
The nurse should conduct medication reconciliation anytime the client is undergoing a
change in care, such as admission, transfer from one unit to another, or discharge. A
complete listing of all prescribed and over-the-counter medications should be reviewed.
A nurse is caring for a female older adult on a medical-surgical unit.
, 5 Days Ago:Past Medical HistoryHypertensionCongestive heart failurePhysical:Client
alert and oriented x3. Lung sounds clear to auscultation. S1, S2 present, no extra heart
sounds. Peripheral pulses 2+ in all extremities. Client reported flank pain and dysuria.
Client had an outpatient urine culture done which was positive for Escherichia coli.
Client was admitted for intravenous antibiotic therapy. Height 160 cm (63 in), weight 65
kg (144 lb). - ANSWER...-The client is at greatest risk for nephrotoxicity due to kidney
function
When prioritizing hypothesis, the nurse should recognize that the client is most at risk
for developing nephrotoxicity. The client has elevated BUN and creatinine levels
indicating altered kidney function. The risk of nephrotoxicity is increased when
concurrent use of other ototoxic drugs like furosemide are used. When trough levels are
consistently elevated, ototoxicity can occur, but this is not the immediate concern.
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? - ANSWER...-"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.
A nurse at a clinic is evaluating a client.
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. - ANSWER...-The client is likely experiencing hyperthyroidism
as evidenced by the client's
blood thyroxine level
When evaluating outcomes for a client who has taken levothyroxine for 3 months, the
nurse should determine that the client is likely experiencing hyperthyroidism as
evidenced by the client's blood thyroxine level. Levothyroxine is thyroid hormone that is
used to treat clients who have hyperthyroidism. An adverse effect of levothyroxine is
hyperthyroidism which is manifested by findings of increased metabolism such a
nervousness, irritability, diaphoresis, tachycardia, and laboratory findings of decreased
thyroid stimulating hormone (TSH) and elevated thyroid hormone levels
(triiodothyronine and thyroxine).
A nurse is providing discharge instructions to a client who is to self-administer insulin at
home. Which of the following client statements should indicate to the nurse that the
Save
A nurse is teaching about self-administration of transdermal medication with a client
who has a new prescription for nitroglycerin. Which of the following client statements
indicates an understanding of the teaching? - ANSWER...-"I will remove the patch after
14 hours."
The client should remove the patch after 12 to 14 hr to prevent tolerance of the
medication.
Nurses' Notes 0815: Client has history of fibromyalgia and is being admitted for pain
management. Client rates pain as 7 on a scale of 0 to 10. Client is alert and oriented to
person place and time. Skin dry and intact. Heart rate regular with S1 and S2 present.
Respirations even and non-labored. Bowel sounds hyperactive in all 4 quadrants. 20 G
IV saline lock present in the right basilic.
The nurse is preparing to administer the 0900 medications to the client, which of the
following actions should the nurse take? - ANSWER...-Not exactly sure what answers I
sent you are wrong, but here is an explanation - When generating solutions, the nurse
should prepare to administer morphine sulfate via IV bolus route. Therefore, prior to
administering the medication, the nurse should clean the injection port with an antiseptic
swab to prevent infection, flush the IV catheter with 0.9% sodium chloride before and
after to ensure and maintain patency of the IV, and check for blood return to ensure the
IV is in the vein. When administering a fentanyl transdermal patch, the nurse should
apply clean gloves and cleanse the skin area with soap and water.
A nurse is teaching a group of unit nurses about medication reconciliation. Which of the
following information should the nurse include in the teaching? - ANSWER...-A
transition in care requires the nurse to conduct medication reconciliation.
The nurse should conduct medication reconciliation anytime the client is undergoing a
change in care, such as admission, transfer from one unit to another, or discharge. A
complete listing of all prescribed and over-the-counter medications should be reviewed.
A nurse is caring for a female older adult on a medical-surgical unit.
, 5 Days Ago:Past Medical HistoryHypertensionCongestive heart failurePhysical:Client
alert and oriented x3. Lung sounds clear to auscultation. S1, S2 present, no extra heart
sounds. Peripheral pulses 2+ in all extremities. Client reported flank pain and dysuria.
Client had an outpatient urine culture done which was positive for Escherichia coli.
Client was admitted for intravenous antibiotic therapy. Height 160 cm (63 in), weight 65
kg (144 lb). - ANSWER...-The client is at greatest risk for nephrotoxicity due to kidney
function
When prioritizing hypothesis, the nurse should recognize that the client is most at risk
for developing nephrotoxicity. The client has elevated BUN and creatinine levels
indicating altered kidney function. The risk of nephrotoxicity is increased when
concurrent use of other ototoxic drugs like furosemide are used. When trough levels are
consistently elevated, ototoxicity can occur, but this is not the immediate concern.
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? - ANSWER...-"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.
A nurse at a clinic is evaluating a client.
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. - ANSWER...-The client is likely experiencing hyperthyroidism
as evidenced by the client's
blood thyroxine level
When evaluating outcomes for a client who has taken levothyroxine for 3 months, the
nurse should determine that the client is likely experiencing hyperthyroidism as
evidenced by the client's blood thyroxine level. Levothyroxine is thyroid hormone that is
used to treat clients who have hyperthyroidism. An adverse effect of levothyroxine is
hyperthyroidism which is manifested by findings of increased metabolism such a
nervousness, irritability, diaphoresis, tachycardia, and laboratory findings of decreased
thyroid stimulating hormone (TSH) and elevated thyroid hormone levels
(triiodothyronine and thyroxine).
A nurse is providing discharge instructions to a client who is to self-administer insulin at
home. Which of the following client statements should indicate to the nurse that the
