Exam 3 ATI Remediation / Pueblo Community College; NURSING NUR 112Exam 3 ATI Remediation.

Exam 3 ATI Remediation 1. A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse’s priority? A. Administer Flumazenil B. Identify the client’s level of orientation C. Infuse IV fluids D. Prepare the client for gastric lavage 2. A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the teaching? a. “I should take the medication on an empty stomach.” b. “I will follow a low-sodium diet while taking this medication.” c. “I need to discontinue this medication slowly.” d. “I should not crush this medication before swallowing.” 3. A nurse is providing teaching to a client who has a new prescription for buspirone to teat anxiety. Which of the following information should the nurse include? a. “Take this medication on an empty stomach.” b. “Expect optimal therapeutic effects within 24 hr.” c. “take this medication when needed for anxiety.” d. “This medication has low risk for dependency.” 4. A nurse is teaching a client who has obsessive-compulsive disorder and has a new prescription for paroxetine. Which of the following instructions should the nurse include? a. “It can take several weeks before you feel like the medication is helping.” b. “Take the medication just before bedtime to promote sleep.” c. “You should take the medication when needed for obsessive urges.” d. “Monitor for weight gain while taking this medication.” 5. A nurse is caring for a client who takes paroxetine to treat posttraumatic stress disorder and reports that they grind their teeth during the night. The nurse should identify which of the following interventions to manage bruxism? (Select all that apply.) a. Concurrent administration of buspirone b. Administration of a different SSRI c. Use of a mouth guard d. Changing to a different class of antidepressant medication e. Increasing the dose of paroxetine 6. A nurse is caring for a client who has a new prescription for phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect on this medication? a. Orthostatic hypotension b. Hearing loss c. Gastrointestinal bleeding d. Weight loss 7. A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching? (Select all that apply.) a. Expect therapeutic effects in 24 to 48 hr. b. Discontinue the medication after a week of improved mood c. Change positions slowly to minimize dizziness d. Decrease dietary fiber intake to control diarrhea e. Chew sugarless gum to prevent dry mouth 8. A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for posttraumatic stress disorder. Which of the following statements should the nurse include int eh teaching? a. “You can have a decreased desire for intimacy while taking this medication.” b. “you should take this medication at bedtime to help promote sleep.” c. “you will have fewer urinary adverse effects if you urinate just before taking this medication.” d. “you’ll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication.” 9. A nurse is caring for a client who has depression and a new prescription for venlafaxine. The nurse should monitor the client for which of the following manifestations as an adverse effect for this medication? (Select all that apply.) a. Mydriasis b. Dizziness c. Decreased libido d. Alopecia e. Hypotension 10. A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing serotonin syndrome? a. Brusing b. Fever c. Tinnitus d. Rash 11. A nurse is teaching a client, who has schizophrenia, strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects? a. Take the medication in the morning to prevent insomnia b. Chew sugarless gum to moisten the mouth c. Use cooling measures to decrease fever d. Take an antacid to relieve nausea 12. A nurse is assessing a client who recently began taking haloperidol Which of the following findings is the priority to report to the provider? a. Shuffling gait b. Neck spasms c. Drowsiness d. Sexual dysfunction 13. A nurse is providing discharge teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include int eh teaching? a. “You should have a high-carbohydrate snack between meals and at bedtime.” b. “You are likely to develop hand tremors if you take this medication for a long period of time.” c. “You may experience temporary numbness of your mouth after each dose.” d. “You should have your white blood cell count monitored every week.” 14. A nurse is providing teaching for a client who is to begin taking risperidone. Which of the following instructions should the nurse include? a. “Add extra snacks to your diet to prevent weight loss.” b. “Notify the provider if you have trouble sleeping.” c. “You may begin to have mild seizures while taking this medication.” d. “This medication is likely to increase your libido.” 15. A nurse is following up with a client who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations? (Select all that apply) a. Disorganized speech b. Bizarre behavior c. Impaired social interactions d. Hallucinations e. Decreased motivation 16. A nurse is teaching the guardians of a child who has a new prescription for desipramine. The nurse should include that which of the following adverse effects is the priority to report to the provider. a. Consitpation b. Suicidal thoughts c. Photophobia d. Dry mouth 17. A nurse is teaching an adolescent client who has a new prescription for clomipramine for OCD. Which of the following instruction should the nurse include to minimize an adverse effect of his medication? a. Wear sunglasses when outdoors b. Check your temperature daily c. Take this medicaiton in the morning d. Add extra calories to your diet 18. A nurse is caring for a school-age child who has a new prescription for atomoxetine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication a. Kidney toxicity b. Liver damage c. Seizure activity d. Adrenal insufficiency 19. A nurse is teaching the caregiver of a school-age child about transdermal methylphenidate. Which of the following instructions should the nurse include? a. Apply one patch twice per day b. Leave the patch on for 9 hr c. Apply the patch to the child’s waist d. Use opened tray within 6 months 20. A nurse is teaching the guardians of their school-age child about a new prescription for lisdexamfetamine. Which of the following should the nurse include in the teaching? (Select all that apply) a. An adverse effect of this medication in CNS stimulation b. Administer the medication before bedtime c. Monitor blood pressure while taking this medication d. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop e. This medication raises the levels of dopamine in the brain 21. A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include in the teaching? a. Increases the risk for seizure activity b. Provides a form of aversion therapy c. Decreases cravings d. Can increase blood pressure 22. A charge nurse is planning a staff education session to discuss medication used during the care of a client experiencing alcohol withdrawal. Which of the following medication should the charge nurse include int eh discussion? (Select all that apply) a. Lorazepam b. Diazepam c. Disulfiram d. Naltrexone e. Acamprosate 23. A nurse is teaching a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? a. Diarrhea b. Dry mouth c. Insomnia d. Hypertension 24. A nurse is teaching a client who has tobacco use disorder about nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching? a. “I should avoid eating right before I chew a piece of nicotine gum” b. “I will need to stop using the nicotine gum after 1 year.” c. “I know that the nicotine gum is a safe alternative to smoking if I become pregnant.” d. “I must chew the nicotine gum quickly for about 15 minutes.” 25. A nurse is an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Which of the following actions should the nurse identify as the priority? a. Administer the clonidine on the prescribed schedule b. Provide ice chips at the client’s bedside c. Educate the client on the effects of clonidine d. Obtain baseline vitals