Ati Pharmacology Proctor2019 Final Exam A Grade (Real

1.) A nurse is assessing a client who is receiving intravenous therapy. The nurse should identifywhich 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 prescribedhypertonic solution. Which of the following ;ndings should indicate to the nurse that the treatment is eFective? a. Absent Chvostek’s sign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent 3.) A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? a. “Discontinue the patch if you experience a headache.” b. “Apply a new patch if you have chest pain.” c. “Cover the 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 tothe 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 has tuberculosis and is taking isoniazid and rifampin. Which ofthe 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’s legs and feet d. Administer epinephrine IM