ATI PN PHARMACOLOGY 2020 EXAM 2 UPDATED 2024 ( 57 QUESTIONS) FULLY EXAPLAINED

A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection. Which of the following findings is the priority for the nurse to report to the provider? A Two loose stools in the past 24 hr B WBC 11,000/mm3 C Creatinine 3.1 mg/dL D Heart rate 104/min ________________________________________ Correct Answer: C A. While diarrhea is a concern, it is a common side effect of vancomycin and may not be the highest priority. B. Elevated white blood cell count may indicate infection but is not directly related to vancomycin therapy. C. Elevated creatinine suggests kidney impairment, a potential side effect of vancomycin. This is a critical finding that needs immediate attention. D. An elevated heart rate can be a side effect of vancomycin but is not as immediately concerning as renal impairment. A nurse is preparing to mix NPH insulin and regular insulin for administration. Which of the following actions should the nurse take? A Withdraw the NPH insulin first. B Inject air into each vial. C Use a tuberculin syringe. D Shake the regular insulin vial. ________________________________________ Correct Answer: B A. The nurse should inject air into the NPH insulin vial first, then into the regular insulin vial, then withdraw the regular insulin first, followed by the NPH insulin. B. The nurse should inject air into each vial before withdrawing the insulin to prevent contamination and maintain the correct dosage. C. Insulin should be drawn up with an insulin syringe, not a tuberculin syringe. D. Shaking insulin vials is not recommended as it can cause denaturation of the insulin molecules. A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make? A "I will inform your provider so she can prescribe a different medication." B