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PHARMACOLOGY ATI PRACTICE B(BUNDLE).

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an older adult client who has terminal cancer reports pain level at 5 using a 0-10 pain scale. the client has a prescription for morphin e15 mg orally every 4 hrs. the client's children express concern that the client is receiving too much of the medication. which of the following responses should the nurse make? a. "clients who receive this medication orally have a lower risk for addiction" b. "additional doses will not be needed because this medication is given on a fixed schedule" c. "the dose should remain constant to prevent breakthrough pain" d. "we can switch from oral administration to rectal administration" - ANSWER c. "the dose should remain constant to prevent breakthrough pain"

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Institution
ATI LEADERSHIP
Course
ATI LEADERSHIP

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a nurse is reinforcing dietary teaching with a client who has a new prescription for
phenelzine. which of the following foods should the nurse include in the teaching as
an appropriate food choice?

a. yogurt
b. avocado
c. smoked salmon
d. pepperoni - ANSWER a. yogurt

a nurse erroneously administered zolpidem to the wrong client. which of the
following actions should the nurse take when documenting the medication error?

a. document the completion of the incident report in the medical record of the client
who received the zolpidem
b. administer a dose of naloxone to reverse the effects of the medication
c. keep a copy of the incident report on the unit
d. document the notification of the client's provider - ANSWER d. document the
notification of the client's provider

a nurse is collecting data from a client who has bacterial pneumonia & is taking
ceftriaxone. which of the following findings indicates a therapeutic effect of the
medication?

a. white blood cell count 10,500/mm
b. clear, bilateral breath sounds
c. heart rate 110/min
d. tolerates small meal servings - ANSWER b. clear, bilateral breath sounds

a nurse is reinforcing with a client who is to start therapy with a nitroglycerin
transdermal patch. which of the following statements by the client indicates an
understanding of the teaching?

a. "while using the patch, i will be careful when rising from a chair"
b. "i should leave the patch in place for 24 hrs"
c. "i should apply the patch to the same location with each application"
d. "i will apply a new patch if i have chest pain" - ANSWER a. "while using the patch,
i will be careful when rising from a chair"

a nurse is reviewing the medical administration record of a client who has a history
of stevens-johnson syndrome when taking sulfamethoxazole-trimethoprim. which of
the following medications should the nurse identify as contraindicated for this client?

a. prednisone
b. furosemide
c. lansoprazole
d. digoxin - ANSWER b. furosemide

a nurse is collecting data from a client who is taking lithium to treat bipolar disorder.
which of the following findings should the nurse report to the provider?

, a. bloating
b. WBC count 8,500/mm
c. slurred speech
d. sodium 140 mEq/L - ANSWER c. slurred speech

an older adult client who has terminal cancer reports pain level at 5 using a 0-10
pain scale. the client has a prescription for morphin e15 mg orally every 4 hrs. the
client's children express concern that the client is receiving too much of the
medication. which of the following responses should the nurse make?

a. "clients who receive this medication orally have a lower risk for addiction"
b. "additional doses will not be needed because this medication is given on a fixed
schedule"
c. "the dose should remain constant to prevent breakthrough pain"
d. "we can switch from oral administration to rectal administration" - ANSWER c.
"the dose should remain constant to prevent breakthrough pain"

a nurse is collecting data from a client who has been taking levodopa/carbidopa.
which of the following findings should indicate to the nurse that the medication is
effective?

a. the client is able to wash his face
b. the client experiences fewer seizures
c. the client report decreased heartburn
d. the client is able to sleep through the night - ANSWER a. the client is able to
wash his face

a nurse is reinforcing teaching about nicotine polacrilex gum with a client who
smokes 3 packs of cigarettes per day. which of the following statements should the
nurse include in the teaching?

a. "you can drink caffeinated beverages while chewing gum"
b. "you can chew 2 pieces of gum when you have the urge to smoke"
c. "you should chew gum for 30 min before discarding"
d. "you should wait 5 minutes after eating to chew the gum - ANSWER c. "you
should chew gum for 30 min before discarding"

a nurse is reviewing the medication administration record for a client who has anew
prescription for tobramycin to treat a pulmonary infection. which of the following
medications should the nurse identify as increasing the risk for ototoxicity while
taking tobramycin?

a. furosemide
b. propranolol
c. gabepentin
d. guaifenesin - ANSWER a. furosemide

a nurse is reinforcing discharge teaching with a client who has DM II & a new
prescription for metformin. the nurse should instruct the client to monitor which of the
following manifestations as adverse effects of this medication?

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Institution
ATI LEADERSHIP
Course
ATI LEADERSHIP

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