ATI Pharm Quiz B, A, And Quiz Reviews

a nurse is assessing a client who has been receiving IV gentamycin. the nurse should monitor for what sensory deficit - impaired hearing a nurse is assessing a client who has just received filgrastim for myelosuppression. what should the nurse identify as an allergic reaction to this medication? - dyspnea a nurse is reviewing the medical history of a client who has fibromyalgia and a new prescription of pregabalin. which of the following history should the nurse report to the provider? - the client is breastfeeding a nurse is preparing to administer Rho(D) immune globulin to a female who is 6hr postpartum. which of the following actions should the nurse take? - administer the medication IM into the deltoid a nurse is caring for a school-age child who requires a IV access prior to a tonsillectomy, what should the nurse do to ensure the child is comfortable when initiating IV access? - apply a local anesthetic to the child's skin a nurse is assessing a client who has been taking phenytoin for 6 months. what is an adverse effect of the medication? - overgrowth of gum tissue; can cause gingival hyperplasia or overgrowth client should be instructed to floss, bush teeth and gum massage frequently client reports nausea, vomiting and yellow vision. what medication should the nurse withhold? - digoxin; manifestation of digoxin toxicity other manifestations can be bradycardia, abdominal pain, seeing halos providing teaching to a client who is taking enalapril, the nurse should instruct to report what manifestation to the provider immediately? - angioedema; report any swelling around lips, eyes, tongue a client is taking warfarin and reports taking acetaminophen 3x a day for arthritis. what statement should the nurse make? - acetaminophen can increase the effects of warfarin; can put client at risk for bleeding nurse should monitor INR carefully teaching a client about taking alendronate, what instructions should be included? - stay upright for at least 30min after taking the medication administering fentanyl buccal tablet to a client, what instructions should the nurse provide? - insert the tablet between cheek & gums a nurse is performing medication reconciliation for a client who is being transferred to a rehabilitation center. what action should the nurse take? - compare a list of current medications with the ones they will take at the rehabilitation center; the lists should be compared to determine any discrepancies, duplicates, or medications that should be discontinued assessing a client receiving vancomycin IV through a peripheral vein, the skin around the insertion site is pale, cool, and edematous, and reports burning at the site. what hsould the nurse do first? - stop the infusion a nurse is reviewing the medical record of a client who is taking a new prescription for transdermal selegiline. the nurse notes an active prescription for fluoxetine. the nurse should notify the provider that taking these 2 medications concurrently can increase the risk for what adverse effect? - serotonin syndrome a nurse is assessing a client who is receiving cefaclor to treat respiratory infection. what should the nurse identify as an indication of allergic reaction? - urticaria (hives) taking bupropion for depression, what is an adverse effect of the medication? - xerostomia (dry mouth) monitoring a client who is taking amiodarone to treat ventricular dysrhythmia. what should the nurse report to the provider immediately? - shortness of breath adolescent client taking methylphenidate for ADHD. what should the nurse identify as an indication that the medication is effective? - "i can get through my homework without giving in to distractions" teaching a client who has a new prescription for montelukast about using the medication to prevent exercise induced bronchospasm. what should the nurse include? - take the medication 2hr before exercising; it's a TABLET, not inhalation med client is postoperative & hypertensive. to confirm that you're administering to the correct client, what should you do to confirm indentity? - ask client to state name and phone number postoperative 2 days, the client is receiving morphine through a PCA pump. what statement by the client indicates an understanding of the use of morphine via PCA pump? - i sit at the side of the bed for a couple minutes before i stand up administering sumatriptan 6mg SQ with a needle-free device to a client with a migraine. what action should the nurse take? - administer no more than total 12mg in 24hr; no more than 2 6mg SQ in 24hr which of the following statements by the client indicate melatonin is effective? - i am sleeping much better since i started the melatonin what lab result of a client with sepsis and receiving vancomycin should the nurse report before giving the next dose of vancomycin? - creatinine 2.2mg/dL creatinine range is 0.5-1mg/dL a client receiving end of life care has a prescription for fentanyl transdermal patch. what information regarding adverse effects of fentanyl should the nurse plan to give the client and family? - take stool softener daily caring for a client who has diabetes mellitus & is taking glyburide. the client reports feeling confused and anxious. what action should the nurse take first? - perform capillary glucose test providing teaching to a client who is to start taking digoxin. what adverse effect should the nurse the client to monitor & report to the provider? - yellow tinged vision; sign of digoxin toxicity reviewing lab results of a client who is taking carbamazepine for seizures. what findings should the nurse report to the provider? - WBC 3,500 (leukopenia); expected (normal) range is 5,000-10,000 reviewing lab results for a client who is receive a dose of ceftazidime via IV intermittent bolus. what lab result is the priority to report to the provider before administering the medication? - creatinine 2.6mg/dL; serum creatinine above 1.3 can indicate kidney disorder requiring a reduction in the dose