ATI Pharmacology Test 1

A nurse is assessing a client who is receiving Chloramphenicol (Chloromycetin). Which of the following findings is an adverse effect of this medication? Ecchymosis A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodium chlorideIV over 8 hours. The nurse plans to use IV tubing with a drop factor of 10 gtt/mL.How many gtt/min of IV fluid should the client receive? (Round your answer tothe nearest whole number). 31gtt/min A nurse is admitting a client to a long-term care facility. While reconciling the medication prescribed at home with those prescribed in the facility, the nurse discovers a discrepancy in the dosages. Which action should the nurse take? Clarify the medication dosages with the provider. A nurse is caring for a client who is receiving a fentanyl transdermal system(Duragesic). What is important to document in the client's record? Respiratory rate A nurse is caring for a client who has acute angina and has a prescription for nitroglycerin. Which of the following is an appropriate intervention for the nurse to take when administering this medication? Administer a nitroglycerin tablet sublingually every 5minutes. A nurse is preparing to administer infliximab (Remicade) to a client who has rheumatoid arthritis. the nurse should watch the patient for which of the following adverse reactions (select all that apply) Jaundice Urtipenia Fever A nurse is providing teaching to a client who was recently diagnosed as HIV positive. The client is beginning medication therapy with zidovudine (Retrovir). Which of the following statements should the nurse include in the teaching. (Select all that apply.) Must be taken with other retroviral medicines. Has few adverse effects Increases CD4+ cell count A nurse is assessing a school age client who is experiencing seizure activity and is prescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is receiving a continuous infusion of which of the following IV: Lactated Ringers solution A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heart failure. Which of the following indicates an expected finding? Orthostatic hypotension A child with cerebral palsy is prescribed Baclofen (Lioresal). Which of the following therapeutic effects should the nurse monitor? Decreased spacity Clinical findings of a client who has a prescription for lithium carbonate (Lithobid) .For which reasons should the nurse withhold the medication and notify the provider? D. Lithium level 2.5mEq/L The nurse is caring for a client who has tuberculosis and is being treated with combination medication therapy. To test the effectiveness of the treatment, the nurse should periodically monitor which of the following laboratory results. ESD rate A nurse is caring for a client who is taking amoxicillin (Amoxil) and is experiencing adverse effects. Which of the following instructions should the nurse give to this client? "Monitor for increased urine output." A nurse is reviewing the medication administration record for a client who has metastatic cancer and a fentanyl (Duragesic) transdermal patch for pain. The client reports a pain level of 10 on a scale of 0 to 10. Which of the following medications should the nurse anticipate administering? A. Hydromorphone(Dilaudid) A nurse is caring for a client with PCA Morphine Sulfate. Which of the following statements is not true? "I don't have to worry about getting an overdose of the medication" A nurse is caring for a client who is to receive a series of allergy tests. The nurse should instruct the client to avoid which medications for up to 4 weeks before the procedure? Diphenhyramine (Benadryl) A nurse administered meperidine (Demerol) intramuscularly to a client with an ankle fracture. Which of the following actions should the nurse take next? Assess the clients respiratory status A nurse is caring for a client who has an order for clozapine (Clozaril) 350 mg PO daily. The nurse should recognize that which of the following findings is a side effect of this medication? WBC 8,000mm3 A client with diabetes mellitus is admitted to the medical unit. The client has routine before breakfast prescription for 8 units of regular insulin and 18 units of NPH. The primary care provider adds an additional dose of Regular insulin based on the following: Blood Glucose Regular Insulin Dose 121 to 150 2 units 151 to 180 4 units 180 to 200 6 units 201 to 250 8 units 250 Call provider The client's pre-breakfast glucose is 192 mg/dl. Which dosage of insulin should the nurse administer? 14 units of Regular, 18 units of NPH A nurse is caring for a client who has a new prescription of zolpidem (Ambien) 10 mg by mouth. Which comments by the client indicates understanding regarding this medication? "I will stop taking this medication in 1 week, so I don't get addicted." A nurse is monitoring a client who is taking fosinopril (Monopril). The nurse should understand that this has a beneficial effect on which of the body systems? Cardiovascular A nurse is assessing a client who is taking naproxen (Naprosyn). Which of the following is an expected outcome for this client? Reduced pain A nurse is providing teaching to a client who just started taking lithium (Eskalith). Which of the following statements indicates that the client understands the teaching? I should call my doctor if I develop hand tremors." A nurse is administering verapamil (Calan) to a client via IV bolus. The nurse should monitor for which outcome? A sudden increase in heartrate. A nurse is caring for a client who has rheumatoid arthritis. The client is prescribed methotrexate (Rheumatrex). Which of the following should the nurse instruct the client to monitor and report to the provider? Sore throat A nurse is caring for a client who has been prescribed Ceftriaxone (Rocephin). The nurse notes that the client's chart lists a penicillin allergy. Which of the following actions should the nurse take first? Administer the medication and monitor the client for allergic response. A nurse is teaching a client who has decided to quit smoking about using a nicotine transdermal system (Nicotrol). Which of the following instructions should the nurse include? Apply the patch first thing in the morning and remove it at bedtime. A nurse is caring for a client who has been taking furosemide (Lasix) for 3 days to treat heart failure. Which of the following findings indicate that the medication is effective? Potassium within the expected reference range