ATI PHARM PROCTORED EXAM LPN 2024/2025 QUESTIONS WITH 100% CORRECT ANSWERS- BEST RATED

ATI PHARM PROCTORED EXAM LPN 2024/2025 QUESTIONS WITH 100% CORRECT ANSWERS- BEST RATED “A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? - CORRECT ANSWER Calcitonin (Miacalcin)" "The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed? - CORRECT ANSWER Pulmonary function studies" "The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which laboratory value would the nurse specifically monitor during treatment with this medication? - CORRECT ANSWER Uric acid level" "The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse who is assisting in caring for the client during its administration understands that which side effect is specifically associated with this medication? - CORRECT ANSWER Orthostatic hypotension" "The clinic nurse is reviewing a teaching plan for the client receiving an antineoplastic medication. When implementing the plan, the nurse tells the client: - CORRECT ANSWER Consult with health care providers (HCPs) before receiving immunizations" "The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse monitors the client, knowing that which of the following indicates a side effect specific to this medication? - CORRECT ANSWER Numbness and tingling in the fingers and toes" "The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registered nurse regarding the administration of the medication if which of the following is documented in the client's history? - CORRECT ANSWER Pancreatitis" "Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse understands that the primary action of this medication is to: - CORRECT ANSWER Compete with estradiol for binding to estrogen in tissues containing high concentrations of receptors." "The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication? - CORRECT ANSWER Calcium level" "A nurse is assisting with caring for a client with cancer who is receiving cisplatin. Select the adverse effects that the nurse monitors for that are associated with this medication. Select all that apply. - CORRECT ANSWER 1. Tinnitus 2. Ototoxicity 5. Nephrotoxicity 6. Hypomagnesemia" "A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is prescribed for the client. The nurse determines that this medication has been prescribed to: - CORRECT ANSWER Treat hypocalcemic tetany." "A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. Which information should the nurse teach when carrying out plans for discharge? - CORRECT ANSWER Rotate the insulin injection sites systematically." "A nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH insulin in the same syringe. Which of the following actions, if performed by the client, indicates the need for further teaching? - CORRECT ANSWER Withdraws the NPH insulin first" "A home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse tells the client to: - CORRECT ANSWER Refrigerate the insulin." "Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. A nurse reinforces instructions for the client and tells the client to avoid which of the following while taking this medication? - CORRECT ANSWER Alcohol" "The client has been taking omeprazole (Prilosec) for 4 weeks. The ambulatory care nurse evaluates that the client is receiving optimal intended effect of the medication if the client reports the absence of which symptom? - CORRECT ANSWER Heartburn" "A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin (Biaxin), esomeprazole (Nexium), and amoxicillin (Amoxil). Which statement by the client indicates the best understanding of the medication regimen? - CORRECT ANSWER "The medications will kill the bacteria and stop the acid production."" "A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonists? Select all that apply. - CORRECT ANSWER 1. Nizatidine (Axid) 2. Ranitidine (Zantac) 3. Famotidine (Pepcid) 4. Cimetidine (Tagamet)" "A client is receiving acetylcysteine (Mucomyst), 20% solution diluted in 0.9% normal saline by nebulizer. The nurse should have which item available for possible use after giving this medication? - CORRECT ANSWER Suction equipment" "A client has a prescription to take guaifenesin (Humibid) every 4 hours, as needed. The nurse determines that the client understands the most effective use of this medication if the client states that he or she will: - CORRECT ANSWER Take the tablet with a full glass of water." "Isosorbide mononitrate (Imdur) is prescribed for a client with angina pectoris. The client tells the nurse that the medication is causing a chronic headache. The nurse appropriately suggests that the client: - CORRECT ANSWER Take the medication with food." "A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator, alteplase (Activase, tPA). Which action is a priority nursing intervention? - CORRECT ANSWER Monitor for signs of bleeding" "A nurse is planning to administer hydrochlorothiazide (HydroDIURIL) to a client. The nurse understands that which of the following are concerns related to the administration of this medication? - CORRECT ANSWER Hypokalemia, hyperglycemia, sulfa allergy" "A home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol level of 398 mg/dL. The client is taking cholestyramine (Questran). Which of the following statements, if made by the client, indicates the need for further education? - CORRECT ANSWER "I'll continue my nicotinic acid from the health food store."" "A client is on nicotinic acid (niacin) for hyperlipidemia and the nurse provides instructions to the client about the medication. Which statement by the client would indicate an understanding of the instructions? - CORRECT ANSWER "Ibuprofen (Motrin) taken 30 minutes before the nicotinic acid should decrease the flushing."" "A client with coronary artery disease complains of substernal chest pain. After checking the client's heart rate and blood pressure, a nurse administers nitroglycerin, 0.4 mg, sublingually. After 5 minutes, the client states, "My chest still hurts." Select the appropriate actions that the nurse should take. Select all that apply. - CORRECT ANSWER 2. Contact the registered nurse. 4. Assess the client's pain level. 5. Check the client's blood pressure. 6. Administer a second nitroglycerin, 0.4 mg, sublingually." "Nalidixic acid (NegGram) is prescribed for a client with a urinary tract infection. On review of the client's record, the nurse notes that the client is taking warfarin sodium (Coumadin) daily. Which prescription should the nurse anticipate for this client? - CORRECT ANSWER A decrease in the warfarin sodium (Coumadin) dosage" "A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of the following should be included in the list of instructions? - CORRECT ANSWER Maintain a high fluid intake." "Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed for a client. A nurse should instruct the client to report which symptom if it developed during the course of this medication therapy? - CORRECT ANSWER Sore throat" "Phenazopyridine hydrochloride (Pyridium) is prescribed for a client for symptomatic relief of pain resulting from a lower urinary tract infection. The nurse reinforces to the client: - CORRECT ANSWER That a reddish orange discoloration of the urine may occur" "Bethanechol chloride (Urecholine) is prescribed for a client with urinary retention. Which disorder would be a contraindication to the administration of this medication? - CORRECT ANSWER Urinary strictures" "A nurse who is administering bethanechol chloride (Urecholine) is monitoring for acute toxicity associated with the medication. The nurse checks the client for which sign of toxicity? - CORRECT ANSWER Bradycardia" "Oxybutynin chloride (Ditropan XL) is prescribed for a client with neurogenic bladder. Which sign would indicate a possible toxic effect related to this medication? - CORRECT ANSWER Restlessness" "After kidney transplantation, cyclosporine (Sand immune) is prescribed for a client. Which laboratory result would indicate an adverse effect from the use of this medication? - CORRECT ANSWER Elevated blood urea nitrogen level" "Cinoxacin (Cinobac), a urinary antiseptic, is prescribed for the client. The nurse reviews the client's medical record and should contact the health care provider (HCP) regarding which documented finding to verify the prescription? - CORRECT ANSWER Renal insufficiency" "A client with myasthenia gravis is suspected of having cholinergic crisis. Which of the following indicate that this crisis exists? - CORRECT ANSWER Hypertension" "A client with myasthenia gravis is receiving pyridostigmine (Mestinon). The nurse monitors for signs and symptoms of cholinergic crisis caused by overdose of the medication. The nurse checks the medication supply to ensure that which medication is available for administration if a cholinergic crisis occurs? - CORRECT ANSWER Atropine sulfate" "A client with myasthenia gravis becomes increasingly weak. The health care provider prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or increasing severity of the disease (myasthenic crisis). An injection of edrophonium (Enlon) is administered. Which of the following indicates that the client is in cholinergic crisis? - CORRECT ANSWER A temporary worsening of the condition" "Carbidopa-levodopa (Sinemet) is prescribed for a client with Parkinson's disease, and the nurse monitors the client for adverse reactions to the medication. Which of the following indicates that the client is experiencing an adverse reaction? - CORRECT ANSWER Impaired voluntary movements" "Phenytoin (Dilantin), 100 mg orally three times daily, has been prescribed for a client for seizure control. The nurse reinforces instructions regarding the medication to the client. Which statement by the client indicates an understanding of the instructions? - CORRECT ANSWER "I will use a soft toothbrush to brush my teeth."" "The client with acquired immunodeficiency syndrome has begun therapy with zidovudine (Retrovir, Azidothymidine, AZT, ZDV). The nurse carefully monitors which of the following laboratory results during treatment with this medication? - CORRECT ANSWER Complete blood count" "The nurse is reviewing the results of serum laboratory studies drawn on a client with acquired immunodeficiency syndrome who is receiving didanosine (Videx). The nurse interprets that the client may have the medication discontinued by the health care provider if which of the following significantly elevated results is noted? - CORRECT ANSWER Serum amylase" "The nurse is caring for a postrenal transplant client taking cyclosporine (Sandimmune, Gengraf, Neoral). The nurse notes an increase in one of the client's vital signs, and the client is complaining of a headache. What is the vital sign that is most likely increased? - CORRECT ANSWER Blood pressure" "Amikacin (Amikin) is prescribed for a client with a bacterial infection. The client is instructed to contact the health care provider (HCP) immediately if which of the following occurs? - CORRECT ANSWER Hearing loss" "The nurse is assigned to care for a client with cytomegalovirus retinitis and acquired immunodeficiency syndrome who is receiving foscarnet. The nurse should check the latest results of which of the following laboratory studies while the client is taking this medication? - CORRECT ANSWER Serum creatinine" "The client with acquired immunodeficiency syndrome and Pneumocystis jiroveci infection has been receiving pentamidine isethionate (Pentam 300). The client develops a temperature of 101° F. The nurse does further monitoring of the client, knowing that this sign would most likely indicate: - CORRECT ANSWER The result of another infection caused by leukopenic effects of the medication." "Saquinavir (Invirase) is prescribed for the client who is human immunodeficiency virus seropositive. The nurse reinforces medication instructions and tells the client to: - CORRECT ANSWER Avoid sun exposure." "Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Select the interventions that the nurse includes when administering this medication. Select all that apply. - CORRECT ANSWER 2. Instruct the client to avoid alcohol. 3. Monitor hepatic and liver function studies. 5. Instruct the client to avoid exposure to the sun." "A client with human immunodeficiency virus is taking nevirapine (Viramune). The nurse should monitor for which adverse effects of the medication? Select all that apply. - CORRECT ANSWER 1. Rash 2. Hepatotoxicity" "A nurse is caring for a hospitalized client who has been taking clozapine (Clozaril) for the treatment of a schizophrenic disorder. Which laboratory study prescribed for the client will the nurse specifically review to monitor for an adverse effect associated with the use of this medication? - CORRECT ANSWER White blood cell count" "Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric health care clinic. The nurse is collecting data on the client and is providing instructions regarding the use of this medication. Which is most important for the nurse to determine before administration of this medication? - CORRECT ANSWER When the last alcoholic drink was consumed" "A client is taking lansoprazole (Prevacid) for the chronic management of Zollinger-Ellison syndrome. The nurse advises the client to take which of the following products if needed for a headache? - CORRECT ANSWER Acetaminophen (Tylenol)" "A client who is taking hydrochlorothiazide (HydroDIURIL, HCTZ) has been started on triamterene (Dyrenium) as well. The client asks the nurse why both medications are required. The nurse formulates a response, based on the understanding that: - CORRECT ANSWER Triamterene is a potassium-sparing diuretic, whereas hydrochlorothiazide is a potassium-losing diuretic." "A client who has begun taking fosinopril (Monopril) is very distressed, telling the nurse that he cannot taste food normally since beginning the medication 2 weeks ago. The nurse provides the best support to the client by: - CORRECT ANSWER Informing the client that impaired taste is expected and generally disappears in 2 to 3 months" "A nurse is planning to administer amlodipine (Norvasc) to a client. The nurse plans to check which of the following before giving the medication? - CORRECT ANSWER Blood pressure and heart rate" "A client with chronic renal failure is receiving ferrous sulfate (Feosol). The nurse monitors the client for which common side effect associated with this medication? - CORRECT ANSWER Constipation" "A nurse is preparing to administer digoxin (Lanoxin), 0.125 mg orally, to a client with heart failure. Which vital sign is most important for the nurse to check before administering the medication? - CORRECT ANSWER Heart rate" "A client has begun therapy with theophylline (Theo-24). The nurse tells the client to limit the intake of which of the following while taking this medication? - CORRECT ANSWER Coffee, cola, and chocolate" "A client with a prescription to take theophylline (Theo-24) daily has been given medication instructions by the nurse. The nurse determines that the client needs further information about the medication if the client states that he or she will: - CORRECT ANSWER Take the daily dose at bedtime." "A client is taking cetirizine hydrochloride (Zyrtec). The nurse checks for which of the following side effects of this medication? - CORRECT ANSWER Drowsiness" "A client taking fexofenadine (Allegra) is scheduled for allergy skin testing and tells the nurse in the health care provider's office that a dose was taken this morning. The nurse determines that: - CORRECT ANSWER The client should reschedule the appointment." "A client complaining of not feeling well is seen in a clinic. The client is taking several medications for the control of heart disease and hypertension. These medications include a β-blocker, digoxin (Lanoxin), and a diuretic. A tentative diagnosis of digoxin toxicity is made. Which of the following assessment data would support this diagnosis? - CORRECT ANSWER Double vision, loss of appetite, and nausea" "A client is being treated for acute congestive heart failure with intravenously administered bumetanide. The vital signs are as follows: blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After the initial dose, which of the following is the priority assessment? - CORRECT ANSWER Monitoring blood pressure" "Intravenous heparin therapy is prescribed for a client. While implementing this prescription, a nurse ensures that which of the following medications is available on the nursing unit? - CORRECT ANSWER Protamine sulfate" "A client is diagnosed with pulmonary embolism and is to be treated with streptokinase (Streptase). A nurse would report which priority data collection finding to the registered nurse before initiating this therapy? - CORRECT ANSWER Blood pressure of 198/110 mm Hg" "A nurse is reinforcing dietary instructions to a client who has been prescribed cyclosporine (Sandimmune). Which food item would the nurse instruct the client to avoid? - CORRECT ANSWER Grapefruit juice" "Mycophenolate mofetil (CellCept) is prescribed for a client as prophylaxis for organ rejection following an allogeneic renal transplant. Which of the following instructions does the nurse reinforce regarding administration of this medication? - CORRECT ANSWER Contact the health care provider (HCP) if a sore throat occurs." "A nurse is reviewing the laboratory results for a client receiving tacrolimus (Prograf). Which laboratory result would indicate to the nurse that the client is experiencing an adverse effect of the medication? - CORRECT ANSWER Blood glucose of 200 mg/dL" "A client receiving nitrofurantoin (Macrodantin) calls the health care provider's office complaining of side effects related to the medication. Which side effect indicates the need to stop treatment with this medication? - CORRECT ANSWER Cough and chest pain" "A client with chronic renal failure is receiving epoetin alfa (Epogen, Procrit). Which laboratory result would indicate a therapeutic effect of the medication? - CORRECT ANSWER Hematocrit of 32%" "A nurse is caring for a client receiving morphine sulfate subcutaneously for pain. Because morphine sulfate has been prescribed for this client, which nursing action would be included in the plan of care? - CORRECT ANSWER Encourage the client to cough and deep breathe." "Meperidine hydrochloride (Demerol) is prescribed for the client with pain. Which of the following would the nurse monitor for as a side effect of this medication? - CORRECT ANSWER Urinary retention" "A nurse is caring for a client with severe back pain, and codeine sulfate has been prescribed for the client. Which of the following would the nurse include in the plan of care while the client is taking this medication? - CORRECT ANSWER Monitor bowel activity." "Carbamazepine (Tegretol) is prescribed for a client with a diagnosis of psychomotor seizures. The nurse reviews the client's health history, knowing that this medication is contraindicated if which of the following disorders is present? - CORRECT ANSWER Liver disease" "A client with trigeminal neuralgia tells the nurse that acetaminophen (Tylenol) is taken on a frequent daily basis for relief of generalized discomfort. The nurse reviews the client's laboratory results and determines that which of the following indicates toxicity associated with the medication? - CORRECT ANSWER A direct bilirubin level of 2 mg/dL" "A client receives a prescription for methocarbamol (Robaxin), and the nurse reinforces instructions to the client regarding the medication. Which client statement would indicate a need for further instructions? - CORRECT ANSWER "If my vision becomes blurred, I don't need to be concerned about it."" "The client has been on treatment for rheumatoid arthritis for 3 weeks. During the administration of etanercept (Enbrel), it is most important for the nurse to assess: - CORRECT ANSWER The white blood cell counts and platelet counts" "Alendronate (Fosamax) is prescribed for a client with osteoporosis. The client taking this medication is instructed to: - CORRECT ANSWER Take the medication with a full glass of water after rising in the morning." "A nurse prepares to reinforce instructions to a client who is taking allopurinol (Zyloprim). The nurse plans to include which of the following in the instructions? - CORRECT ANSWER Instruct the client to drink 3000 mL of fluid per day." "Colcrys (colchicine) is prescribed for a client with a diagnosis of gout. The nurse reviews the client's medical history in the health record, knowing that the medication would be contraindicated in which disorder? - CORRECT ANSWER Renal failure" "Insulin glargine (Lantus) is prescribed for a client with diabetes mellitus. The nurse tells the client that it is best to take the insulin: - CORRECT ANSWER Once daily, at the same time each day" "Atenolol hydrochloride (Tenormin) is prescribed for a hospitalized client. The nurse should perform which of the following as a priority action before administering the medication? - CORRECT ANSWER Check the client's blood pressure." "A nurse is preparing to administer furosemide (Lasix) to a client with a diagnosis of heart failure. The most important laboratory test result for the nurse to check before administering this medication is: - CORRECT ANSWER Potassium level" "A nurse provides dietary instructions to a client who will be taking warfarin sodium (Coumadin). The nurse tells the client to avoid which food item? - CORRECT ANSWER Spinach" "A nurse reviews the medication history of a client admitted to the hospital and notes that the client is taking leflunomide (Arava). During data collection, the nurse asks which question to determine medication effectiveness? - CORRECT ANSWER "Do you have any joint pain?"" "A client with portosystemic encephalopathy is receiving oral lactulose (Chronulac) daily. The nurse assesses which of the following to determine medication effectiveness? - CORRECT ANSWER Blood ammonia level" "A nurse notes that a client is receiving lamivudine (Epivir). The nurse determines that this medication has been prescribed to treat which of the following? - CORRECT ANSWER Human immunodeficiency virus (HIV) infection" "A nurse notes that a client is taking lansoprazole (Prevacid). On data collection, the nurse asks which question to determine medication effectiveness? - CORRECT ANSWER "Are you experiencing any heartburn?"" "A nurse is assisting in caring for a pregnant client who is receiving intravenous magnesium sulfate for the management of preeclampsia and notes that the client's deep tendon reflexes are absent. On the basis of this data, the nurse report - CORRECT ANSWER The client is experiencing magnesium toxicity." "Methylergonovine (Methergine) is prescribed for a client with postpartum hemorrhage caused by uterine atony. Before administering the medication, the nurse checks which of the following as the important client parameter? - CORRECT ANSWER Blood pressure" "A nurse provides medication instructions to a client who had a kidney transplant about therapy with cyclosporine (Sandimmune). Which statement by the client indicates a need for further instruction? - CORRECT ANSWER "I need to obtain a yearly influenza vaccine."" "A health care provider (HCP) writes a prescription for digoxin (Lanoxin), 0.25 mg daily. The nurse teaches the client about the medication and tells the client that it is important to: - CORRECT ANSWER Withhold the medication and call the HCP if the pulse is less than 60 beats per minute" "A client is taking ticlopidine hydrochloride (Ticlid). The nurse tells the client to avoid which of the following while taking this medication? - CORRECT ANSWER Acetylsalicylic acid (aspirin)" "A client with angina pectoris is experiencing chest pain that radiates down the left arm. The nurse administers a sublingual nitroglycerin tablet to the client. The client's pain is unrelieved, and the nurse determines that the client needs another nitroglycerin tablet. Which of the following vital signs is most important for the nurse to check before administering the medication? - CORRECT ANSWER Blood pressure" "A client who received a kidney transplant is taking azathioprine (Imuran), and the nurse provides instructions about the medication. Which statement by the client indicates a need for further instructions? - CORRECT ANSWER "I need to discontinue the medication after 14 days of use."" "A nurse preparing a client for surgery reviews the client's medication record. The client is to be nothing per mouth (NPO) after midnight. Which of the following medications, if noted on the client's record, should the nurse question? - CORRECT ANSWER Prednisone" "Which of the following herbal therapies would be prescribed for its use as an antispasmodic? Select all that apply. - CORRECT ANSWER 4.Chamomile 5.Peppermint oil" "A nurse prepares to administer sodium polystyrene sulfonate (Kayexalate) to a client. Before administering the medication, the nurse reviews the action of the medication and understands that it: - CORRECT ANSWER Releases sodium ions in exchange for primarily potassium ions" "A clinic nurse prepares to administer an MMR (measles, mumps, rubella) vaccine to a child. How is this vaccine best administered? - CORRECT ANSWER Subcutaneously in the outer aspect of the upper arm" "The nurse should anticipate that the most likely medication to be prescribed prophylactically for a child with spina bifida (myelomeningocele) who has a neurogenic bladder would be: - CORRECT ANSWER Sulfisoxazole" "Prostaglandin E1 is prescribed for a child with transposition of the great arteries. The mother of the child asks the nurse why the child needs the medication. The nurse tells the mother that the medication: - CORRECT ANSWER Provides adequate oxygen saturation and maintains cardiac output" "A child is hospitalized with a diagnosis of lead poisoning. The nurse assisting in caring for the child would prepare to assist in administering which of the following medications? - CORRECT ANSWER Dimercaprol (BAL in Oil)" "A child is brought to the emergency department for treatment of an acute asthma attack. The nurse prepares to administer which of the following medications first? - CORRECT ANSWER A β2 agonist" "A nurse is collecting medication information from a client, and the client states that she is taking garlic as an herbal supplement. The nurse understands that the client is most likely treating which of the following conditions? - CORRECT ANSWER Hyperlipidemia" "Sodium hypochlorite (Dakin's solution) is prescribed for a client with a leg wound containing purulent drainage. The nurse is assisting in developing a plan of care for the client and includes which of the following in the plan? - CORRECT ANSWER Ensure that the solution is freshly prepared before use." "A nurse provides instructions to a client regarding the use of tretinoin (Retin-A). Which statement by the client indicates the need for further instructions? - CORRECT ANSWER "I should apply a very thin layer to my skin."" "A nurse is caring for a client who is taking metoprolol (Lopressor). The nurse measures the client's blood pressure (BP) and apical pulse (AP) immediately before administration. The client's BP is 122/78 mm/Hg and the AP is 58 beats/min. Based on this data, which of the following is the appropriate action? - CORRECT ANSWER Withhold the medication." "A client has been prescribed amikacin (Amikin). Which of the following priority baseline functions should be monitored? - CORRECT ANSWER Hearing acuity" "Collagenase (Santyl) is prescribed for a client with a severe burn to the hand. The nurse provides instructions to the client regarding the use of the medication. Which statement by the client indicates an accurate understanding of the use of this medication? - CORRECT ANSWER "I will apply the ointment once a day and cover it with a sterile dressing."" "Coal tar has been prescribed for a client with a diagnosis of psoriasis, and the nurse provides instructions to the client about the medication. Which statement by the client indicates a need for further instructions? - CORRECT ANSWER "The medication can cause systemic effects."" "A nurse is applying a topical glucocorticoid to a client with eczema. The nurse monitors for systemic absorption of the medication if the medication is being applied to which of the following body areas? - CORRECT ANSWER Axilla" "A client is seen in the clinic for complaints of skin itchiness that has been persistent over the past several weeks. Following data collection, it has been determined that the client has scabies. Lindane is prescribed, and the nurse is asked to provide instructions to the client regarding the use of the medication. The nurse tells the client to: - CORRECT ANSWER Leave the cream on for 8 to 12 hours and then remove by washing." "A nurse is preparing to administer eardrops to an infant. The nurse plans to: - CORRECT ANSWER Pull down and back on the ear and direct the solution toward the wall of the canal." "A nurse is collecting data from a client about medications being taken, and the client tells the nurse that he is taking herbal supplements for the treatment of varicose veins. The nurse understands that the client is most likely taking which of the following? - CORRECT ANSWER Bilberry" "A nurse is preparing to give the postcraniotomy client medication for incisional pain. The family asks the nurse why the client is receiving codeine sulfate and not "something stronger." In formulating a response, the nurse incorporates the understanding that codeine: - CORRECT ANSWER Does not alter respirations or mask neurological signs as do other opioids" "A client receives a dose of edrophonium (Enlon). The client shows improvement in muscle strength for a period of time following the injection. The nurse interprets that this finding is compatible with: - CORRECT ANSWER Myasthenia gravis" "A nurse is assisting in preparing to administer acetylcysteine (Mucomyst) to a client with an overdose of acetaminophen (Tylenol). The nurse prepares to administer the medication by: - CORRECT ANSWER Mixing the medication in a flavored ice drink and allowing the client to drink the medication through a straw" "A client is receiving baclofen (Lioresal) for muscle spasms caused by a spinal cord injury. The nurse monitors the client, knowing that which of the following is a side effect of this medication? - CORRECT ANSWER Slurred speech" "A client is suspected of having myasthenia gravis, and the health care provider administers edrophonium (Enlon) to determine the diagnosis. After administration of this medication, which of the following would indicate the presence of myasthenia gravis? - CORRECT ANSWER An increase in muscle strength" "A client with myasthenia gravis verbalizes complaints of feeling much weaker than normal. The health care provider plans to implement a diagnostic test to determine if the client is experiencing a myasthenic crisis and administers edrophonium (Enlon). Which of the following would indicate that the client is experiencing a myasthenic crisis? - CORRECT ANSWER A temporary improvement in the condition" "A client with multiple sclerosis is receiving diazepam (Valium), a centrally acting skeletal muscle relaxant. Which of the following would indicate that the client is experiencing a side effect related to this medication? - CORRECT ANSWER Drowsiness" "Dantrolene (Dantrium) is prescribed for a client with a spinal cord injury for discomfort resulting from spasticity. The nurse tells the client about the importance of follow-up and the need for which blood study? - CORRECT ANSWER Liver function studies" "A client with epilepsy is taking the prescribed dose of phenytoin (Dilantin) to control seizures. A phenytoin blood level is drawn, and the results reveal a level of 35 mcg/ml. Which of the following symptoms would be expected as a result of this laboratory result? - CORRECT ANSWER Slurred speech" "Mannitol (Osmitrol) is being administered to a client with increased intracranial pressure following a head injury. The nurse assisting in caring for the client knows that which of the following indicates the therapeutic action of this medication? - CORRECT ANSWER Induces diuresis by raising the osmotic pressure of glomerular filtrate, thereby inhibiting tubular reabsorption of water and solutes" "A client is admitted to the hospital with complaints of back spasms. The client states, "I have been taking two or three aspirin every 4 hours for the past week and it hasn't helped my back." Aspirin intoxication is suspected. Which of the following complaints would indicate aspirin intoxication? - CORRECT ANSWER Tinnitus" "A health care provider initiates carbidopa/levodopa (Sinemet) therapy for the client with Parkinson's disease. A few days after the client starts the medication, the client complains of nausea and vomiting. The nurse tells the client that: - CORRECT ANSWER Taking the medication with food will help to prevent the nausea." "A client with rheumatoid arthritis is taking acetylsalicylic acid (aspirin) on a daily basis. Which medication dose should the nurse expect the client to be taking? - CORRECT ANSWER 4 g daily" "A nurse is caring for a client with gout who is taking Colcrys (colchicine). The client has been instructed to restrict the diet to low-purine foods. Which of the following foods should the nurse instruct the client to avoid while taking this medication? - CORRECT ANSWER Scallops" "A health care provider prescribes auranofin (Ridaura) for a client with rheumatoid arthritis. Which of the following would indicate to the nurse that the client is experiencing toxicity related to the medication? - CORRECT ANSWER Complaints of a metallic taste in the mouth" "A film-coated form of diflunisal has been prescribed for a client for the treatment of chronic rheumatoid arthritis. The client calls the clinic nurse because of difficulty swallowing the tablets. Which initial instruction should the nurse provide to the client? - CORRECT ANSWER "Swallow the tablets with large amounts of water or milk."" "A health care provider instructs a client with rheumatoid arthritis to take ibuprofen (Motrin). The nurse reinforces the instructions, knowing that the normal adult dose for this client is which of the following? - CORRECT ANSWER 400 mg orally three times a day" "A adult client with muscle spasms is taking an oral maintenance dose of baclofen (Lioresal). The nurse reviews the medication record, expecting that which dose should be prescribed? - CORRECT ANSWER 15 mg four times a day" "A nurse is reviewing the health care provider's prescriptions for an adult client who has been admitted to the hospital following a back injury. Carisoprodol (Soma) is prescribed for the client to relieve the muscle spasms; the health care provider has prescribed 350 mg to be administered four times a day. When preparing to give this medication, the nurse determines that this dosage is: - CORRECT ANSWER The normal adult dosage" "A nurse has administered a dose of diazepam (Valium) to a client. The nurse would take which important action before leaving the client's room? - CORRECT ANSWER Per agency policy, putting up the side rails on the bed" "A client with a psychotic disorder is being treated with haloperidol (Haldol). Which of the following would indicate the presence of a toxic effect of this medication? - CORRECT ANSWER Excessive salivation" "Neuroleptic malignant syndrome is suspected in a client who is taking chlorpromazine. Which medication would the nurse prepare in anticipation of being prescribed to treat this adverse effect related to the use of chlorpromazine? - CORRECT ANSWER Bromocriptine (Parlodel)" "A nursing student is assigned to care for a client with a diagnosis of schizophrenia. Haloperidol (Haldol) is prescribed for the client, and the nursing instructor asks the student to describe the action of the medication. Which statement by the nursing student indicates an understanding of the action of this medication? - CORRECT ANSWER It blocks the binding of dopamine to the postsynaptic dopamine receptors in the brain." "A client receiving lithium carbonate (Lithobid) complains of loose, watery stools and difficulty walking. The nurse would expect the serum lithium level to be which of the following? - CORRECT ANSWER 1.7 mEq/L" "When teaching a client who is being started on imipramine hydrochloride (Tofranil), the nurse would inform the client that the desired effects of the medication may: - CORRECT ANSWER Not occur for 2 to 3 weeks of administration" "A client receiving an anxiolytic medication complains that he feels very "faint" when he tries to get out of bed in the morning. The nurse recognizes this complaint as a symptom of: - CORRECT ANSWER Postural hypotension" "A client who is taking lithium carbonate (Lithobid) is scheduled for surgery. The nurse informs the client that: - CORRECT ANSWER The medication will be discontinued 1 to 2 days before the surgery and resumed as soon as full oral intake is allowed." "A client is placed on chloral hydrate (Somnote) for short-term treatment. Which nursing action indicates an understanding of the major side effect of this medication? - CORRECT ANSWER Instructing the client to call for ambulation assistance" "A client admitted to the hospital gives the nurse a bottle of clomipramine (Anafranil). The nurse notes that the medication has not been taken by the client in 2 months. What behaviors observed in the client would validate noncompliance with this medication? - CORRECT ANSWER Frequent handwashing with hot, soapy water" "A client in the mental health unit is administered haloperidol (Haldol). The nurse would check which of the following to determine medication effectiveness? - CORRECT ANSWER The client's orientation and delusional status" "Diphenhydramine hydrochloride (Benadryl) is used in the treatment of allergic rhinitis for a hospitalized client with a chronic psychotic disorder. The client asks the nurse why the medication is being discontinued before hospital discharge. The nurse responds, knowing that: - CORRECT ANSWER Addictive properties are enhanced in the presence of psychotropic medications." "A hospitalized client is started on phenelzine sulfate (Nardil) for the treatment of depression. At lunchtime, a tray is delivered to the client. Which food item on the tray will the nurse remove? - CORRECT ANSWER Yogurt" "A tricyclic antidepressant is administered to a client daily. The nurse plans to monitor for the common side effects of the medication and includes which of the following in the plan of care? - CORRECT ANSWER Offer hard candy or gum periodically." "A client is being treated for depression with amitriptyline hydrochloride. During the initial phases of treatment, the most important nursing intervention is: - CORRECT ANSWER Getting baseline postural blood pressures before administering the medication and each time the medication is administered" "A client who is on lithium carbonate (Lithobid) will be discharged at the end of the week. In formulating a discharge teaching plan, the nurse will instruct the client that it is most important to: - CORRECT ANSWER Check with the psychiatrist before using any over-the-counter (OTC) medications or prescription medications." "Ribavirin (Virazole) is prescribed for the hospitalized child with respiratory syncytial virus (RSV). The nurse prepares to administer this medication via which of the following routes? - CORRECT ANSWER Via face mask" "Which of the following precautions will the nurse specifically take during the administration of ribavirin (Virazole) to a child with respiratory syncytial virus (RSV)? - CORRECT ANSWER Wearing goggles" "A client with Parkinson's disease has been prescribed benztropine (Cogentin). The nurse monitors for which gastrointestinal (GI) side effect of this medication? - CORRECT ANSWER Dry mouth" "A client with a history of simple partial seizures is taking clorazepate (Tranxene), and asks the nurse if there is a risk of addiction. The nurse's response is based on the understanding that clorazepate: - CORRECT ANSWER Leads to physical and psychological dependence with prolonged high-dose therapy" "A client who was started on anticonvulsant therapy with clonazepam (Klonopin) tells the nurse of increasing clumsiness and unsteadiness since starting the medication. The client is visibly upset by these manifestations and asks the nurse what to do. The nurse's response is based on the understanding that these symptoms: - CORRECT ANSWER Are worse during initial therapy and decrease or disappear with long-term use" "A hospitalized client is having the dosage of clonazepam (Klonopin) adjusted. The nurse should plan to: - CORRECT ANSWER Institute seizure precautions" "A client has a prescription for valproic acid (Depakene) orally once daily. The nurse plans to: - CORRECT ANSWER Ensure that the medication is administered at the same time each day." "A client taking carbamazepine (Tegretol) asks the nurse what to do if he misses one dose. The nurse responds that the carbamazepine should be: - CORRECT ANSWER Taken as long as it is not immediately before the next dose" "Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which best food item? - CORRECT ANSWER Orange juice" "Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which of the following would indicate the presence of systemic toxicity from this medication? - CORRECT ANSWER Tinnitus" "The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens - CORRECT ANSWER At least 30 minutes before exposure to the sun" "Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying the medication, the client complains of local discomfort and burning. Which of the following is the most appropriate nursing action? - CORRECT ANSWER Informing the client that this is normal" "The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse monitors the client, knowing that which of the following indicates that a systemic effect has occurred? - CORRECT ANSWER Hyperventilation" "Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed? - CORRECT ANSWER Triglyceride level" "A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin. The nurse reviews the client's medication record and would contact the (HCP) if the client is taking which medication? - CORRECT ANSWER Vitamin A" "The nurse is applying a topical corticosteroid to a client with eczema. The nurse would monitor for the potential for increased systemic absorption of the medication if the medication were being applied to which of the following body areas? - CORRECT ANSWER Axilla" "The clinic nurse is performing an admission assessment on a client. The nurse notes that the client is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would suspect that the client is being treated for: - CORRECT ANSWER Acne" "The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a partial-thickness burn, which has cultured positive for gram-negative bacteria. The nurse is reinforcing information to the client about the medication. Which statement made by the client indicates a lack of understanding about the treatments? - CORRECT ANSWER "The medication will permanently stain my skin."" "A nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic medication. During the infusion, the client complains of pain at the insertion site. During an inspection of the site, the nurse notes redness and swelling and that the rate of infusion of the medication has slowed. The nurse should take which appropriate action? - CORRECT ANSWER Notify the registered nurse." "Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. A nurse reviews the client's medical record and would question the prescription if which of the following is noted in the client's history? - CORRECT ANSWER Use of nitroglycerin" "The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes mellitus who takes insulin. The nurse knows that which of the following is the appropriate intervention? - CORRECT ANSWER The medication is withheld and the HCP is called to question the prescription for the client." "A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions for the client and tells the client that the most likely time for a hypoglycemic reaction to occur is: - CORRECT ANSWER 4 to 12 hours after administration" "A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had been well controlled with glyburide (DiaBeta) daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL. Which medication, if added to the client's regimen, may have contributed to the hyperglycemia? - CORRECT ANSWER Prednisone" "A community health nurse visits a client at home. Prednisone 10 mg orally daily has been prescribed for the client and the nurse reinforces teaching for the client about the medication. Which statement, if made by the client, indicates that further teaching is necessary? - CORRECT ANSWER "I can take aspirin or my antihistamine if I need it."" "Desmopressin acetate (DDAVP) is prescribed for the treatment of diabetes insipidus. The nurse monitors the client after medication administration for which therapeutic response? - CORRECT ANSWER Decreased urinary output" "The home health care nurse is visiting a client who was recently diagnosed with type 2 diabetes mellitus. The client is prescribed repaglinide (Prandin) and metformin (Glucophage) and asks the nurse to explain these medications. The nurse should reinforce which instructions to the client? Select all that apply. - CORRECT ANSWER 1. Diarrhea can occur secondary to the metformin. 2. The repaglinide is not taken if a meal is skipped. 3. The repaglinide is taken 30 minutes before eating. 4. Candy or another simple sugar is carried and used to treat mild hypoglycemia episodes." "A client with Crohn's disease is scheduled to receive an infusion of infliximab (Remicade). The nurse assisting in caring for the client should take which action to monitor the effectiveness of treatment? - CORRECT ANSWER Checking the frequency and consistency of bowel movements" "The client has a PRN prescription for loperamide hydrochloride (Imodium). The nurse understands that this medication is used for which condition? - CORRECT ANSWER An episode of diarrhea" "The client has a PRN prescription for ondansetron (Zofran). For which condition should this medication be administered to the postoperative client? - CORRECT ANSWER Nausea and vomiting" "The client has begun medication therapy with pancrelipase (Pancrease MT). The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed? - CORRECT ANSWER Reduction of steatorrhea" "An older client recently has been taking cimetidine (Tagamet). The nurse monitors the client for which most frequent central nervous system side effect of this medication? - CORRECT ANSWER Confusion" "The client with a gastric ulcer has a prescription for sucralfate (Carafate), 1 g by mouth four times daily. The nurse schedules the medication for which times? - CORRECT ANSWER One hour before meals and at bedtime" "The client who chronically uses nonsteroidal anti-inflammatory drugs has been taking misoprostol (Cytotec). The nurse determines that the medication is having the intended therapeutic effect if which of the following is noted? - CORRECT ANSWER Relief of epigastric pain" "A postoperative client has received a dose of naloxone hydrochloride for respiratory depression shortly after transfer to the nursing unit from the postanesthesia care unit. After administration of the medication, the nurse checks the client for: - CORRECT ANSWER Sudden increase in pain" "A client has been taking isoniazid (INH) for 2 months. The client complains to a nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing: - CORRECT ANSWER Peripheral neuritis" "A client is to begin a 6-month course of therapy with isoniazid (INH). A nurse plans to teach the client to: - CORRECT ANSWER Report yellow eyes or skin immediately." "A client has been started on long-term therapy with rifampin (Rifadin). A nurse teaches the client that the medication: - CORRECT ANSWER Causes orange discoloration of sweat, tears, urine, and feces" "A nurse has given a client taking ethambutol (Myambutol) information about the medication. The nurse determines that the client understands the instructions if the client states that he or she will immediately report: - CORRECT ANSWER Problems with visual acuity" "Cycloserine (Seromycin) is added to the medication regimen for a client with tuberculosis. Which of the following would the nurse include in the client-teaching plan regarding this medication? - CORRECT ANSWER To return to the clinic weekly for serum drug-level testing" "A client with tuberculosis is being started on antituberculosis therapy with isoniazid (INH). Before giving the client the first dose, a nurse ensures that which of the following baseline studies has been completed? - CORRECT ANSWER Liver enzyme levels" "Rifabutin (Mycobutin) is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. The nurse monitors for which side effects of the medication? Select all that apply. - CORRECT ANSWER 1. Signs of hepatitis 2. Flu-like syndrome 3. Low neutrophil count 5. Ocular pain or blurred vision" "A nurse reinforces discharge instructions to a postoperative client who is taking warfarin sodium (Coumadin). Which statement, if made by the client, reflects the need for further teaching? - CORRECT ANSWER "I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated."" "A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3.0 mEq/L and is complaining of anorexia. A health care provider prescribes a digoxin level to rule out digoxin toxicity. A nurse checks the results, knowing that which of the following is the therapeutic serum level (range) for digoxin? - CORRECT ANSWER 0.5 to 2 ng/mL" "Heparin sodium is prescribed for the client. The nurse expects that the health care provider will prescribe which of the following to monitor for a therapeutic effect of the medication? - CORRECT ANSWER Activated partial thromboplastin time (aPTT)" "A nurse is monitoring a client who is taking propranolol (Inderal LA). Which data collection finding would indicate a potential serious complication associated with propranolol? - CORRECT ANSWER The development of audible expiratory wheezes" "A client is taking phenytoin (Dilantin) for seizure control and a sample for a serum drug level is drawn. Which of the following indicates a therapeutic serum drug range? - CORRECT ANSWER 10 to 20 mcg/mL" "Ibuprofen (Advil) is prescribed for a client. The nurse tells the client to take the medication: - CORRECT ANSWER With 8 oz of milk" "A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. During data collection, the nurse notes that the client is taking birth control pills. Which of the following information should the nurse provide to the client? - CORRECT ANSWER The potential for decreased effectiveness of the birth control pills exists while taking phenytoin (Dilantin)." "A client with trigeminal neuralgia is being treated with carbamazepine (Tegretol). Which laboratory result would indicate that the client is experiencing an adverse reaction to the medication? - CORRECT ANSWER White blood cell count, 3000 cells/mm3" "A client is receiving meperidine hydrochloride (Demerol) for pain. Which of the following are side effects of this medication. Select all that apply. - CORRECT ANSWER 2. Tremors 3. Drowsiness 4. Hypotension" "The client has been on treatment for rheumatoid arthritis for 3 weeks. During the administration of etanercept (Enbrel), it is most important for the nurse to check: - CORRECT ANSWER The white blood cell counts and platelet counts" "Baclofen (Lioresal) is prescribed for the client with multiple sclerosis. The nurse assists in planning care, knowing that the primary therapeutic effect of this medication is which of the following? - CORRECT ANSWER Decreased muscle spasms" "A nurse is monitoring a client receiving baclofen (Lioresal) for side effects related to the medication. Which of the following would indicate that the client is experiencing a side effect? - CORRECT ANSWER Drowsiness" "A nurse is reinforcing discharge instructions to a client receiving baclofen (Lioresal). Which of the following would the nurse include in the instructions? - CORRECT ANSWER Avoid the use of alcohol." "A client with acute muscle spasms has been taking baclofen (Lioresal). The client calls the clinic nurse because of continuous feelings of weakness and fatigue and asks the nurse about discontinuing the medication. The nurse should make which appropriate response to the client? - CORRECT ANSWER "Weakness and fatigue commonly occur and will diminish with continued medication use."" "Dantrolene sodium (Dantrium) is prescribed for a client experiencing flexor spasms, and the client asks the nurse about the action of the medication. The nurse responds, knowing that the therapeutic action of this medication is which of the following? - CORRECT ANSWER Acts directly on the skeletal muscle to relieve spasticity" "A nurse is reviewing the laboratory studies on a client receiving dantrolene sodium (Dantrium). Which laboratory test would identify an adverse effect associated with the administration of this medication? - CORRECT ANSWER Liver function tests" "A nurse is reviewing the record of a client who has been prescribed baclofen (Lioresal). Which of the following disorders, if noted in the client's history, would alert the nurse to contact the health care provider? - CORRECT ANSWER Seizure disorders" "Cyclobenzaprine (Flexeril) is prescribed for a client to treat muscle spasms, and the nurse is reviewing the client's record. Which of the following disorders, if noted in the client's record, would indicate a need to contact the health care provider regarding the administration of this medication? - CORRECT ANSWER Glaucoma" "In monitoring a client's response to disease-modifying antirheumatic drugs (DMARDs), which findings would the nurse interpret as acceptable responses? Select all that apply. - CORRECT ANSWER 1. Symptom control during periods of emotional stress 2. Normal white blood cell counts, platelet, and neutrophil counts 3. Radiological findings that show nonprogression of joint degeneration 4. An increased range of motion in the affected joints 3 months into therapy" "The client who is human immunodeficiency virus seropositive has been taking stavudine (d4t, Zerit). The nurse monitors which of the following most closely while the client is taking this medication? - CORRECT ANSWER Gait" "A nurse is collecting data from a client and the client's spouse reports that the client is taking donepezil hydrochloride (Aricept). Which disorder would the nurse suspect that this client may have based on the use of this medication? - CORRECT ANSWER Dementia" "Fluoxetine (Prozac) is prescribed for the client. The nurse reinforces instructions to the client regarding the administration of the medication. Which statement by the client indicates an understanding about administration of the medication? - CORRECT ANSWER "I should take the medication in the morning when I first arise."" "A client receiving a tricyclic antidepressant arrives at the mental health clinic. Which observation indicates that the client is correctly following the medication plan? - CORRECT ANSWER Arrives at the clinic neat and appropriate in appearance" "A nurse is performing a follow-up teaching session with a client discharged 1 month ago who is taking fluoxetine (Prozac). What information would be important for the nurse to gather regarding the adverse effects related to the medication? - CORRECT ANSWER Gastrointestinal dysfunctions" "A client taking buspirone (BuSpar) for 1 month returns to the clinic for a follow-up visit. Which of the following would indicate medication effectiveness? - CORRECT ANSWER No rapid heartbeats or anxiety" "A client taking lithium carbonate (Lithobid) reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is checked as a part of the routine follow-up and the level is 3.0 mEq/L. The nurse knows that this level is: - CORRECT ANSWER Toxic" "A client arrives at the health care clinic and tells the nurse that he has been doubling his daily dosage of bupropion hydrochloride (Wellbutrin) to help him get better faster. The nurse understands that the client is now at risk for which of the following? - CORRECT ANSWER Seizure activity" "A hospitalized client is started on phenelzine sulfate (Nardil) for the treatment of depression. The nurse instructs the client to avoid consuming which foods while taking this medication? Select all that apply. - CORRECT ANSWER 1. Figs 2. Yogurt 4. Aged cheese" "A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of the following would be included in the plan of care for instructions? - CORRECT ANSWER Maintain a high fluid intake." "A postoperative client requests medication for flatulence (gas pains). Which medication from the following PRN list should the nurse administer to this client? - CORRECT ANSWER Simethicone (Mylicon)" "A client received 20 units of NPH insulin subcutaneously at 8:00 AM. The nurse should check the client for a potential hypoglycemic reaction at what time? - CORRECT ANSWER 5:00 PM" "A nurse administers a dose of scopolamine (Transderm-Scop) to a postoperative client. The nurse tells the client to expect which of the following side effects of this medication? - CORRECT ANSWER Dry mouth" "A nurse has given the client taking ethambutol (Myambutol) information about the medication. The nurse determines that the client understands the instructions if the client immediately reports: - CORRECT ANSWER Difficulty discriminating the color red from green" "A nurse is caring for an older client with a diagnosis of myasthenia gravis and has reinforced self-care instructions. Which statement by the client indicates that further teaching is necessary? - CORRECT ANSWER "I can change the time of my medication on the mornings that I feel strong."" "A client with diabetes mellitus who has been controlled with daily insulin has been placed on atenolol (Tenormin) for the control of angina pectoris. Because of the effects of atenolol, the nurse determines that which of the following is the most reliable indicator of hypoglycemia? - CORRECT ANSWER Low blood glucose level" "A nurse is caring for a client who has been prescribed furosemide (Lasix) and is monitoring for adverse effects associated with this medication. Which of the following should the nurse recognize as a potential adverse effect Select all that apply. - CORRECT ANSWER 2. Tinnitus 3. Hypotension 4. Hypokalemia