ATI CAPSTONE POST ASSESSMENTS FINAL
PAPER UPDATED QUESTIONS VERIFIED
COMPLETE ANSWERS 100 PERCENT
CORRECT
◉ A nurse is caring for an elderly client with constipation. What are
three (3) complications to monitor for during care of this client?
Answer: Complications of constipation include:Fecal
impaction.Development of hemorrhoids or rectal
fissures.Bradycardia, hypotension, and syncope associated with the
Valsalva maneuver (occurs with straining/bearing down).
◉ A nurse is caring for a client who has refused his morning
medications. How should the nurse respond to the client?
Answer: The nurse should recognize the client's right to refuse any
medication. The nurse should explain the consequences of not
taking the prescribed medications and encourage the client to take
the medications as prescribed by the provider.
◉ The nurse is caring for a client recently diagnosed with
depression. The client was prescribed an SSRI antidepressant. What
assessment findings should be reported to the provider for a client
taking this medication?
,Answer: Potential complication/adverse effects to be reported to the
provider:
Sexual dysfunction
Insomnia, agitation, anxiety
Changes in weight
Withdrawal syndrome - headache, nausea, visual disturbance,
anxiety, dizziness and tremors
Hyponatremia
Rash
Sleepiness, lightheadedness, faintness
Gastrointestinal bleeding
Bruxism
Serotonin syndrome (Can begin 2-72 hours after starting treatment
and can be lethal)
Mental confusion, delirium
Fever, tachycardia, elevated blood pressure
Abdominal pain, diarrhea
Irritability, mood swings, agitation, anxiety, restlessness
Incoordination, hyperreflexia, diaphoresis, tremors, muscle spasms
Cardiovascular shock, seizures, death
, ◉ A client is prescribed a protease inhibitor—ritonavir. Identify
three (3) nursing considerations when administering a protease
inhibitor.
Answer: Instruct client to report all other the counter medications;
except for indinavir, take protease inhibitors with food to increase
absorption; administer with another antiretroviral; advise barrier
form of contraception; advise diet high in calcium and vitamin D.
◉ A nurse is caring for a client who has a new prescription for
alosetron. What are the expected therapeutic effects of this
medication?
Answer: Effectiveness of alosetron can be evidenced by relief of
diarrhea, and decrease in urgency and frequency of defecation.
◉ A client has been prescribed oxybutynin for treatment of
overactive bladder and has been experiencing anticholinergic side
effects. List two (2) actions the client will take to prevent adverse
effects of the medication therapy.
Answer: Adverse Effects of oxybutynin:
Constipation, dry mouth, blurred vision, photophobia, dry eyes, CNS
effects (hallucinations, confusion, insomnia and nervousness)
Client Actions:
Increase dietary fiber; Consume 2 to 3 L/day of fluid from beverage;
Avoid hazardous activities if my vision is impaired
PAPER UPDATED QUESTIONS VERIFIED
COMPLETE ANSWERS 100 PERCENT
CORRECT
◉ A nurse is caring for an elderly client with constipation. What are
three (3) complications to monitor for during care of this client?
Answer: Complications of constipation include:Fecal
impaction.Development of hemorrhoids or rectal
fissures.Bradycardia, hypotension, and syncope associated with the
Valsalva maneuver (occurs with straining/bearing down).
◉ A nurse is caring for a client who has refused his morning
medications. How should the nurse respond to the client?
Answer: The nurse should recognize the client's right to refuse any
medication. The nurse should explain the consequences of not
taking the prescribed medications and encourage the client to take
the medications as prescribed by the provider.
◉ The nurse is caring for a client recently diagnosed with
depression. The client was prescribed an SSRI antidepressant. What
assessment findings should be reported to the provider for a client
taking this medication?
,Answer: Potential complication/adverse effects to be reported to the
provider:
Sexual dysfunction
Insomnia, agitation, anxiety
Changes in weight
Withdrawal syndrome - headache, nausea, visual disturbance,
anxiety, dizziness and tremors
Hyponatremia
Rash
Sleepiness, lightheadedness, faintness
Gastrointestinal bleeding
Bruxism
Serotonin syndrome (Can begin 2-72 hours after starting treatment
and can be lethal)
Mental confusion, delirium
Fever, tachycardia, elevated blood pressure
Abdominal pain, diarrhea
Irritability, mood swings, agitation, anxiety, restlessness
Incoordination, hyperreflexia, diaphoresis, tremors, muscle spasms
Cardiovascular shock, seizures, death
, ◉ A client is prescribed a protease inhibitor—ritonavir. Identify
three (3) nursing considerations when administering a protease
inhibitor.
Answer: Instruct client to report all other the counter medications;
except for indinavir, take protease inhibitors with food to increase
absorption; administer with another antiretroviral; advise barrier
form of contraception; advise diet high in calcium and vitamin D.
◉ A nurse is caring for a client who has a new prescription for
alosetron. What are the expected therapeutic effects of this
medication?
Answer: Effectiveness of alosetron can be evidenced by relief of
diarrhea, and decrease in urgency and frequency of defecation.
◉ A client has been prescribed oxybutynin for treatment of
overactive bladder and has been experiencing anticholinergic side
effects. List two (2) actions the client will take to prevent adverse
effects of the medication therapy.
Answer: Adverse Effects of oxybutynin:
Constipation, dry mouth, blurred vision, photophobia, dry eyes, CNS
effects (hallucinations, confusion, insomnia and nervousness)
Client Actions:
Increase dietary fiber; Consume 2 to 3 L/day of fluid from beverage;
Avoid hazardous activities if my vision is impaired
