ATI Capstone Pharmacology Assessment 2

ATI Capstone Pharmacology Assessment 2 A client diagnosed with oral candidiasis has received instructions from the nurse about the use of nystatin (Mycostatin) suspension. Which of the following statements made by the client should indicate to the nurse that the teaching has been effective? ️"I will hold the medication in my mouth for as long as possible." A client is taking ibuprofen (Advil, Motrin) to treat hip pain. The nurse should teach the client that, to minimize gastric mucosal irritation, she should take this medication at which of the following times? ️Immediately after a meal A client tells the nurse she took a dose of dimenhydrinate (Dramamine) before coming to the health care clinic. The nurse determines that the medication is effective when the client reports relief of ️nausea A client who is postoperative reports incisional pain. The surgeon has prescribed subcutaneous morphine. Before administering this medication, the nurse should complete which priority assessment? ️Respiratory rate A female client who has rheumatoid arthritis asks the nurse if it is safe for her to take aspirin. Which of the following is a contraindication to this medication? ️History of gastric ulcers. A home health nurse is reviewing the medication list of an older adult client who reports falling a couple of times over the past week. Which of the following medications should the nurse suspect is contributing to the client's falls? ️Alprazolam (Xanax) A hospice nurse makes weekly visits to a client who has terminal cancer. For several weeks, the client has been taking morphine sulfate for pain relief. At today's visit, the client reports to the nurse that the usual dose of morphine does not seem to be working. The nurse should understand that the most likely explanation is that the client has ️developed a tolerance to the medication. A nurse is administering ipratropium bromide (Atrovent) via nebulizer to a client who has emphysema. Which of the following client findings should cause the nurse to consult the provider before administering the next dose? ️Visual changes A nurse is caring for a child in status asthmaticus. Which of the following is the priority action for the nurse to take? ️Administer a short-acting ß2 -agonist. A nurse is caring for a client treated with intermittent IV vancomycin (Vancocin). The client reports pain at the IV site when the nurse starts the infusion. Which of the following nursing actions is appropriate at this time? ️Assess the patency of the IV site. A nurse is caring for a client who asks how albuterol (Proventil) helps his breathing. Which of the following should the nurse include in the response? (Select all that apply.) ️- The medication will prevent wheezing - The medication will open the airways. - The medication will decrease coughing episodes. A nurse is caring for a client who has a prescription for diphenhydramine (Benadryl) to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following is an appropriate response by the nurse? ️"Take most of the daily dose at bedtime." A nurse is caring for a client who has anemia and has difficulty swallowing pills. The client's provider has prescribed a liquid oral iron supplement. The client should be instructed by the nurse to take the iron ️with orange juice to enhance absorption. A nurse is caring for a client who has been on levothyroxine (Synthroid) for several months. If the dose of this medication has been adequate, the nurse should expect to see a decrease in the ️thyroid stimulating hormone (TSH). A nurse is caring for a client who has difficulty swallowing medications and is prescribed aspirin (Ecotrin) PO once daily. The client asks if the medication can be crushed to make it easier to swallow. The nurse's response should be, "Crushing the pill ️might cause you to have a stomachache or indigestion." A nurse is caring for a client who has poison ivy and dermatitis and is started on diphenhydra