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ATI LPN Pharmacology 2023
Total Questions : 59
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Client is admitted with a 3-day history of abdominal cramps and diarrhea of 4 to 5 liquid stools per day.
Client was taking amoxicillin/clavulanate 875 mg PO every 12 hr for 10 days for a respiratory tract infection. Antibiotics completed 7 days ago.
Bilateral breath sounds clear and present throughout.
Abdomen soft, distended with hyperactive bowel sounds audible in all 4 quadrants.
Stool is watery and contains mucous. Stool sent for culture.
0800:
- Temperature 38.9° C (102° F)
- Heart rate 102/min
- Respiratory rate 20/min
- Blood pressure 104/56 mm Hg
- Oxygen saturation 96% on room air
1500:
- Temperature 38.9° C (102° F)
- Heart rate 102/min
- Respiratory rate 20/min
- Blood pressure 80/46 mm Hg
- Oxygen saturation 95% on room air
1500:
Hct 48% (37% to 47%)
Hgb 17 g/dL (12 g/dL to 16 g/dL)
Potassium 3.1 mEq/L (3.5 to 5.0 mEq/L)
Stool culture positive for Clostridium difficile (negative)
A nurse is assisting in the care of a female client.
Complete the following sentence by using the lists of options.
The nurse should first address the client'
Explanation
Rationale:
The client’s blood pressure of 80/46 mm Hg indicates hypotension, likely due to dehydration from persistent diarrhea. This is the most critical finding, as it can lead to organ hypoperfusion and shock if not addressed immediately. After stabilizing the client’s blood pressure, the nurse should address the client’s low potassium level (3.1 mEq/L), as hypokalemia can cause serious complications, including cardiac arrhythmias.
Initial visit:
- Temperature 36.5° C (97.7° F)
- Heart rate 68/min
- Blood pressure 116/70 mm Hg
- Respiratory rate 16/min
- SpO2 98% on room air
Follow-up visit 2 weeks later:
- Temperature 36.7° C (98.1° F)
- Heart rate 86/min
- Blood pressure 130/80 mm Hg
- Respiratory rate 18/min.
- SpO2 99% on room air
Initial visit:
Client presents for evaluation of headaches. Client reports headaches last from a few hours to a few days. Headaches are often accompanied by sensitivity to light and noise. Client reports using a computer all day at work. States last eye examination was 3 months ago and does not require eyeglasses or contacts.
Follow-up visit 2 weeks later:
Client presents with report of a severe headache for the past 3 days that is unrelieved by rest and over-the-counter analgesics. Also reports nausea and occasional dizziness. Client currently rates pain on left side of head as 7 on a scale of 0 to 10.
Initial visit:
Client is a 32-year-old female who reports a significant increase in frequency and severity of headaches over the last few months, making it difficult to participate in work and social activities. Reports head pain is usually unilateral and often accompanied by "seeing spots." Client has no significant medical history, no surgical history, and no known allergies. Family history: father has bipolar disorder; mother has migraine headaches and a history of breast cancer. Neurologic exam unremarkable. Reinforced to take over-the-counter NSAIDs as needed for headaches. Will obtain brain MRI and refer to neurologist.
Follow-up visit 2 weeks later:
Client reports experiencing a severe headache with nausea, photophobia, and dizziness for the past 3 days. Neurologic examination within expected limits, other than photophobia and dizziness. Client recently had an MRI of the brain which showed no unexpected findings. Client is scheduled to see a neurologist in 6 weeks. Discussed migraine headaches with client, who voices understanding. Prescription for oral
A nurse in an outpatient clinic is caring for a client.
Select the 6 statements the nurse should include when reinforcing teaching to the client about the newly prescribed medication.
Client reports tightness in the chest that radiates to the left arm. States pain as 7 on a scale of 0 to 10. Client is diaphoretic and short of breath.
2 days ago:
- Temperature 37° C (98.6° F)
- Heart rate 102/min
- Respiratory rate 18/min
- Blood pressure 142/86 mm Hg
- Oxygen saturation 98% on room air
Today:
- Temperature 36.8° C (98.3° F)
- Heart rate 86/min
- Respiratory rate 14/min
- Blood pressure 124/82 mm Hg
Nitroglycerin patch
A nurse in a provider's office is assisting in the care of a client.
Which of the following instructions should the nurse include when reinforcing teaching to the client about their medication? Select all that apply.
A nurse is preparing to administer acetaminophen 10 mg/kg PO every 6 hr to a toddler who weighs 26.4 lb. Available is acetaminophen 80 mg/0.8 mL liquid. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
Convert the toddler’s weight from ponds to kgs: 26.4 lb/2.2 = 12 kg
Calculate the total dose in mg: 10 x 12 = 120 mg
Determine the volume of acetaminophen to administer: 120/80 x 0.8 = 1.2 mL
A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?
A nurse is preparing to administer vaccines to an 11-year-old child who is up to date on immunizations. Which of the following vaccines should the nurse plan to administer?
A nurse is caring for a client who is receiving treatment for chronic alcohol use disorder. Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?
A nurse is preparing to administer enoxaparin 5 mg/kg subcutaneous daily to a client who has deep-vein thrombosis. The client weighs 152 lb. Available is 120 mg/0.8 mL prefilled syringe. Calculate the dosage in mL that the nurse should administer. (Round the answer to the nearest tenth. Use a leading zero if applicable. Do not use a trailing zero.)
Explanation
Convert client’s weight from ponds to kgs: 152/2.2 = 69.1 kg
Calculate the total dose in mg: 1.5 x 69.1 = 103.65 mg
Determine the volume of enoxaparin to administer: 103.65/120 x 0.8 = 0.7 mL
A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make?
A nurse is reinforcing teaching about the IPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?
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