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ATI RN Pharmacology
Total Questions : 49
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The client is being seen in the office. The client reports feeling fatigued and having a heavy menstrual cycle the past year. Upon assessment, the client's conjunctiva and mucosal membranes are pale. Provider notified and laboratory samples to be drawn. 2 Days Later:
Provider reviewed laboratory results and prescription written.
0930:
Ferritin 7 ng/ml (10 to 150 ng/mL)
Iron 45 mcg/dL (60 to 160 mcg/dL)
Hemoglobin 8.5 g/dL (12 to 16 g/dl)
2 Days Later:
Ferrous Sulfate 325 mg PO every other day.
A nurse is caring for a female client in a provider's office.
The nurse notifies the client and provides teaching about the newly prescribed medication. For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided.
Client Education: Understanding/ No Understanding
Explanation
Understanding: A, B, E, D
No understanding: C
Rationale:
A. "I should take my medication on an empty stomach."- Taking Ferrous Sulfate on an empty stomach can enhance its absorption.
B. "I should avoid taking antacids while on this medication."- Antacids can decrease the absorption of iron, so it's important to avoid taking them concurrently with iron supplements to ensure the medication's effectiveness.
C. "If I experience black stools, I should notify my provider."- Black stools are a common side effect of Ferrous Sulfate due to unabsorbed iron and do not usually necessitate notifying a provider unless accompanied by other symptoms.
D. "I should rinse my mouth after taking this medication."- Iron supplements can cause staining of the teeth, so rinsing the mouth after taking the medication can help prevent this side effect by remove any residual iron from the dental enamel.
E. "I should take this medication with orange juice."- Taking Ferrous Sulfate with vitamin C, such as orange juice, can increase iron absorption.
3 months ago:
Client seen in provider's office for routine physical. Today:
Client reports dizziness and light-headedness upon standing. Client reports waking up at night to void.
Months ago:
- Weight 80 kg (176 lb)
- Temperature 36.7° C (98° F)
- Blood pressure 162/94 mm Hg
- Heart rate 98/min
- Respiratory rate 18/min
- Pulse oximetry 95% on room air
Today
- Weight 78 kg (172 lb)
- Temperature 37° C (98.6° F)
- Blood pressure 132/78 mm Hg
- Heart rate 88/min
- Respiratory rate 16/min
- Pulse oximetry 96% on room air
3 months ago:
Sodium 142 mEq/L (136 to 145 mEq/L)
Potassium 3.8 mEq/L (3.5 to 5 mEq/L)
Today:
Sodium 136 mEq/L (136 to 145 mEq/L).
Potassium 1.4 mEq/L (3.5 to 5 mEq/L)
A nurse in a provider's office is caring for a client.
What actions should the nurse take? Select all that apply.
1 week ago:
- Temperature 37° C (98.6° F)
- Heart rate 64/min
- Respiratory rate 12/min
- Blood pressure 118/72 mm Hg
Today.
- Temperature 37.2° C (98.9° F)
- Heart rate 82/min
- Respiratory rate 16/min
- Blood pressure 110/68 mm Hg
1 week ago:
Client presents to the clinic for an infusion of methotrexate for Non-Hodgkin lymphoma. Client premedicated with ondansetron prior to administration. Client tolerated infusion well. Client educated on adverse effects of medication.
Today:
Client returns to the clinic with reports of mouth pain. Oral mucosa is dry with lesions noted in buccal mucosa. Client educated on interventions for stomatitis.
A nurse is caring for a client in the clinic.
Which of the following client statements indicates to the nurse the teaching was effective?
Select all that apply.
Day 1:
Temperature 36.2° C (97.2° F) Respiratory rate 18/min
Heart rate 74/min
Blood pressure 118/68 mm Hg SpO2 96% on room air
Day 7:
Temperature 36.9° C (98.4° F) Respiratory rate 18/min
Heart rate 86/min
Blood pressure 98/66 mm Hg
SpO2 97% on room air
Day 1:
Client presents for evaluation of neurological changes, including stiffness of lower extremities, and shaking of hands. Client is married, has no known allergies, and no surgical history. Client is a retired airline pilot and the parent of five adult children.
Day 7:
Client reports having trouble sleeping due to nightmares and states, "I'm not sure this medication is doing what it's supposed to do." Client reports daily nausea.
Day 1:
Levodopa 250 mg/Carbidopa 25 mg 1 tablet daily
Day 7:
Levodopa 250 mg/Carbidopa 25 mg 2 tablets daily
A nurse is caring for a client in a provider's office.
Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.
should the nurse take first?
that the treatment has been effective?
been effective?
Which of the following findings should the nurse identify as a contraindication to
prednisone therapy?
Mia Miller: you would need to know the reason why. it could be a problem you can fix. you will eventually notify the provider, but you ALWAYS want to try to have them take their medications. ~ 4mos ago
Student Nurse: No, never ask the patient why. The correct answer is "I will notify your provider of your decision." ~ 5mos ago
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Student Nurse: Student Nurse: No, never ask the patient why. The correct answer is "I will notify your provider of your decision." ~ 5mos ago