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Ati rn pharmacology 2023
Total Questions : 70
Showing 10 questions, Sign in for moreA nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?
A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?
3 days ago:
Client presents with reports of intermittent spotting between menstrual cycles. Pelvic examination and swabs for sexually transmitted infections obtained by the provider. Medications include a combined oral contraceptive.
Today:
Client returns to office to discuss results of laboratory test Education provided on newly obtained prescriptions.
1. day ago:
Sexually transmitted infection testing positive (Expected: negative) for chlamydia
Today:
Doxycycline 100 mg PO twice a day for 7 days
A nurse is caring for a client in a provider's office.
Select the 2 statements the nurse should include in the teaching. Select the 2 statements the nurse should include in the teaching.
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?
A nurse is caring for a client who is receiving an intravenous infusion via pump at a rate of 3 mL/min. The infusion started 2 hr ago with 500 mL in the medication bag. How many ml have been infused?
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.
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?
0900:
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.
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
A. Antacids can interfere with the absorption of ferrous sulfate, reducing its effectiveness. The client should avoid taking antacids concurrently with the iron supplement.
B. Black stools are a common and expected side effect of taking iron supplements. This is generally not a cause for concern and does not require notifying the provider unless accompanied by other symptoms such as pain or blood in the stool.
C. Liquid forms of iron supplements can stain teeth. Rinsing the mouth after taking the medication can help prevent this staining. Even if taking a tablet, this practice can be a good habit to avoid any residual taste.
D. Vitamin C, which is present in orange juice, can enhance the absorption of iron from the gastrointestinal tract, making the iron supplement more effective.
E. Iron supplements are best absorbed on an empty stomach. However, if the client experiences gastrointestinal upset, it can be taken with a small amount of food, but avoiding dairy products and antacids is important.
Day 1:
Temperature 36.9°C (98.4" F) Heart rate 78/min
Blood pressure 118/76 mm Hg Respiratory rate 18/min
Day 14:
Temperature 36.3" C (97.4" F) Heart rate 86/min
Blood pressure 110/66 mm Hg Respiratory rate 16/min
Day 1:
Client is seen by provider for routine follow-up after being started on axcarbazepine 150mg PO twice a day, last week. Client reports no nausea, headache, dizziness, or ataxia. Provider increased oxcarbazepine to 300 mg PO twice a day. Client is to return for a follow-up in 2 weeks.
Day 14:
Client returns for follow-up after increasing oxcarbazepine dosage. Client reports starting to have mild headaches earlier this week. Also states, "Yesterday I was very nauseated and threw up before breakfast." When talking to client they have difficulty remembering the times they are taking their axcarbazepine. Client reports using oral contraceptives as the only means of birth control.
Day 14
Hct 40% (37% to 47%)
Hgb 13g/dL (12 to 16g/dL)
Sodium 124 mEq/L (136 to 145 mEq/L) Vitals Signs
Day 14:
Temperature 36.3°C (97.4° F)
Heart rate 86/min
A nurse is caring for a female client in an outpatient clinic.
Explanation
Nurses' Notes Day 1:
Client is seen by provider for routine follow-up after being started on axcarbazepine 150mg PO twice a day, last week. Client reports no nausea, headache, dizziness, or ataxia. Provider increased oxcarbazepine to 300 mg PO twice a day. Client is to return for a follow-up in 2 weeks.
Day 14:
Client returns for follow-up after increasing oxcarbazepine dosage. Client reports starting to have mild headaches earlier this week. Also states, "Yesterday I was very nauseated and threw up before breakfast." When talking to client they have difficulty remembering the times they are taking their axcarbazepine. Client reports using oral contraceptives as the only means of birth control.
Laboratory Results Day 14
Hct 40% (37% to 47%)
Hgb 13g/dL (12 to 16g/dL)
Sodium 124 mEq/L (136 to 145 mEq/L) Vitals Signs
Day 14:
Temperature 36.3°C (97.4° F)
Heart rate 86/min
Rationale:
The patient's follow-up findings on Day 14, particularly the reported symptoms and laboratory results, suggest potential side effects from the increased dosage of oxcarbazepine. Common side effects of oxcarbazepine include dizziness, nausea, and vomiting. The patient's symptoms of mild headaches and nausea, along with difficulty remembering medication times, could be indicative of these side effects. Additionally, the sodium level of 124 mEq/L is below the normal range (136 to 145 mEq/L), indicating hyponatremia, which is a known side effect of oxcarbazepine and can be serious.
Hyponatremia can cause symptoms such as nausea, vomiting, exhaustion, and dizziness, aligning with the patient's reported condition. These findings warrant immediate medical attention to assess the need for adjusting the medication dosage or considering alternative treatments.
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) Heart rate 86/min
Respiratory rate 18/min Blood pressure 98/66 mm Hg SPO2 97% on room air
Day 1:
Levodopa 250 mg/Carbidopa 25 mg 1 tablet daily Day 7:
Levodopa 250 mg/Carbidopa 25 mg 2 tablets daily
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.
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.
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Dortea: What medicine is the patient on? ~ 3mos ago