1. The nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects? a. Hyperglycemia
b. Diarrhea
c. Constipation
d. Hypoglycemia- You taper it off to avoid this!!...
ATI RN Medsurg 2019
Proctored EXAM
Nursing Pharmacology (Los Angeles Trade Technical
College)
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ATI RN MEDSURG 2019 PROCTORED EXAM
1. The nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan to
discontinue the TPN gradually to reduce the risk of which of the following adverse effects?
a. Hyperglycemia
b. Diarrhea
c. Constipation
d. Hypoglycemia- You taper it off to avoid this!!!
Rationale PDF p.298: Never abruptly stop TPN. Speeding up/slowing down the rate is contraindicated. An
abrupt rate change can alter blood glucose levels significantly.
Rationale PDF nutrition p.58: don’t discontinue abruptly, must taper to prevent rebound hypoglycemia
2. A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipment will
give him an electric shock. Which of the following is an appropriate response by the nurse?
a. The machine only senses and records electrical currents coming from your heart – pg.170 ➢
Electrocardiography uses an electrocardiograph to record the electrical activity of the heart over
time.
b. The lead wires and cables are insulated for your safety
c. The electrode pads will prevent the conduction of electricity to your skin
d. The machine voltage delivery is low enough that you won’t feel any discomfort
3. A nurse is caring for client who has hypertension and has a new prescription for lisinopril. The nurse should
consult with the provider about which of the following medications in the client’s medication
administration record?
a. Potassium chloride
b. Levothyroxine
c. Acetaminophen
d. Metformin
4. A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which
of the following assessment findings indicates to the nurse that the medication is effective? a. Elevation
in blood pressure
b. Adventitious breath sounds
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