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NGN ATI RN Pharmacology Proctor Exam 2023 GRADED A+ PASS

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NGN ATI RN Pharmacology Proctor Exam 2023 GRADED A+ PASS A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscl...

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  • June 21, 2023
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  • 2022/2023
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NGNATIRNPharmacologyProctorExam2023GRADEDA+PASS
Anurseisassessingaclientwhoisreceivingintravenoustherapy.Thenurseshouldidentifywhichofthefollowingfindingsasamanifestationoffluidvolumeexcess?
a.Decreasedbowelsoundsb.Distendedneckveins
c.Bilateralmuscleweakness
d.Threadpulse
Anurseiscaringforaclientwhohashyponatremiaandisreceivinganinfusionofaprescribedhypertonicsolution.Whichofthefollowingfindingsshouldindicatetothenursethatthetreatmentiseffective?
a.AbsentChvostek'ssignb.Improvedcognition
c.Decreasedvomiting
d.Cardiacarrhythmiasabsent
Anurseisteachingaclientwhohasanewprescriptionforanitroglycerintransdermalpatch.Whichofthefollowinginstructionsshouldthenurseinclude?
a."Discontinuethepatchifyouexperienceaheadache."
b."Applyanewpatchifyouhavechestpain."
c."Coverthepatchwithdrygauzewhentakingashower."d."Removethepatchpriortogoingtobed."
Anurseisreviewingthelaboratoryresultsofaclientwhohasaprescriptionforsodiumpolystyrenesulfonate(Kayexalate)every6hr.whichofthefollowingshouldthenursereporttotheprovider?
a.Creatinine0.72mg/dL
b.Sodium138mEq/L
c.Magnesium2mEq/Ld.Potassium5.2mEq/L
Anurseiscaringforaclientwhohastuberculosisandistakingisoniazidandrifampin.Whichofthefollowingoutcomesindicatesthattheclientisadheringtothemedicationregimen?
a.Theclienthasanegativesputumculture
b.TheclienttestsnegativeforHIV
c.Theclienthasapositivepurifiedproteinderivativetest
d.Theclient'sliverfunctiontestresultsarewithintheexpectedreferencerange AclientiscaringforaclientwhodevelopsananaphylacticreactiontoIVadministration.Afterassessingtheclient'srespiratorystatusandstoppingthemedicationinfusion.Whichofthefollowingactionsshouldthenursetakenext?
a.Replacetheinfusionwith0.9%sodiumchloride
b.GivediphenhydramineIM
c.Elevatetheclient'slegsandfeetd.AdministerepinephrineIM
Anurseiscaringforaclientwhoistakingsertralineandreportsadesiretobegintakingsupplements.Whichofthefollowingsupplementsshouldthenurseadvisetheclienttoavoid?
a.St.John'sWort
b.Gingerroot
c.Blackcohosh
d.CoenzymeQ10
Anurseiscaringforaclientwhohasheartfailureandanewprescriptionforlisinopril.Forwhichofthefollowingadverseeffectsshouldthenursemonitorwhenadministeringlisinopril?
a.Bradycardia
b.Hypokalemia
c.Tinnitus
d.Hypotension
AnurseisassessingaclientwhoisreceivingheparinIVcontinuousIV.TheclienthasanPPTof90seconds.Theyshouldmonitortheclientforwhichofthefollowingchangesintheirvitalsigns?
a.Decreasedtemperature
b.Increasedpulserate
c.Decreasedrespiratoryrated.Increasedbloodpressure
Anurseispreparingtoadministermedicationtoaclientanddiscoversamedicationerror.Thenurseshouldrecognizethatwhichofthefollowingstaffmembersisresponsibleforcompletinganincidentreport?
a.Thequalityimprovementcommitteeb.Thenursewhoidentifiestheerror
c.Thenursewhocausedtheerror
d.Thechargenurse
Anurseisplanningcareforaclientwhoisreceivingmorphineviacontinuousepiduralinfusion.Thenurseshouldmonitortheclientforwhichofthefollowing?
a.Pruritus
b.Cough
c.Tachypnea
d.Gastricbleeding Anurseispreparingtoadministerdigoxinorallytoaclient.Identifythesequenceofstepsthenurseshouldtake.(Movethestepsintotheboxontherightplacingthemintheorderofperformance.Useallthesteps.)
a.Obtaintheclient'sapicalheartrate1
b.Removethemedicationfromthedispensingsystem2
c.Openthemedicationpackage3
d.Comparetheclient'swristbandtothemedicationadministrationrecord4
e.Documentadministrationofthemedication5
Anurseisreviewingthemedicalrecordofanadultclientwhohasafeverandaprescriptionforacetaminophen.Whichofthefollowingfindingsshouldthenurseidentifyasacontraindicationforreceivingthismedication?
a.Alcoholusedisorderb.Chronickidneydisease
c.HepatitisBvaccinewithinthelastweek
d.Diabetesmellitus
Ahomehealthnurseisvisitingaclientwhohasheartfailureandaprescriptionforfurosemide.Thenurseidentifiesthattheclienthasgained2.5kg(5lb.)sincethelastvisit2daysago.Whichofthefollowingactionsshouldthenursetakefirst?
a.Encouragetheclienttodanglethelegswhilesittinginachair
b.Teachtheclientaboutfoodslowinsodiumc.Determinemedicationadherencebytheclient
d.Notifytheprovideroftheclient'sweightgain
AnurseispreparingtoadministertheinitialdoseofpenicillinGIMtoaclient.Thenurseshouldmonitorforwhichofthefollowingasanindicationofanallergicreactionfollowingtheinjection?
a.Urticaria
b.Bradycardia
c.Pallor
d.Dyspepsia
Anurseisteachingaclientwhohasanginaanewprescriptionforsublingualnitroglycerintablets.Whichofthefollowinginstructionsshouldthenurseincludeintheteaching?
a."Discardanytabletsyoudonotuseevery6months."
b."Takeonetableteachmorning30minutespriortoeating."
c."Keepthetabletsatroomtemperatureintheiroriginalglassbottle."
d."Placethetabletbetweenyourcheekandgumtodissolve."
Anurseisprovidingteachingtoaclientwhohasanewprescriptionfortheophyllineasustained-releasedcapsule.Whichofthefollowingstatementsbytheclientindicatesanunderstandingoftheteaching?
a."Icantakemymedicationinthemorningwithmycoffee."
b."Imaysprinklethemedicationinapplesauce."

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