Exam 4: ATI
A nurse is planning care for a client who is receiving furosemide IV for peripheral
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edema. Which of the following interventions should the nurse include in the plan of
care? (Select all that apply) - -Assess for tinnitus.
Monitor serum potassium levels.
Elevate the head of bed slowly before ambulation.
Recommend eating a banana daily.
A nurse is providing information to a client who has a new prescription for
✅✅
hydrochlorothiazide. Which of the following information should the nurse include? -
-Take the medication with food (to prevent GI upset).
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A nurse is monitoring a client who is receiving spironolactone. Which of the following
findings should the nurse report to the provider? - -Serum potassium 5.2 mEq/L
A nurse is caring for a client who has increased intracranial pressure and is receiving
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mannitol. Which of the following findings should the nurse report to the provider? -
-Dyspnea.
A nurse is planning care for a client who has a new prescription for torsemide. The
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nurse should plan to monitor for which of the following adverse reactions of this
medication? (Select all that apply) - -Hypokalemia.
Hypotension.
Ototoxicity.
Ventricular dysrhythmias.
A nurse is preparing to administer a transfusion of 300 mL of pooled platelets for a
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client who has severe thrombocytopenia. The nurse should plan to administer the
transfusion over which of the following time frames? - -Within 30 min/unit.
A nurse is transfusing a unit of packed red blood cells (PRBCs) for a client who has
anemia due to chemotherapy. The client reports a sudden headache and chills. The
client's temperature is 2 degrees F higher than her baseline. In addition to notifying
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the provider, which of the following actions should the nurse take? (Select all that
apply). - -Stop the transfusion.
Remove the blood bag and tubing from the IV catheter.
Obtain a urine specimen.
A nurse is preparing to transfuse a unit of PRBCs for a client who has severe
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anemia. Which of the following interventions will prevent an acute hemolytic
reaction? - -Obtain help from another nurse to confirm the correct client and
blood product.
, A nurse is caring for a hospitalized client who has an activated partial thromboplastin
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time (aPTT) greater than 1.5 times the expected reference range. Which of the
following blood products should the nurse prepare to transfuse? - -Fresh frozen
plasma.
A nurse is assessing a client during transfusion of a unit of whole blood. The client
develops a cough, shortness of breath, elevated blood pressure, and distorted neck
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veins. The nurse should anticipate a prescription for which of the following
medications? - -Furosemide.
A nurse is reviewing a client's medication history notes an allergy to sulfonamides.
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This allergy is a contraindication for taking which of the following medications?
(Select all that apply). - -Hydrochlorothiazide.
Glipizide.
Furosemide.
A nurse is teaching a client who has a new prescription for nitrofurantoin. Which of
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the following information should the nurse include? (Select all that apply) -
-Observe for bruising on the skin.
Take the medication with milk or meals.
Expect brown discoloration of urine.
A nurse is teaching a female client who has a severe UTI about ciprofloxacin. Which
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of the following information about adverse reactions should the nurse include?
(Select all that apply) - -Observe for pain and swelling of the Achilles tendon.
Watch for a vaginal yeast infection.
Inspect the mouth for cottage cheese-like lesions.
A nurse is planning discharge teaching for a female client who has a new
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prescription for trimethoprim-sulfamethoxazole. Which of the following information
should the nurse include? - -Take it on an empty stomach.
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A nurse is planning to administer ciprofloxacin IV to a client who has cystitis. Which
of the following actions should the nurse take? - -Infuse the medication over 60
min.
A nurse is teaching clients in an outpatient facility about the use of insulin to treat
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type 1 diabetes mellitus. For which of the following types of insulin should the nurse
tell the clients to expect a peak effect 1-5 hr after administration? - -Regular
insulin.
A nurse is caring for a client in an outpatient facility who has been taking acarbose
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for type 2 diabetes mellitus. Which of the following laboratory tests should the nurse
plan to monitor? - -Liver function tests.
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