A Nurse Is Preparing To Teach A Client About A Newly Prescribed Drug














Groups commonly used are thiazide diuretics and thiazide-like diuretics (chlorothiazide, chlorthalidone, hydrochlorothiazide, indapamide, and metolazone), loop diuretics (bumetanide, furosemide, and torsemide), potassium-sparing diuretics (amiloride. The nurse teaches that this is the reason that the client is being prescribed which of the following phosphate binding agents? Alu-cap (aluminum hydroxide) Tums (calcium carbonate) Amphojel (aluminum hydroxide) Basaljel (aluminum hydroxide) 11. Factors associated with problems in the performance of these activities include living alone, impaired vision, impaired cognitive function, ages 75 and older, having three or more medications and/or scheduled doses in one day, and more than one prescribing provider. Instruct patient and family about peak-flow monitoring. Medicated-Assisted Treatment (MAT) is the use of FDA-approved medications, in combination with counseling and behavioral therapies, to provide a "whole-patient" approach to the treatment of substance use disorders. Upon completing the admission documents, the nurse learns that the 87 year-old client does not have an advance directive. One week after starting this drug, the client refuses to take the medication. Sleep only in dorsal recumbent position. The client's feelings about the restricted mobility 3. When teaching a client with COPD to conserve energy, the nurse should teach the client to lift objects: While inhaling through an open mouth. Rest in an air-conditioned room c. 8 mEq/L; and Client D, scheduled for an appendectomy who has a white blood cell count of 15,000 mm3. Avoiding air travel for at least 1 week C. Client's and nurse's identified most urgent need may differ and require adjustments in the teaching plan. Which of the following. Directly observed therapy (DOT) can be implemented with clients who are not compliant with drug therapy. Glaucoma eyedrops should be administered as prescribed, not whenever the client desires. The tube feeding prescribed provides 2 cal/mL. The nurse tells the client that this is most effectively done by: A. The nurse is teaching the client how to administer insulin. After teaching the client about the drug, which client statement indicates the need for additional teaching? The nurse is preparing Mr. Decreased plasma drug levels b. “I will take my entire prescription of medication. The problem the patient is having with remembering the ordered medication is known as sensory deficits due to the problem with one of the senses. Download Nursing Drug Handbook and enjoy it on your iPhone, iPad, and iPod touch. Use humor first to decrease the client's stress level b. What action should the nurse take? 3. G:\CMTE\AP\16\FY20\_D\MINIRCP_02A. Fear, chiefly of management reprisal and the reaction of colleagues, often deters nurses from reporting incidents (Pape, 2001). What teaching point should the nurse provide to best improve adherence and safety? A) List of pharmacies where the drug can be obtained B) Measures to alleviate any discomfort associated with adverse effects C) The benefits of the prescribed drug over alternatives from the same class D) Statistics related to phase III testing. 1 year ANS: B Withdrawal from medication should be done under a health care providers supervision. Teach the client about a eating a low-residue diet 4. the nurse is teaching a client how to manage a nosebleed. However, evaluation instruments are often limited, for example to single student competencies or specific elements of the teaching process. A male client is having tonic. O "Adverse effects are the intended effects of the medication. E)Headache. Turn data collection into an experience with Typeform. Focus Nursing Pharmacology Chapter 33 Prepu. "I must be careful taking cold medicines. When applying cold to the client's injury, the nurse should: apply it immediately after the injury. What is insulin. Which instruction should the nurse give the client about taking the medications? A) "Take the ranitidine before meals and take the antacid for heartburn if needed after meals. 25 mg PO daily. Adhere to concomitant vitamin B therapy 95. Author: Kerri Wright is senior lecturer at University of Greenwich and author of Drug Calculations for Nurses, published by Palgrave. The immune system destroys the myelin sheath. One of the medications is benztropine (Cogentin), an anticholinergic drug. It has been widely believed that the tropical Pacific trade winds weakened in the last century and would further decrease under a warmer climate in the 21st century. Full text of "Essentials of Psychiatric Mental Health Nursing - Townsend" See other formats. He asks the nurse why he must wait six (6) weeks before having sexual intercourse. Remaining sedentary for most of the day. b) Supplement your diet with vitamin E. The Concept of Cellular Regulation. Take the prescribed antibiotics until the soreness subsides. Doing all chores early in the day while less fatigued. MED-SURG PART B 1. The nurse determines that teaching was effective when the client states: 1. Weightlifting can be resume after 3 weeks B. What is insulin. The nurse is teaching a client newly diagnosed with type 1 diabetes mellitus about the rotation of insulin injection sites. What action should the nurse take? 3. The nurse need not monitor the blood pH level of the client, continue administering the prescribed drug, or increase the drug dosage level to be administered when caring for a client with a lowered breathing pattern because these interventions will not help increase the client's breathing rate. D)Hypotension. A patient newly diagnosed with type 1 diabetes asks the nurse why he cannot just take a pill. Onset of Myocardial Infarction may be sudden or gradual, and the process takes 3 to 6 hours to run its course. The client is prescribed to recieve a unit of packed red blood cells, When the blood products arrive, a nurse notes that the client's current IV is infusion Ringer's lactate solution. Question 24. The treatment for type 2 diabetes may be a simple as lifestyle changes (diet, exercise and weight management) with one or two pills to many different pills and/or insulin or other injected medications. The nurse should hold this medication if the patient has which sign(s) or symptom(s)? (Select all that apply. 290 Likes, 1 Comments - Ally Garlock (@agarlock17) on Instagram: “Drew and I are so excited to announce that we’re running for Student Senate President and Vice…”. #N#The nurse is caring for a client with a right ankle sprain. A client is prescribed gemfibrozil (Lopid) for treatment of hyperlipidemia type IV. "You may experience headaches with this medication. In explaining the need for hypertension. a client newly diagnosed with asthma is preparing for discharge. Medication management is a complex process that consists of multiple activities. To stay healthy and control symptoms, people of all ages with CF can manage their disease by following a regular treatment routine that includes airway clearance, medication, a fitness plan, and nutritional therapies. It is important that patients be taught how to take their medication using measurement systems they are familiar with and know how to use. A nurse is performing an assessment on a newly admit patient who is taking propylthiouracil (PTU) daily. Identify desired outcomes to be achieved. Priority 3: Develop client's objectives for learning : Create objectives clearly in the client's terms. Fluoxetine HCl (Prozac) is prescribed for the client. The red tabard, worn by the nurse dispensing the drugs is fine in principle, and also in practice, if somebody bothers to tell the patients what the red tabard means. MCQs for Entrance Test for BN, MN, MSN Nursing by RS MEHTA 1. The client asks why the timing of meals is so important. B)Tachycardia. The nurse is teaching a client about safe drug administration when using topical permethrin for the treatment of scabies. Which of the following actions by the AP demonstrate an understanding of the teaching? 2. A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery. "I should check and record my blood pressure once. The client asks the nurse about the purpose of the medication. NURS 3247 ATI Pharmacology - Proctored Assessment (Spring 2020) ATI Pharmacology - Proctored Review A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0. B) Ask the patient’s visitors if they have any aspirin for the patient. In some cases health care professionals may use the trade names Adriamycin® or Rubex® when referring to the generic drug name Doxorubicin. The nurse is teaching the client about a newly prescribed systemic antifungal drug. The client is prescribed to recieve a unit of packed red blood cells, When the blood products arrive, a nurse notes that the client's current IV is infusion Ringer's lactate solution. All in the background hangs a large amount of $150,000. A 15-years old with no known allergies is diagnosed with syphilis and prescribed 1 dose of 2 million units of procaine penicillin G intramuscularly (IM). b) Supplement your diet with vitamin E. While the client is taking this drug, the nurse should ensure that he has an adequate intake of:. Which of the following statements if made by the client. There is no label to indicate the date or time of initial use. The treatment for type 2 diabetes may be a simple as lifestyle changes (diet, exercise and weight management) with one or two pills to many different pills and/or insulin or other injected medications. After reading this article, you will be able to: Identify common indications for use of anticoagulants Describe monitoring requirements Consider important safety implications to help prevent complications Discuss patient/family educational needs related. Prior to providing teaching, the nurse should revi. 0 g/dl Platelets 75,000/mm3 Potassium 5. contact care provider only if nighttime wheezing becomes a concern; limit exposure to sources that trigger an attack; use peak flow meter only if symptoms are worsening; use inhaled steroid medication as a rescue. A nurse is working with a 57-year-old man who is a former drug abuser. The nurse is preparing a syringe for an intramuscular injection. View Notes - Fundamentals in Nursing Practice Test Part 3 from NURSING Nursing at University of Pennsylvania. acts for which the nurse is educationally prepared and clinically competent to perform in a safe, effective manner. Competence Nurses ensure that they have the knowledge, skill. Why is this drug being used for your client? (What are your patient’s symptoms the drug is treating?) What is the expected outcome of therapy with the drug? (How will you know it is working for your patient?) Is this a safe dose and route? Common side effects (3-5) and precautions; Nursing implications for administration and client teaching. A staff member interrupts the examinations to ask for assistance. B) Ask the patients visitors if they have any aspirin for the patient. , you’ll access development opportunities that you won’t find anywhere else and show pride in your profession. in preparing a teaching plan, the nurse anticipates which diet will be prescribed for this client?. I'll use the eye drops once daily 1st thing in the morning B. As needed for discomfort. The nurse is preparing the medications for a client. The nurse must first teach the client about normal weight gain and diet in pregnancy, then assess the client's response to that information. 5,206 Likes, 27 Comments - Harvard Medical School (@harvardmed) on Instagram: “Daniel Hashimoto is an HMS clinical fellow in surgery and the surgical artificial intelligence and…”. The client is intoxicated. A nurse is performing an assessment on a newly admit patient who is taking propylthiouracil (PTU) daily. To order the use. A nurse is preparing to discharge a patient newly prescribed warfarin (Coumadin). When teaching the client about this drug, the nurse emphasizes the need to: 93. B) The urine output will be decreased. MSC: NCLEX Client Needs Category: Physiological Integrity. pre·scribed , pre·scrib·ing , pre·scribes v. Our mission is to help people overcome mental and emotional health issues and live fuller, happier lives. The nurse checks for residual before starting the feeding and returns 110 mL. Runny nose. Which of the following is A client with an upper respiratory tract infection was prescribed roxithromycin, an antibiotic. The nurse will teach the client to take the medication on which schedule? 1 With a meal 2 Only at bedtime. The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a single-use vial. NURSING PROCESS STEP: Implementation. NURS 2407 Pharmacology ATI Proctored Exam / NURS2407 Pharmacology ATI Proctored Exam (Latest) NURS2407 ATI Proctored Exam / NURS 2407 ATI Proctored Exam: Pharmacology (Latest) A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0. High-protein foods c. Large amounts of milk. The nurse checks for residual before starting the feeding and returns 110 mL. The nurse determines that teaching was effective when the client states: 1. Approved fremont california traffic violations: 1-point offenses and 2-point offenses Advisor, is responsible for making an out of 5 stars 4 stars 1 of 2 dollars San mateo 94402 650 312-1259 Marketing bristol, avon 0906 736 6522 emodified car insurance insurance It noticed and adopted newly published mortality tables Insurance, and dollar ba. At least a hundred antihypertensives from six drug classes are available, and many patients need some combination of these drugs to control their hypertension. The nurse is preparing a syringe for an intramuscular injection. prescriber synonyms, prescriber pronunciation, prescriber translation, English dictionary definition of prescriber. Also included in Registered Nurse practice in North Carolina is the clinical counseling and teaching of clients and professionals or those preparing to perform nursing functions. A nurse is preparing a teaching plan for a male client newly prescribed atenolol. A client has been admitted to the emergency department with alcohol withdrawal delirium. The pharmacy notifies the nurse that the dosage is outside of route prescribing limits. Atenolol Teaching 237 Instructed patient about how Atenolol may mask symptoms of hypoglycemia in diabetic patients. Doxorubicin is the generic name for the trade name drug, Adriamycin®, as well as, Rubex®. Make it easy for the patient to take the medication. A nurse has provided teaching to a client with a newly prescribed proton pump inhibitor (PPI). prescribed diet teaching in the nursing interventions classification , a nursing intervention defined as preparing a patient to correctly follow a. A nurse working in the GI clinic is performing pre-op phone calls. Which of the following instructions should the nurse include in the teaching? Consume a low carbohydrate diet until symptoms resolve. If the medication is taken in the evening, suggest they keep the prescription near their toothbrush as a reminder (assuming they brush their teeth before bed!). Teach the client about a eating a low-residue diet 4. What teaching point should the nurse provide to best improve adherence and safety? A) List of pharmacies where the drug can be obtained B) Measures to alleviate any discomfort associated with adverse effects C). Remember to practice the Stay, Safe, Side method of first aid response in the event of a seizure. 2012-11-13. The nurse tells the client: a. One week after starting this drug, the client refuses to take the medication. This would include such things as selecting the right time for the teaching and building on the client's prior knowledge of the subject. Nurse Brenda is teaching a patient about a newly prescribed drug. a client newly diagnosed with asthma is preparing for discharge. Prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons? To determine drug-food interactions To determine if dosage modification is indicated To determine how the drug is absorbed To determine availability. What could cause a geriatric patient to have difficulty retaining knowledge about prescribed medications? a. Provide thorough patient teaching, including the drug name and prescribed dosage, measures to help avoid adverse effects, warning signs that may indicate problems, and the need for periodic monitoring and evaluation, to enhance patient knowledge about drug therapy and to promote compliance. Refers to a dynamic process by which one or more regions of the heart muscle experience a severe and prolonged decrease in oxygen supply because of insufficient coronary blood flow. Select all instructions that would be included on the list. 3055, Commerce, Justice, Science, Agriculture, Rural Development, Food and Drug Administration, Interior. The nurse tells the client that which of the following is a side effect specific to the medication? A. Question: The nurse is caring for four clients: Client A, who has emphysema and whose oxygen saturation is 94%; Client B, with a postoperative hemoglobin of 8. Create beautiful online forms, surveys, quizzes, and so much more. The nurse is teaching a class for clients who have been recently diagnosed with epilepsy. To prevent spinal flexion, the nurse should tell the client to: Periodically lie prone without a neck pillow. The nurse is preparing to give an injection to a 4-year-old child. What drug would the nurse expect to be prescribed for the patient experiencing wearing off of drug effects? A) Pramipexole: B) Entacapone: C) Ropinirole: D) Amantadine: Ans: B. Which information would the nurse include in the teaching plan to promote an optimal response to the drug therapy? Administer the drug early in the morning before breakfast What information should the nurse provide a client newly prescribed propylthiouracil about its primary mode of action?. Withhold the medication. His BP is 158/106 and he admits that he has not been taking the prescribed medication because the drugs make him "feel bad". " B) "I take aspirin for my arthritis. A nurse is performing an assessment on a newly admit patient who is taking propylthiouracil (PTU) daily. Because lithium is a salt, clients with a history of cardiovascular and kidney disease should not take. To set down as a rule, law, or direction: prescribed the terms of the surrender. A nurse is preparing to discharge a patient newly prescribed warfarin (Coumadin). Discuss the importance of drinking 1,000mL of water daily 2. Instruct the client to exercise at least three times a week 3. A client is prescribed a new medication. This may be very important. What could cause a geriatric patient to have difficulty retaining knowledge about prescribed medications? The nurse is preparing to administer a 9:00 AM medication of morphine sulfate 1 mg IV to the following clients. As this body of literature is evaluated, the fact that there are crucial areas about which we know. The nurse would monitor this client for which of the following? A) Cerebral anoxia B) Cardiac dysrhythmias C) Hypothyroidism D&rpar. 2% sodium chloride 2. The flux of turbulent kinetic energy (TKE) prescribed by wave dissipation from a numerical wave model was compared with the conventional prescription using the wind friction velocity. You should teach the patient that 5 mL = 1 tsp, so 10 mL (5 × 2) = 2 tsp; therefore Options A, B, and D are incorrect. Eating large, well-balanced meals B. When applying cold to the client's injury, the nurse should: apply it immediately after the injury. Which teaching intervention should the nurse implement? Discuss. The In-Home aide role in medication management includes: A. A nurse is preparing a teaching plan for a client. Which of the following statements by the client demonstrates an understanding of the teaching? A. All but C. Which of the following actions should the nurse take?. HESI RN EXIT EXAM/HESI RN EXIT EXAM 1. Addison's disease. 45% sodium chloride • 5% dextrose in 0. The nurse recognizes that which client characteristic or factor is least likely to interfere with the client's ability to learn? 1. Return for monthly blood drug level monitoring 96. C) Ask the patient’s family to bring some aspirin. When the nurse attempts to answer the client's questions he becomes angry and tells the nurse that the entire process is just too much to learn. com September 2015 American Nurse Today 21 Key patient teaching points When educating patients about prescribed drugs, make sure the discharge plan include these key points. 75 mg of prednisone. Drug Type: Doxorubicin is an anti-cancer (“antineoplastic” or “cytotoxic”) chemotherapy drug. After 6 weeks of treatment the nurse dtermines. ” Which action should the nurse implement first? 1. This literature covers the extent of the problem of medication errors and adverse drug events, the phases of the medication-use process vulnerable to error, and the threats all of this poses for patients. Assessing peripheral pulses 4. This drug is contraindicated in which client?. As needed for discomfort. When the nurse attempts to answer the client's questions he becomes angry and tells the nurse that the entire process is just too much to learn. Not everybody takes note of “Nurse on Drug Round. The nurse tells the client: a. While monitoring a client after craniotomy, the nurse notes that the client’s urine specific gravity is decreasing and is currently 1. The distal nerves degenerate and retract. NURS 3247 Pharmacology Proctored Assessment (Latest): University of Houston NURS3247 Proctored Pharmacology Exam / NURS 3247 Proctored Pharmacology Exam (Latest): University of Houston A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0. A 15-years old with no known allergies is diagnosed with syphilis and prescribed 1 dose of 2 million units of procaine penicillin G intramuscularly (IM). To set down as a rule, law, or direction: prescribed the terms of the surrender. Call the prescriber to get an order for antiemetic medication to reduce client's symptoms. Avoiding swimming for at least 3 weeks D. The nurse recognizes that which client characteristic or factor is least likely to interfere with the client's ability to learn? 1. A comprehensive database of more than 40 fundamentals of nursing NCLEX quizzes online, test your knowledge with fundamentals of nursing NCLEX quiz questions. Question 24. The nurse is teaching a female client with multiple sclerosis. The nurse also defends clients' rights in a general way by speaking out against policies or actions that might endanger the client's well-being or conflict with his or her rights. The medication comes in 2. It is important that patients be taught how to take their medication using measurement systems they are familiar with and know how to use. Get more help from Chegg. HESI EXIT 2020 GUIDE VERSION 3 1. What should the nurse do when preparing the client for this test? a. The nurse explains that orthostatic hypotension occurs initially in the therapy. 290 Likes, 1 Comments - Ally Garlock (@agarlock17) on Instagram: “Drew and I are so excited to announce that we’re running for Student Senate President and Vice…”. Soak feet in hot water 2. 11 May, 2015 If these occur when nurses are preparing and administering medicines, to have an established and structured preceptorship programme in medicines administration to support nurses who are newly qualified or less experienced in drug administration. a nursing intervention in the nursing minimum data set; individual or group instruction designed (a) to provide information about disease processes, injuries, other health-related events, or health promotion practices, or (b) to facilitate development of skills for coping with. "You may experience headaches with this medication. What teaching point should the nurse provide to best improve adherence and safety? A) List of pharmacies where the drug can be obtained B) Measures to alleviate any discomfort associated with adverse effects C). A nurse is teaching an assistive personnel about a upper body mechanics to prevent injury. By uniting with the best nurses in the U. Supports and enhances client self-determination. A patient newly diagnosed with type 1 diabetes asks the nurse why he cannot just take a pill. These exams are made to truly challenge how well you know the concepts behind nursing and to sharpen your critical thinking and problem-solving skills. What could cause a geriatric patient to have difficulty retaining knowledge about prescribed medications? a. The nurse should first assess the client's oxygen saturation and other indicators of oxygenation. Which of the following statements if made by the client. The nurse obtains a drug history from the client based on the understanding that drugs used by the client may affect which of the following? a. Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Implementation. Drug interdiction and counter-drug activities, defense-wide. What statement by the client suggests that teaching has been effective?. The nurse is preparing to suction the client with a tracheotomy. The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist. During patient teaching about this drug, what would be important for the nurse to tell the patient? A) The urine can turn pink or reddish. A nurse is planning client teaching about a newly prescribed drug. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. rotate injection sites within on anatomical region 2. A client is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. Provide thorough patient teaching, including the drug name and prescribed dosage, measures to help avoid adverse effects, warning signs that may indicate problems, and the need for periodic monitoring and evaluation, to enhance patient knowledge about drug therapy and to promote compliance. Prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons? To determine drug-food interactions To determine if dosage modification is indicated To determine how the drug is absorbed To determine availability. NURS 3247 ATI Pharmacology - Proctored Assessment (Spring 2020) ATI Pharmacology - Proctored Review A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0. For more first aid information, visit the Epilepsy Foundation online. "Take aspirin before the medication if you experience facial flushing. a nurse is assessing a client who is immobile and notices a red area over the client's coccyx. He asks the nurse why he must wait six (6) weeks before having sexual intercourse. C)Tachypnea. Specific drugs, such as anticoagulants, cardiovascular drugs, nonsteroidal anti-inflammatory drugs, opioids and corticosteroids, and modified-release formulations, are more likely to be subject to errors. Board Rule 217. Determine if the teaching should take place at a different time c. The nurse teaches the client that undesired effects are frequently associated with a client stopping a medication before completion of the full course. Do not disturb”. The nurse is responsible for teaching the client about managing the condition with his newly prescribed medication (lisinopril) and nonpharmacologic methods. Medication management is a complex process that consists of multiple activities. As a result, the consulting cardiac surgeon refuses to care for the client. 2)Instruct the client that his role does little to influence the effectiveness of the medication. It is important that patients be taught how to take their medication using measurement systems they are familiar with and know how to use. National Defense Sealift Fund. Learning Outcome: 3-7 Explain the proper methods to administer enteral, topical, and parenteral drugs. The nurse can delegate visiting with the crying client to a nursing assistant; the client may be upset and might benefit from talking or a comforting presence. There is no need to refrigerate the drug. If an elderly patient is having difficulty learning about their ordered medications, it is helpful and needed for a nurse to teach the patient about the newly ordered drug. 25 mg PO daily. on 10/25, the nurse notes that the client is confused. Use 500 to 1000 mL of warm tap water. All of the above F. The nurse is teaching the client about this medication and realizes that more teaching is needed when the client makes which statement? a. The nurse would question a prescription for pseudoephedrine (Sudafed) in a client with a history of which condition?. Board Rule 217. The client requires 2,000 cal/day to meet his caloric needs. What should the nurse do to ensure that the correct medication is provided to the client? Standard Text: Select all that apply. The nurse should explain that the diet will most likely consist of which of the following? a. This may be very important. Tolerance to the drug O Drug interaction Drug toxicity Dependence on the drug A nurse is teaching a client about the adverse effects of digoxin. Give me joy and laughter, To lift a weary soul; Pour in me compassion, To make the broken whole. When teaching a patient about taking a newly prescribed antiepileptic drug (AED) at home, the nurse should include which instruction? Regular,consistent dosing is important for successful treatment. Soak feet in hot water 2. Which of the following will the nurse include in her teaching plan for this patient? A) Avoid sunlight. A client is being given naltrexone as part of an alcohol treatment program. The nurse is preparing a syringe for an intramuscular injection. 0 g/dl Platelets 75,000/mm3 Potassium 5. A nurse is planning teaching for a client who has a new diagnosis of exercise-induces asthma. Which of the following. Authority for transfer of funds to joint Department of Defense-Department of Veterans Affairs medical facility. Which of the following actions by the AP demonstrate an understanding of the teaching? 2. Nursing Management of Patients with Dysrhythmias and Conduction Problems: NCLEX review Questions Kechi Iheduru-Anderson DNP, RN, CNE, CWCN Answers and rationale to NCLEX style questions. 75 mg of prednisone. To prevent spinal flexion, the nurse should tell the client to: Periodically lie prone without a neck pillow. (Move the steps into the box on the right, placing them in the selected order of performance. Sensory deficits c. " o "Adverse effects indicate a severe allergy to the medication O Decrease your medication dose of adverse effects occur "Contact your provider if adverse effects occur A nurse is preparing to teach a client about a newly prescribed drug. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. It is important for the client to continue to take the drug. A nurse is caring for a client who is receiving enteral tube feedings. Which of the following instructions should the nurse include in the teaching? Consume a low carbohydrate diet until symptoms resolve. Deficient knowledge related to newly prescribed drug therapy The nurse is teaching a 16. It is generally believed that the number of reported drug errors is the ‘tip of the iceberg’ (Hackel et al, 1996) and that far more go unreported. The problem the patient is having with remembering the ordered medication is known as sensory deficits due to the problem with one of the senses. Nerve impulses are not transmitted to skeletal muscle. The nurse notes that the physician has prescribed a medication dose that is twice the amount that the client has reported taking prior to admission. Type 1 diabetes (previously known as insulin-dependent or childhood-onset diabetes) is characterized by. A client is being given naltrexone as part of an alcohol treatment program. The client is intoxicated. Question: The nurse is caring for four clients: Client A, who has emphysema and whose oxygen saturation is 94%; Client B, with a postoperative hemoglobin of 8. The nurse is preparing to teach a client with a peptic ulcer about the diet that should be followed after discharge. At least a hundred antihypertensives from six drug classes are available, and many patients need some combination of these drugs to control their hypertension. Nurse Brenda is teaching a patient about a newly prescribed drug. teaching the client keeps asking about why there is a need for frequent blood works. A client asks the nurse why the healthcare provider often refers to medications by the generic name instead of by the brand name. Which of the following foods should be included in the diet? Eggs Lettuce Citrus fruits Cheese 2. The nurse would incorporate knowledge of which of the following when responding to this patient?. Which of the following instructions should the nurse provide the client? A nurse is reinforcing teaching with a client who has a prescription for rosuvastatin to treat high cholesterol levels. What could cause a geriatric patient to have difficulty retaining knowledge about prescribed medications? a. Avoid all products containing alcohol 94. 25 mg PO daily. The nurse notes a previously used bottle of normal saline on the client's bedside table. NURSING 2313C Med surg 2 final study guide ( this is just the first 30 questions & answers, out of 300 More) 1. Encourage the client to lift feet when walking and avoid prolonged sitting. The client's allergies are determined, all contraindications for the medication as based on the client's health problems and disease conditions are determined, pertinent diagnostic laboratory results such as checking the client's prothrombin time and partial thromboplastin time prior to the administration of heparin, client data like a blood. Rationale: A primary role of the nurse in working with the client with tuberculosis is to teach the client about medication therapy. The client asks the nurse about the purpose of the medication. Nalidixic acid (NegGram) is prescribed for a client with a urinary tract infection. It would be most important for the nurse to a. Grow your nursing career with us through continuing education, news and our jobs board. It would be a priority for the nurse to follow up with the physician if a client with (a) a potassium level of 4. a nursing intervention in the nursing minimum data set; individual or group instruction designed (a) to provide information about disease processes, injuries, other health-related events, or health promotion practices, or (b) to facilitate development of skills for coping with. G:\CMTE\AP\16\FY20\_D\MINIRCP_01. Bland foods b. Newly acquired spectra are then compared to this expectation using statistical criteria that reflect acceptable false alarm rates andmore » probabilities of detection. Turn data collection into an experience with Typeform. It is important for the client to continue to take the drug. Which of the following is A client with an upper respiratory tract infection was prescribed roxithromycin, an antibiotic. What physiologic response is the client most likely experiencing? Respo nse: Vasoconstriction of cranial blood vessels --- Correct Expla nation : Triptans cause cranial vascular constriction. Which of the following instructions should the nurse provide the client? A nurse is reinforcing teaching with a client who has a prescription for rosuvastatin to treat high cholesterol levels. Give me gentle, healing hands, For those left in my care; A blessing to those who need me, This is a Nurse's. NURS 2407 Pharmacology ATI Proctored Exam / NURS2407 Pharmacology ATI Proctored Exam (Latest) NURS2407 ATI Proctored Exam / NURS 2407 ATI Proctored Exam: Pharmacology (Latest) A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0. The nurse is preparing a syringe for an intramuscular injection. A nurse is preparing to teach a client about a newly prescribed drug. A nurse has provided teaching to a client with a newly prescribed proton pump inhibitor (PPI). Learning Outcome: 3-7 Explain the proper methods to administer enteral, topical, and parenteral drugs. ” C) “I walk 2 miles a. Addison's disease. The nurse is reviewing medical prescriptions for newly admitted clients. What drug would the nurse expect to be prescribed for the patient experiencing wearing off of drug effects? A) Pramipexole: B) Entacapone: C) Ropinirole: D) Amantadine: Ans: B. A staff member interrupts the examinations to ask for assistance. What should the nurse do to ensure that the correct medication is provided to the client? Standard Text: Select all that apply. Maintenance doses are determined for digoxin by renal function. The client asks the nurse about the purpose of the medication. It has been widely believed that the tropical Pacific trade winds weakened in the last century and would further decrease under a warmer climate in the 21st century. Introduce himself as the RN to give credibility to his message d. 45% sodium chloride • 5% dextrose in 0. NUR 2407 ATI Pharmacology Online Practice A, B A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. The affected muscle tissue subsequently becomes necrotic. A nurse is preparing to discharge a patient newly prescribed warfarin (Coumadin). The nurse is teaching a class for clients who have been recently diagnosed with epilepsy. A patient has just been prescribed a phenothiazine. The nurse is attempting to teach a male client newly diagnosed with diabetes how to administer insulin. you should teach the client about the proper length of a cane. ~ Chinese Proverb. A nurse is caring for a client who is postoperative and has signs of hemorrhagic shock. A client is prescribed a new medication. The nurse prepares a teaching plan to help the client adapt to the disease. Which of the following medications should the nurse instruct the client to use prior to physical activity: 1) Cromolyn sodium (Intal) 2) Predisone (Deltasone) A nurse is providing teaching to a client who has just been prescribed prazosin (Minipress). Lisinopril Teaching 2219. The nurse is responsible for teaching the patient the correct drug dosage. 11(1)(B)] and accept only those nursing assignments that take into consideration client. A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse caring for a newly admitted client is reviewing the medication prescription sheet in preparation for administering medications to the client. The nurse obtains a drug history from the client based on the understanding that drugs used by the client may affect which of the following? a. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. Question 10. Notify the health-care provider of dyspnea, fatigue, and cough. While monitoring a client after craniotomy, the nurse notes that the client’s urine specific gravity is decreasing and is currently 1. Remember to practice the Stay, Safe, Side method of first aid response in the event of a seizure. 7 mg/dl; Client C, newly admitted with a potassium level of 3. When applying cold to the client's injury, the nurse should: apply it immediately after the injury. Competence Nurses ensure that they have the knowledge, skill. a nurse is assessing a client who is immobile and notices a red area over the client's coccyx. It would be most important for the nurse to a. The nursing instructor determines that learning has occurred when the students make the following comment? "Pharmacology is the study of medicines. A)Blood pressureB)Date of attackC)Time of attackD)Drug used to relieve the acute painE)Dose of drug used to relieve the acute pain, 2. Type: MCSA. a nurse is assessing a client who is immobile and notices a red area over the client's coccyx. B)Tachycardia. A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery. " C) "I walk 2 miles a. The nurse is preparing to suction the client with a tracheotomy. Instead, the nurse must follow up with a prescriber in a timely manner. The client with cardiac disease is prescribed amiodarone (Cordarnoe), an antidysrhythmic, orally. The nurse is caring for a client with cirrhosis of the liver with ascites. The pharmacy notifies the nurse that the dosage is outside of route prescribing limits. Question 24. Find information on physical ailments often diagnosed. Author: Kerri Wright is senior lecturer at University of Greenwich and author of Drug Calculations for Nurses, published by Palgrave. "I should check and record my blood pressure once. • Provide written and verbal instructions about prescribed medications and their use. A hospitalized patient asks the nurse for some aspirin for my headache. HESI EXIT 2020 GUIDE VERSION 3 1. While exhaling through pursed lips; After exhaling but before inhaling. There is no order for aspirin for this patient. B) Because I need extra protein, Ill have to increase my intake of milk and meat. Teach the client about a eating a low-residue diet 4. contact care provider only if nighttime wheezing becomes a concern; limit exposure to sources that trigger an attack; use peak flow meter only if symptoms are worsening; use inhaled steroid medication as a rescue. The nurse teaches that this is the reason that the client is being prescribed which of the following phosphate binding agents? Alu-cap (aluminum hydroxide) Tums (calcium carbonate) Amphojel (aluminum hydroxide) Basaljel (aluminum hydroxide) 11. The client tells the nurse, “I had a bad case of gastritis last year. During the teaching session, the client continuously turns away from the nurse. The nurse is assessing the client for signs of withdrawal. Type 1 diabetes (previously known as insulin-dependent or childhood-onset diabetes) is characterized by. How many tabs will the nurse administer? Question 6 of 10. The client has become hemodynamically unstable. Explanation:. Which of the following statements should the nurse identify as an indication that the client understands the teaching “I will use my hands rather than a washcloth to clean the radiation area A nurse is providing dietary […]. Call the prescriber to get an order for antiemetic medication to reduce client's symptoms. A nurse is planning patient teaching about a newly prescribed drug. Eating large, well-balanced meals B. Which nursing action would be most effective in helping this client understand wound care instructions? Nurse Brenda is teaching a patient about a newly prescribed drug. The nurse is reviewing medical prescriptions for newly admitted clients. What should the nurse do to ensure that the correct medication is provided to the client? Standard Text: Select all that apply. After 6 weeks of treatment the nurse dtermines that the medication was effective if the: 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL 2) Total t4 level is 2 mcg/dL A nurse providing teaching to a client who has just been prescribed. When the healthcare provider tries to regulate this client's insulin regimen, the client experiences episodes of hypoglycemia and hyperglycemia and 15 G of a simple sugar is prescribed. Make sure it is the right dose. He says it has caused blurred vision, dry mouth, and constipation, but it hasn't improved his mood. Exam Tip: If all options seem to be correct and applicable, pick the one that includes all the choices in it. AmericanNurseToday. Explanation:. There is no order for aspirin for this patient. Which step is most important in performing cardioversion? Click on the exhibit button for additional information. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. Which of the following instructions should the nurse include in the teaching? Consume a low carbohydrate diet until symptoms resolve. How many tabs will the nurse administer? Question 6 of 10. A client newly diagnosed with chronic kidney disease (CKD) has many learning needs regarding the disease. 25 mg PO daily. Determine if the teaching should take place at a different time c. Question: The nurse is caring for four clients: Client A, who has emphysema and whose oxygen saturation is 94%; Client B, with a postoperative hemoglobin of 8. The nurse is preparing to administer medications to a group of clients. XML XXXXXXX XXXXXXX 6/10/2019 10:41 XXXXXXX 06/09/2019 18:57 XXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX XXXXXXX 733109|3 [Discussion Draft] [Discussion Draft] June 10, 2019 116th CONGRESS 1st Session Rules Committee Print 116-18 Text of H. Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Implementation. NURS 3247 ATI Pharmacology - Proctored Assessment (Spring 2020) ATI Pharmacology - Proctored Review A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0. Because the new nurse has not cared for a client having a Greenfield filter inserted, which clients may be selected for the new nurse's assignment as possible candidates for a Greenfield filter? Select all that apply. "I'll have to check my aftershave lotion. ” B) “I take aspirin for my arthritis. Always have a podiatrist cut your toenails, never cut them yourself 4. When a nurse receives a medication order that is unclear, incomplete or inappropriate, the nurse must not perform the medication practice. This chapter provides 200 practice questions — with answers and explanations — to help you prepare for the NCLEX-PN exam. Full text of "Essentials of Psychiatric Mental Health Nursing - Townsend" See other formats. Maintaining a high-fiber diet b. 2012-11-13. Introduce himself as the RN to give credibility to his message d. A nurse is preparing to teach a client about the prescribed verapamil. Make sure the client's breakfast is available in the next 5-10 minutes. Make it easy for the patient to take the medication. All in the background hangs a large amount of $150,000. Headaches. E)Headache. Atenolol Teaching 236. What intervention should. The nurse is preparing to suction the client with a tracheotomy. What is important for the nurse to teach the client? A) a. Monitoring body weight 2. The nurse is preparing a syringe for an intramuscular injection. The nurse checks for residual before starting the feeding and returns 110 mL. Chapter 16: Drugs Used for Anxiety Disorders Test Bank MULTIPLE CHOICE 1. The nurse is preparing to teach a client with a new colostomy about how to perform a colostomy irrigation. A nurse is assigned to perform well-child assessments at a day care center. The patient was discharged from the hospital and the urinary catheter was removed this morning. 75 mg of prednisone. However, evaluation instruments are often limited, for example to single student competencies or specific elements of the teaching process. What is the recommended time over which antianxiety medications must be gradually tapered before discontinuation? a. a nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Denotes alternate format question. Withhold the medication. Instruct in proper posture by teaching the client to hold the hands behind the back to keep the spine and neck erect. Luo, Jing-Jia; Sasaki, Wataru; Masumoto, Yukio. "You may experience headaches with this medication. , you’ll access development opportunities that you won’t find anywhere else and show pride in your profession. The need for teaching. From handwashing techniques to client isolation, infection control covers topics of disease prevention, transmission, and management. At least a hundred antihypertensives from six drug classes are available, and many patients need some combination of these drugs to control their hypertension. Promote physical therapy and rehabilitation. The nurse notes a previously used bottle of normal saline on the client's bedside table. A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The nurse would instruct the client to eat which of the following foods to obtain the best supply…. The nurse is caring for a client in labor. The Concept of Cellular Regulation. The nurse is teaching the client diagnosed with diverticulosis. Recent questions tagged pharmacology-drug-therapy A client is prescribed mefloquine for malaria prophylaxis prior to a trip to rural Southeast Asia. A nurse is planning client teaching about a newly prescribed drug. which information is important for the nurse to teach this client? See answers (1) Ask for details. The nurse need not monitor the blood pH level of the client, continue administering the prescribed drug, or increase the drug dosage level to be administered when caring for a client with a lowered breathing pattern because these interventions will not help increase the client's breathing rate. The nurse knows that the client understands the teaching when the client states that it is most important to take a sitz bath at: a. Which of the following statements by the client demonstrates an understanding of the teaching? A. The client with glaucoma needs to take eye medication on an ongoing basis to control the disorder and prevent vision damage. which point should a nurse emphasize during the client's teaching. Provide thorough patient teaching, including the drug name and prescribed dosage, measures to help avoid adverse effects, warning signs that may indicate problems, and the need for periodic monitoring and evaluation, to enhance patient knowledge about drug therapy and to promote compliance. The nurse determines that teaching was effective when the client states: 1. The nurse suspects that the client has a history of? A. It would be most important for the nurse to a. In which of the following positions should the nurse place the client? A nurse is reinforcing teaching to a client who is newly. There is no order for aspirin for this patient. A nurse is working in a public health clinic. Soak feet in hot water 2. This 40-item NCLEX practice quiz is the start of an exam series covering different or random topics about nursing. All in the background hangs a large amount of $150,000. The nurse is providing education to a client who has been prescribed both an antacid and ranitidine (Zantac). land Port of Entry (POE) using a NaI-based radiation portal monitor (RPM). All interactions and side effects D. A hospitalized patient asks the nurse for some aspirin for my headache. Withdrawal usually takes 4 weeks and requires a gradual reduction in. Subtitle B—Other Matters Sec. Which of the following pressure changes […]. Conducting a postdischarge support group is a tertiary prevention activity. "I should check and record my blood pressure once. 6 times the significant wave height was proposed, and the flux of TKE was applied at a distance below the mean sea surface that is. His vital signs are T = 99° F, P = 50, R = 10, and BP = 100/60. TEAS Exam Registration Notice: With the ever-evolving situation across the country surrounding the COVID-19 outbreak, ATI has begun receiving notices of TEAS exam cancellations at colleges and testing centers across the country. "The medication will relax the muscles of the eyes and prevent blurred. Identify the sequence of actions the nurse should take. NURS 3247 ATI Pharmacology - Proctored Assessment (Spring 2020) ATI Pharmacology - Proctored Review A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0. "The medication will help dilate the eye to prevent pressure from occurring. The nurse is preparing to teach a client with a new colostomy about how to perform a colostomy irrigation. The physician orders atropine to be given 30 minutes before the patient leaves for the operating room. The nurse checks for residual before starting the feeding and returns 110 mL. D)Hypotension. A nurse is preparing a teaching plan for a male client newly prescribed atenolol. The client requires 2,000 cal/day to meet his caloric needs. Question 24. A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. After teaching the client about the drug, which client statement indicates the need for additional teaching? The nurse is preparing Mr. Sensory deficits c. The nurse is teaching a patient about antiparkinson drugs. The distal nerves degenerate and retract. pharmacology assessment PN VATI Pharmacology 2017 A nurse is reinforcing teaching with a client about a new prescription for oral bisacodyl. A nurse’s drug guide: C) A drug package insert: D) The Physicians’ Drug Reference (PDR) Ans: B. A nurse is assigned to a client who, after a medication teaching session with her, began receiving amitriptyline (Elavil) to treat depression. Which rehabilitation plan will be most effective…. When the healthcare provider tries to regulate this client's insulin regimen, the client experiences episodes of hypoglycemia and hyperglycemia and 15 G of a simple sugar is prescribed. The client newly diagnosed with coronary artery disease is being prescribed a daily aspirin. 11(1)(B)] and accept only those nursing assignments that take into consideration client. Make sure it is the right dose. Correct response: reduces compulsions to drink. , you’ll access development opportunities that you won’t find anywhere else and show pride in your profession. health teaching, guidance, and counseling in the omaha system, on the third level of the intervention scheme, an intervention defined as nursing activities that include giving information, anticipating client problems, encouraging client action and responsibility for self-care and coping, and assisting with decision-making and problem-solving; overlapping concepts that occur on a continuum. He asks the nurse why he must wait six (6) weeks before having sexual intercourse. The nurse would include the client's religious or cultural beliefs in discussions about treatment plans so that an informed decision can be made. A patient is prescribed ibandronate. Specific drugs, such as anticoagulants, cardiovascular drugs, nonsteroidal anti-inflammatory drugs, opioids and corticosteroids, and modified-release formulations, are more likely to be subject to errors. #N#The nurse is caring for a client with a right ankle sprain. c5025240-80e5-11ea-846c-adc14ce7dc6f full no no 00:07:52 Fri, 17 Apr 2020 15:56:00 -0400. Content is focused for nurses that are preparing to take the NCLEX exam within the next 13 months. The nurse is reviewing medical prescriptions for newly admitted clients. The journey of a thousand miles starts with a single step. Which of the following actions by the AP demonstrate an understanding of the teaching? 2. The client whose pain score is 9 needs to be seen next, or the nurse can delegate this assessment to another nurse while working with the priority client. com is the sole resource you need to support your practice. Supports and enhances client self-determination. A nurse is preparing to discharge a patient newly prescribed warfarin (Coumadin). The nurse is preparing an assignment for a nurse orientee. While assessing the patient's knowledge of the drug, what would indicate that the patient needs further instruction concerning drug therapy? A) “I love to eat homegrown tomatoes in the summer. The nurse should hold this medication if the patient has which sign(s) or symptom(s)? (Select all that apply. The nurse determines that instruction has been effective when the client states: "I must promptly report any irritation, broken skin, erythema, rashes, or edema when using this lotion. Drug interdiction and counter-drug activities, defense-wide. When reading about the drug, the nurse identifies which name as the generic name?. Now, I know that it just takes a few extra steps. Help Us Help Others. A client newly diagnosed with chronic kidney disease (CKD) has many learning needs regarding the disease. The nurse is preparing a teaching plan to increase a client 's compliance with his prescribed drug regimen. Which of the following actions of the nurse is most appropriate?. Promote physical therapy and rehabilitation. Make sure it is the right medication. Doing all chores early in the day while less fatigued.
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