 ATI PROCTORED PRACTICE B 1.A nurse is caring for a client who has schizophrenia and is to start therapy with Resperidone. For which of the following manifestations should the nurse monitor to determine whether the treatment is effective? Improved social interactions -Clients who have schizophrenia typically have difficulty interacting with others and maintaining relationships. Manifestations can include dull affect and speech deficiency. Risperidone is an atypical antipsychotic that can minimize these manifestations, improving social interactions with others. 2.A nurse is collecting data from a client who has bacterial pneumonia and is taking Ceftriaxone. Which of the following findings indicates a therapeutic effect of the medication? Clear, bilateral breath sounds -The nurse should identify that wheezing and crackles are findings of bacterial pneumonia. A decrease in these manifestations indicates a therapeutic effect of the medication. 3.A nurse on a medical-surgical unit is preparing to administer medication to a client. Which of the following question should the nurse ask the client to verify the client's identity? "What is your name and date of birth?" -Acceptable client identifiers include the client's name, telephone number, facility identification number, date of birth, and other client-specific identifiers. The nurse must use at least two identifiers to verify the client's identity and should compare the information to what is on the client's wristband or in the medical record. 4.A nurse is reviewing a client's medical history before administering hydromorphone for post operative pain. The nurse should notify the provider of which of the following findings before administering this medication? Benign prostatic hyperplasia -A client who has benign prostatic hyperplasia is at increased risk for developing acute urinary retention while taking opioids. Therefore, the nurse should notify the provider about this finding before administering hydromorphone. 5.A nurse is collecting data from a client who is taking lithium to treat bipolar disorder. Which of the following findings should the nurse report to the provider? Slurred speech -The nurse should recognize that slurred speech is an indication of toxicity and should be reported to the provider. 6.A nurse in a provider's office is reviewing the immunization records of a 12-month old- infant who is immunocompromised. Which of the following vaccines should the nurse identify as contraindicated for this client? This preview shows page 1 - 3 out of 13 pages. A nurse is teaching about self-administering methotrexate to a client who has rheumatoidarthritis. Which of the following statements should the nurse make?"Use a nonsteroidal anti-inflammatory drug to reduce toxicity."-NSAIDs can increase methotrexate toxicity. NSAIDs are often prescribed concurrentlywith DMARDs, such as methotrexate, during the initial treatment of rheumatoid arthritisbecause it can take a long period of time for DMARDs to take effect. NSAIDs arediscontinued once DMARD therapeutic levels are reached."Take it with food to reduce gastric irritation."-Clients should take methotrexate on an empty stomach to increase bioavailability.**"Drink 2 to 3 liters of water per day to promote the drug's excretion."-Methotrexate can cause kidney damage. Adequate hydration optimizes drug excretionand helps prevent kidney damage. Clients can also take sodium bicarbonate tablets toincrease urine alkalinity and reduce the drug precipitation that can lead to kidney damage."Take it in the morning to prevent insomnia."-Methotrexate is more likely to cause drowsiness than insomnia. A nurse is teaching a client about raloxifene. Which of the following information should thenurse include? (Select all that apply.) Get answer to your question and much more A nurse is caring for a client who has a new prescription for etanercept. Which of thefollowing actions should the nurse take? Get answer to your question and much more Upload your study docs or become a Course Hero member to access this document Upload your study docs or become a Course Hero member to access this document End of preview. Want to read all 13 pages? Upload your study docs or become a Course Hero member to access this document Tags following statements, methotrexate, etanercept What information is important for the nurse to teach a client recently prescribed raloxifene?What is the most important information I should know about raloxifene? This medicine may increase your risk of a blood clot in your leg, your lung, or your eye. You should not take raloxifene if you have ever had this type of blood clot. Raloxifene can also increase your risk of a stroke, which can be fatal.
Which of the following is a therapeutic action of raloxifene?Raloxifene prevents and treats osteoporosis by mimicking the effects of estrogen (a female hormone produced by the body) to increase the density (thickness) of bone. Raloxifene decreases the risk of developing invasive breast cancer by blocking the effects of estrogen on breast tissue.
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A nurse is teaching a client about methotrexate. the nurse should inform the client to monitor
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