ATI Fundamentals- Ch. 46, 47, 50 & 51 Flashcards
46-1. A nurse is teaching client who has a new presciption for a time-release medication. What instructions should the nurse include?
46-2. A nurse is teaching a client how to self-administer ear drops. Which of the following client statements indicates an understanding of the teaching?
A. “I will pull my ear down and back before I insert the drops.”
B. “I will gently apply pressure with my finger to the front part of my ear after putting in the drops.”
C. “I will chill my ear drops before I use them.”
D. “I will place a cotton ball into my inner ear canal after the drops are in.”
b
46-3. A nurse is teaching a newly licensed nurse who is caring for a client who is receiving enteral feedings, how to administer medications through a jejunostomy tube. Which of the following instructions should the nurse include?
A. “Flush the tube before and after each medication.”
B. “Mix the medications with the enteral feeding.”
C. “Use a parenteral syringe to administer the medications.”
D. “Combine multiple medications together to administer at the same time.”
b
46-4. A nurse is preparing to inject heparin subcutaneously for a client who is postoperative. Which of the following actions should the nurse take?
A. Use a 22-gauge needle.
B. Select a site on the client’s abdomen.
C. Use the Z-track technique to displace the skin on the injection site.
D. Observe for bleb formation to confirm proper placement.
b
46-5. A nurse is teaching a newly licensed nurse about administering injections. Match the injection method to the associated information.
A. Intradermal
1. Use a 45° angle
B. Subcutaneous
C. Intramuscular
2. Can inject up to 3 mL
3. Observe for a small bleb
a-3
b-1
c-2
47-1. The nurse is reviewing the client’s medical administration record and notes a prescription for docusate 100 mg PO once every day. The nurse should identify this as which of the following types of prescription?
A. Single
B. Stat
C. Routine
D. Now
c
47-2. The nurse is preparing to administer a medication to the client. What actions should the nurse take?
47-3. The nurse administers the wrong medication to the client. Which of the following actions should the nurse take first?
A. Report the error to the facility’s risk manager.
B. Notify the provider.
C. Complete an incident report.
D. Check the client’s vital signs.
d
50-1. A nurse is teaching a client who has a new prescription for oxybutynin about managing the medication’s anticholinergic effects. Which of the following instructions should the nurse include? (Select all that apply.)
A. Take sips of water frequently.
B. Wear sunglasses when outdoors in sunlight.
C. Use a soft toothbrush when brushing teeth.
D. Take the medication with an antacid.
E. Urinate prior to taking the medication.
a
b
e
50-2. A nurse is teaching a newly licensed nurse about adverse effects of medications. Sort the adverse effects into extrapyramidal or anticholinergic reactions.
A. Tremors
B. Constipation
C. Drooling
D. Shuffling gait
E. Dry mouth
F. Photophobia
e-acd
a- bef
50-3. A nurse is preparing to administer diazepam to a client. Prior to administering the medication, which of the following actions is the nurse’s priority?
A. Teach the client about the purpose of the medication.
B. Give the medication at the prescribed administration time.
C. Identify the client’s medication allergies.
D. Document the client’s anxiety level.
c
50-4. A nurse is teaching clients about their medications. Match the following medication category to the corresponding nursing instructions.
A. Immunosuppressant
B. Antihypertensive
C. Anticoagulant
D. Anticholinergic
- Change positions slowly.
- Monitor for bruising.
- Monitor for an infection.
- Wear sunglasses when outside.
a-3
b-1
c-2
d-4
50-5. When analyzing cues, the nurse should identify that the client is at risk for imipramine toxicity. A medication that decreases the metabolism of another medication increases the blood level of that medication which can result in toxicity.
51-1. A nurse is caring for a client who takes several medications. The client states, “I fast for several days each week to control my weight.” The nurse should instruct the client that fasting increases the risk for medication toxicity due to what physiological factor?
51-2. A nurse is teaching a class about physiological factors that can alter how a medication can affect infants and older adults. Sort the following physiological factors into either infants or older adults.
A. High body water content
B. High percentage of body fat
C. Increased blood flow to skin
D. Decreased total body water
51-3. A nurse is teaching an older adult client about medication self-administration. Which of the following instructions should the nurse include? (Select all that apply.)
A. Adjust doses to daily weight.
B. Place pills in daily pill holders.-
C. Set up a daily calendar with medication reminders.
D. Ask a relative to assist as needed.
E. Request child-resistant caps on medication containers.
B
C
D
51-4. A nurse is teaching a client who is in the first trimester of pregnancy about medications. What instructions should the nurse include in the teaching?
51-5. A nurse is teaching a client who is lactating about taking medications. Which of the following instructions should the nurse include?
A. Drink 8 oz of milk with each dose of medication.
B. Use sustained-release medications.
C. Take medications right after breastfeeding.
D. Pump breast milk and freeze it prior to feeding.
C
