 Show ATI Pharmacology Proctored Exam 2019 1.)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 muscle weakness d. Thread pulse 2.)A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? a. Absent Chvostek’s sign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent 3.)A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? a. “Discontinue the patch if you experience a headache.” b. “Apply a new patch if you have chest pain.” c. “Cover the patch with dry gauze when taking a shower.” d. “Remove the patch prior to going to bed.” 4.)A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? a. Creatinine 0.72 mg/dL b. Sodium 138 mEq/L c. Magnesium 2 mEq/L d. Potassium 5.2 mEq/L- Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level, so the PN should monitor the client's serum potassium level 5.)A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? a. The client has a negative sputum culture b. The client tests negative for HIV c. The client has a positive purified protein derivative test d.The client’s liver function test results are within the expected reference range 6.)A client is caring for a client who develops an anaphylacticreaction to IV administration. After assessing the client’s respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next? a. Replace the infusion with 0.9% sodium chloride b. Give diphenhydramine IM c. Elevate the client’s legs and feet d. Administer epinephrine IM When administering heparin subcutaneously the nurse should?The heparin needs to go into the fat layer under the skin.. Pinch the skin lightly and put the needle in at a 45º angle.. Push the needle all the way into the skin. Let go of the pinched skin. Inject the heparin slowly and steadily until it is all in.. What medications should the nurse have available to reverse heparin effects?Protamine is a medication used to reverse and neutralize the anticoagulant effects of heparin. Protamine is the specific antagonist that neutralizes heparin-induced anticoagulation.
Which site is frequently recommended for administering heparin injections?The preferred site of injection is the abdominal area. Injections must be given 2 inches away from the umbilicus (see diagram). If you need another area to inject your Heparin, you may use your thighs or buttocks.
What size needle with the appropriate size syringe should be used when drawing up heparin?The heparin is given by deep subcutaneous injection in the arm or abdomen with a fine needle (25- to 26- gauge) to minimize tissue trauma. A concentrated solution of heparin sodium is recommended.
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A nurse is preparing to administer heparin subcutaneously to a client who has a deep vein thrombosis
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