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ATI PHARMACOLOGY PROCTORED
EXAM LATEST REAL QUESTIONS
AND CORRECT ANSWERS GRADE A
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 pulseb. Distended neck veins 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 absentb. Improved cognition 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."d. "Remove the patch prior to going to bed." 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/Ld. 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 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
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c. The client has a positive purified protein derivative test d. The client's liver function test results are within the expected reference rangea. The client has a negative sputum culture A client is caring for a client who develops an anaphylactic reaction 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 IMd. Administer epinephrine IM A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? a. St. John's Wort b. Ginger root c. Black cohosh d. Coenzyme Q10a. St. John's Wort A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? a. Bradycardia b. Hypokalemia c. Tinnitus d. Hypotensiond. Hypotension A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs? a. Decreased temperature b. Increased pulse rate c. Decreased respiratory rate d. Increased blood pressured. Increased blood pressure A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report? a. The quality improvement committee b. The nurse who identifies the error c. The nurse who caused the error d. The charge nurseb. The nurse who identifies the error A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following? a. Pruritus b. Cough c. Tachypnea
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temperature in their original glass bottle." A nurse is providing teaching to a client who has a new prescription for theophylline a sustainedreleased capsule. Which of the following statements by the client indicates an understanding of the teaching? a. "I can take my medication in the morning with my coffee." b. "I may sprinkle the medication in applesauce." c. "I should limit my fluid intake while on this medication." d. "I will need to have blood levels drawn."a. "I can take my medication in the morning with my coffee." A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to client who has diabetes mellitus following actions should the nurse take first? a. Withdraw the regular insulin from the viral b. Withdraw the NPH insulin form the vial c. Inject air into the NPH vial d. Inject air into the regular insulin vialc. Inject air into the NPH vial A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take? a. Massage the site after administering the medication b. Use a 21-gauge needle for the injection c. Aspirate before injecting the medication d. Insert the needle at least 5 cm (2 in) from the umbilicusd. Insert the needle at least 5 cm (2 in) from the umbilicus A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction? a. Nausea b. Cardiac dysrhythmia c. Laryngeal edema d. Insomniac. Laryngeal edema b. Cardiac dysrhythmia Amoxicillin side effects include: Renal impairment, hyperkalemia, dysrhythmias, hypernatremia Allergic reaction: Urticaria, rash, hypotension, dyspnea, swelling of face/lips/tongue A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following? a. A client who has a referral for social services b. A client who is transdermal to radiology c. A client who is transferal to a step-down unit d. A client who has a consultation for physical therapyc. A client who is transferal to a step-down unit
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A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective? a. BUN 15 mg/dL b. Blood glucose 90 mg/dL c. Urine specific gravity 1. d. LDL 120 mg/dLd. LDL 120 mg/dL A nurse is receiving a medication prescription by telephone from a provider. The provider states "Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain." How should the nurse transcribe the prescription in the client's medical record? a. Morphine 6 mg IV push every 3 hr PRN acute pain b. MSO 6 mg IV push every 3 hr PRN acute pain c. MS 6 mg IV push every 3 hr PRN acute pain d. Morphine 6.0 mg IV push every 3 hr PRN acute paina. Morphine 6 mg IV push every 3 hr PRN acute pain A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take? a. Show the IV solution rate b. Initiate a new IV distal to the initial site c. Maintain the extremity below the level of the heart d. Apply a warm moist compressd. Apply a warm moist compress A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? a. "Diarrhea is a common adverse effect of this medication." b. "Ringing in the ears is an expected adverse effect of this medication." c. "Notify your provider if you develop a fever while taking this medication." d. "You might experience weight loss while taking this medication."c. "Notify your provider if you develop a fever while taking this medication." A nurse is teaching a client about oral contraceptive. Which of the following information should the nurse include in the teaching? a. Abdominal pain is an expected adverse effect of oral contraceptives b. It can take up to 1 year to become pregnant after stopping an oral contraceptive c. Some herbal supplements can decrease the effectiveness of an oral contraceptive d. A pelvic examination is needed prior to starting an oral contraceptiveb. It can take up to 1 year to become pregnant after stopping an oral contraceptive
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d. Increased respiratory rated. Increased respiratory rate A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider? a. The client has a BUN of 18 mg/dL b. The client takes an aspirin daily c. The client has a history of a severe penicillin allergy d. The client reports a history of nausea with cefuroximec. The client has a history of a severe penicillin allergy A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? a. Protamine sulfate b. Acetylcysteine c. Calcium gluconate d. Flumazenilc. Calcium gluconate A nurse is assessing a client following the administration of ondansetron (Zofran). Which of the following findings should indicate to the nurse that the ondansetron has been effective? a. Client reports a decrease in pain b. Client reports a decrease in nausea c. Client reports a decrease in coughing d. Client reports a decrease in diarrheab. Client reports a decrease in nausea A nurse manager is planning an in-service about pain management with opioids for client who has cancer. Which of the following information should the nurse manager include? a. IM administration is recommended if PO opioids are ineffective b. Respiratory depression decreases as opioid tolerance develops c. Meperidine is the opioid of choice for treating chronic pain d. Withhold PRN pain medication for the client who is receiving opioids every 6 hra. IM administration is recommended if PO opioids are ineffective A nurse is reviewing the list of current medication for a client who is to start prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine? a. Nicotine transdermal system b. Diphenhydramine c. Estrogen- progestin combination d. Beclomethasonec. Estrogen-progestin combination (Non- hormonal forms of contraception)
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A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss? a. Rifampin b. Ciprofloxacin c. Penicillin G d. Gentamicind. Gentamicin A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA) a. "Soak the inhaler in water after use." b. "Have your child take one inhalation as needed for shortness of breath." c. "Shake the device prior to administration." d. "A spacer will make it easier to use the device." e. "Rinse your child's mouth following administration."c. "Shake the device prior to administration." d. "A spacer will make it easier to use the device." e. "Rinse your child's mouth following administration." A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally 12 hr. available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trialing zero.)7.5 mL A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching? a. "You will need liver function tests before beginning therapy." b. "Avoid consuming dairy products while taking this medication." c. "You may crush the medication and mix it with applesauce." d. "You should take the medication in the morning."a. "You will need liver function tests before beginning therapy." A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissue surrounding the insertion site. Which of the following actions should the nurse take? a. Flush the IV catheter b. Apply pressure to the IV site c. Elevate the extremity d. Slow the infusion ratec. Elevate the extremity A nurse is preparing to administer 4000 units of heparin subcutaneously to a client who has deep-vein thrombosis. Available is heparin 10,000 units. How many mL of heparin should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
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A nurse is caring for a client who has breast cancer and reports pain. 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer? a. Naloxone IV b. Morphine tablet c. Lidocaine patch d. Fentanyl transmucosald. Fentanyl transmucosal c. Lidocaine patch A nurse is assessing a client who reports taking over-the-counter antacids. Which of the following findings should the nurse identify as a manifestation of hypercalcemia? a. Constipation b. Decreased urine output c. Positive Trousseau's sign d. Headachec. Positive Trousseau's sign A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads. "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min." which of the following reasons should the nurse clarify this prescription with the provider. a. Potassium chloride should be diluted in dextrose 5% in water. b. The potassium infusion rate is too rapid c. Another formulation of potassium should be given IV d. The client should be treated by giving potassium by IV bolusb. The potassium infusion rate is too rapid A nurse is monitoring laboratory values for a client who has chronic heart failure and is receiving digoxin. Which of the following values should the nurse report to the provider? a. Sodium 1.38 mEq/dL b. Magnesium 1.5 mEq/L c. BUN level 10 mg/dL d. Potassium 2.9 mEq/Ld. Potassium 2.9 mEq/L A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red tinge. Which of the following actions should the nurse take? a. Check the client's liver function test results b. Instruct the client to increase his fluid intake c. Document this as an expected finding d. Prepare the client for dialysisc. Document this as an expected finding A nurse accidently administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take? a. Monitor the client's thyroid function levels b. Collect the client's uric acid level c. Obtain the client's HDL level
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d. Check the client's glucose leveld. Check the client's glucose level A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. the medication is provided as hydromorphone 8 mg per tablets. Which of the following actions is appropriate for the nurse to take? a. Return the remaining medication to the facility's pharmacy b. Store the remaining half of the pill in the automated medication dispensing system c. Place the remaining half of the pill in the unit dose package d. Dispose of the remaining medication while another nurse observesd. Dispose of the remaining medication while another nurse observes A nurse is caring for 4-year-old child following an orthopedic procedure. When assessing the child for pain. Which of the following pain scales should the nurse use? a. FACES b. Numeric c. CRIES d. Word graphica. FACES A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer? a. Colchicine b. Cimetidine c. Colerain d. Chlorpromazinec. Colerain - Colesevelam (Welchol) A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider? a. Potassium 3.8 mEq/L b. The client reports dizziness upon standing c. The client reports difficulty hearing d. BUN 15 mg/dLc. The client reports difficulty hearing A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include? a. Change the nicotine patch every other day b. Do not drink beverages while sucking on a nicotine lozenge c. Chew nicotine gum for 10 min before spitting it out d. Administer 2 sprays of nicotine nasal spray in each nostril with each doseb. Do not drink beverages while sucking on a nicotine lozenge A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use? a. Subcutaneous b. Intraosseous/intravenous
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A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions? a. Osteoporosis b. Hypothyroidism c. Urinary tract infection d. Deep vein thrombosisa. Osteoporosis A nurse is providing discharge dietary teaching to a client who has a something and is taking medication theophylline and to provide general instructions the nurse should include? a. Avoid caffeinated beverages b. Take the medication with meals c. Restrict milk products d. Limit sodium intakea. Avoid caffeinated beverages the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first? a. Withdrawal NPH from the vial b. Inject air into the NPH vial c. Inject air into the regular vial d. Withdrawal regular insulin from the vialb. Inject air into the NPH vial a nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. What instructions should the nurse include? a. Take the medication immediately after breakfast b. Take the medication with an antacid c. Sit upright for at least 30 mins after taking the medication d. Drink orange juice with the medicationc. Sit upright for at least 30 mins after taking the medication a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine? a. Bladder distention b. Productive cough c. Gastrointestinal bleeding d. Decrease deep tending reflexesa. Bladder distention A nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following information should the nurse include in the teaching? a. Use nasal decongestion 15 mins before the medication if you have a stuffy nose b. Lie down for 1 hour after administering the medication c. Administer the medication into one nostril once per week d. Plan to self-administer this medication for the next 6 monthsc. Administer the medication into one nostril once per week
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A nurse is teaching a newly license nurse about medication reconciliation. The nurse should instruct the newly license nurse for medication reconciliation for which of the following clients? a. Client who is transported to radiology b. A client who has a consultation for .... c. A client who has a referral for social services d. A client who has been transferred to a step- down unitd. A client who has been transferred to a step-down unit A nurse is assessing a client how received a dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurse's priority? a. Back pain b. Flushing c. nausea d. Uterine tachysystoled. Uterine tachysystole A nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching? a. Messages the site to enhance absorption b. Injections the medication into a muscle c. Administers the medication into the abdomen d. Aspirates the medication after injectionc. Administers the medication into the abdomen A nurse is assessing a client how has been taking digoxin and ...... which of the following findings to the nurse indicates this client has developed digoxin toxicity? a. Ringing in the ears b. Hyperkalemia c. Blurred vision d. hypertensionc. Blurred vision A nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestations should the nurse expect? a. Headache b. Excessive salivation c. Fever d. Myoclonic seizureb. Excessive salivation Anurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications? a. NPH insulin b. Clopidogrel c. Furosemide d. Pantoprazoleb. Clopidogrel
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d. PentazocineFentanyl A charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following action by the newly licensed nurse requires the charge nurse to complete an incident report? a. The nurse requests a higher dose of morphine for a client who reports severe pain 30 min after receiving morphine 2 mg IV bolus b. The nurse administers ondansetron to a client who has two episodes of vomiting after receiving meperidine 75 mg IM. c. A client who has a blood glucose level of 120 mg/dL receives her morning dose of insulin d. A client who has a lithium level of 1.8 mEq/L receives her morning dose of lithium.A client who has a lithium level of 1.8 receives her morning dose A nurse is caring for a client who has a alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time? a. Assist the client to identify triggers for alcohol use b. Encourage participation in a 12-step program c. Implement seizure precautions d. Administer naltrexone - abstinence maintenanceImplement seizure precautions A nurse is planning care for a group of clients. which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction? a. Losartan and atorvastatin b. Propranolol and raloxifene c. Digoxin and levothyroxine d. Furosemide and amikacinFurosemide and Amikacin A nurse is caring for a client who has major depression and a new prescription for citalopram. which of the following adverse effects is the priority for the nurse to report to the provider? a. Insomnia b. Bruxism c. confusion d. weight loaac. Confusion Bruxism - Bruxism occurs in < 1 % of patient with citalopram. This should be addressed but is no an immediate health concern. A nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. in which of the following locations should the nurse place the catheter? a. A vein proximal to the previous site b. A vein in the client's dominant arm c. A vein that feels hard to touch
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d. A vein on the client's wristA vein on the client's wrist A nurse is assessing a client who is in labor and is receiving epidural anesthesia. which of the following findings should the nurse identify as the priority? a. Hypotension b. Leg weakness c. Temperature 39 ℃ (102 ℉) d. Urinary retentionHypotension A nurse is providing teaching to a client who has a prescription for omeprazole. which of the following instructions should the nurse include in the teaching? a. Take the medication with evening meals b. Long-term use of the medication increases the risk of fractures c. This medication might cause drowsiness. d. Crush the medication for easier swallowingLong term use increases risk of fractures A nurse is reviewing a client's laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse withhold the medication and contact the provider? a. Potassium 2.5 mEq/L b. INR 1. c. Sodium 141 mEq/L d. WBC Count 8,000/mmPotassium 2.5 mEq/L The nurse is assessing a client who takes glipizide for the treatment of type 2 diabetes mellitus. Which of the following findings indicates effectiveness of the medication? a. Fasting blood glucose 160 mg/dL b. An increase in appetite c. Stable weight d. HgbA1c 6.5%Hgba1c 6.5% A nurse in the emergency department is caring for a client who reports a severe headache. the client's blood pressure is 280/160 mm hg. the nurse should plan to administer which of the following medications? a. Nitroprusside b. Dobutamine c. Epinephrine d. DexamethasoneNitroprusside A nurse is teaching the parent of a toddler who is to begin taking ferrous fumarate. which of the following statements by the parent indicates an understanding of the teaching? a. "I will dilute my child's medication in milk." b. "I will give my child the medication in a baby bottle." c. "I will rinse my child's mouth with water after she takes the medicine."
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d. ExenatideMetformin A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. which of the following statements is appropriate for the nurse to make? a. "You should report monthly to have your blood drawn to monitor kidney function while taking medication." b. "You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease." c. "You will need to take two or more medications to treat your disease." d. "You should anticipate taking medication to treat your disease for at least the next 3 years." ANSWER-You will need to take two or more medication to treat your disease A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. which of the following actions should the nurse include in the plan of care? a. Administer the medication over 10 min b. Reconstitute the medication with a 5% dextrose solution c. Monitor the client for hearing loss d. Implement a high-fiber diet to prevent constipationMonitor for hearing loss A nurse is obtaining a medication history from a client who has gout and is prescribed probenecid. the nurse should notify the provider that the client is taking which of the following over-the counter medications? a. Guaifenesin b. Omeprazole c. Salicylic acid d. Docusate sodiumSalicylic acid A nurse is teaching a client who has HIV and a new prescription for efavirenz. Which of the following instructions should the nurse include in the teaching?Notify provider for the appearance of a skin rash A nurse is evaluating a client who has tuberculosis and has been taking rifampin for 1 month. which of the following laboratory tests should the nurse review to evaluate for an adverse effect of this medication? a. 24 - hr creatinine clearance b. Alanine aminotransferase (ALT) c. Amylase d. Thyroid-stimulating hormone (TSH)ALT A nurse is teaching a client who has multiple allergies about using an epinephrine auto-injector. Which of the following instructions should the nurse include?
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a. Inject the medication into the abdomen - only in the middle of your outer thigh b. Aspirate prior to administration of the medication c. Administer the medication through clothing if necessary d. Avoid massaging the site after injectionAdminister the medication through clothing if necessary A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching? a. "I should take this medication with 8 ounces of milk." b. "I should stay upright for at least 15 minutes after taking this medication." c. I should notify my provider if my stools turn black d. "I should take an antacid with this medication to prevent stomach upset."I should stay upright for 15 minutes after taking this medication. nurse is preparing to administer methylprednisolone sodium succinate 80 mg IV bolus. the nurse reconstitutes the 125 mg in the vial in powder form to 2 mL. How many mL should the nurse administer?1. a nurse is caring for a client who has heart failure. the nurse administered furosemide 60 mg IV bolus 30 min earlier. for which of the following findings should the nurse notify the provider? a. Potassium 3.8 mEq/L b. BUN 15 mg/dL c. The client reports difficulty hearing d. The client reports dizziness upon standingClient reports difficulty hearing A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects? a. Fluid retention - monitor for edema, weight gain, and/or indications of heart failure b. Tinnitus c. Orthostatic hypotension d. InsomniaOrthostatic hypotension a nurse is wanting to report a n infusion reaction for a client who is receiving a dose via IV of amphotericin B. which is the following findings that indicate to the nurse that the patient is experiencing an acute infusion reaction? a. Dry cough b. Fever c. Pedal edema d. hyperglycemiaFever a nurse is providing teaching to a client who has a new prescription for paroxetine. the nurse should instruct the client to monitor for which of the following adverse effects? a. Alopecia b. Peripheral edema
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