chapter 28 - ATI Testing

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APPLIC<strong>ATI</strong>ON EXERCISES VITAMINS, MINERALS, AND SUPPLEMENTS 1. A client who has an Hgb of 9 g/dL was started on iron therapy with oral ferrous sulfate (Feosol). Following 1 month of therapy, what should the nurse expect the client’s Hgb level to be? 2. A nurse is caring for a group of clients in a community setting. Which of the following clients should the nurse recognize may benefit from folic acid therapy? (Select all that apply.) A 12-year-old child who has iron-deficiency anemia A 24-year-old woman who has no health problems A 44-year-old man who has essential hypertension A 50-year-old woman who has chronic alcohol abuse A 55-year-old man who has type 2 diabetes mellitus 3. A nurse is caring for a client who has been prescribed potassium chloride (K-Dur) for a serum potassium level of 3.0 mEq/L. The client also has a new prescription for lisinopril (Zestril) to treat hypertension. The nurse should monitor the client for which of the following findings? A. Lisinopril toxicity B. Hyperkalemia C. Weight gain D. Bradycardia 4. A nurse is reinforcing teaching to a client who has a vitamin B 12 deficiency and a new prescription for intranasal cyanocobalamin (Nascobal) inserted into one nostril once a week. What instruction should the nurse give the client about the administration of the medication? 5. Match each herbal supplement below with an adverse reaction that can occur when taking the supplement: Echinacea A. Cardiac dysrhythmias Valerian B. Jaundice, liver damage Kava Kava C. Allergic reactions in clients allergic to ragweed Ma Huang D. Sedation, possible physical dependence 6. A nurse is collecting data from an older adult client who states she takes ginkgo biloba to help her memory. Which of the following from the client’s health history is a contraindication to the use of ginkgo biloba? A. Peripheral arterial disease B. Migraine headaches C. Seizure disorder D. Osteoporosis PN PHARMACOLOGY FOR NURSING 357
VITAMINS, MINERALS, AND SUPPLEMENTS APPLIC<strong>ATI</strong>ON EXERCISES ANSWER kEY 1. A client who has an Hgb of 9 g/dL was started on iron therapy with oral ferrous sulfate (Feosol). Following 1 month of therapy, what should the nurse expect the client’s Hgb level to be? The nurse should expect the Hgb to rise by 2 g/dL during the first month of therapy. After 1 month, the client’s Hgb should be 11 g/dL. NCLEX ® Connection: Pharmacological Therapies, Expected Actions/Outcomes 2. A nurse is caring for a group of clients in a community setting. Which of the following clients should the nurse recognize may benefit from folic acid therapy? (Select all that apply.) A 12-year-old child who has iron-deficiency anemia X A 24-year-old woman who has no health problems A 44-year-old man who has essential hypertension X A 50-year-old woman who has chronic alcohol abuse A 55-year-old man who has type 2 diabetes mellitus Women of child-bearing age who may become pregnant benefit from supplemental folic acid (400 mcg/day) to prevent neural tube defects in a developing fetus. Alcoholism is a frequent cause of deficient folic acid in the body; therefore, the client who has chronic alcohol abuse is likely to benefit from folic acid therapy. Iron-deficiency anemia, hypertension, and diabetes mellitus are not treated with folic acid therapy. NCLEX ® Connection: Pharmacological Therapies, Expected Actions/Outcomes 3. A nurse is caring for a client who has been prescribed potassium chloride (K-Dur) for a serum potassium level of 3.0 mEq/L. The client also has a new prescription for lisinopril (Zestril) to treat hypertension. The nurse should monitor the client for which of the following findings? A. Lisinopril toxicity B. Hyperkalemia C. Weight gain D. Bradycardia The nurse should monitor the client for hyperkalemia. ACE inhibitors, such as lisinopril, can increase potassium levels. If the client is concurrently taking a potassium supplement, the risk for hyperkalemia is even higher. The client is not at risk for lisinopril toxicity when taking both medications concurrently. Weight gain and bradycardia are not expected findings for a client taking lisinopril or potassium supplements. NCLEX ® Connection: Pharmacological Therapies, Adverse Effects/Contraindications/Side Effects/Interactions 358 PN PHARMACOLOGY FOR NURSING
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chapter 28 - ATI Testing

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