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? |