ATI Concept Based Level 3 Practice

ATI Concept Based Level 3 Practice A nurse is planning medication teaching for a client who has ED. Which of the following medications should the nurse plan to include in the teaching? A. Hydrochlorothiazide B.Finasteride C.Sildenafil D.Carbidopa/levodopa A. Hydrochlorothiazide Hydrochlorothiazide is a thiazide diuretic prescribed to treat hypertension. B.Finasteride Finasteride is a 5-alpha reductase inhibitor medication, which is prescribed to treat benign prostatic hypertrophy, as well as alopecia. C.Sildenafil (CORRECT) The nurse should identify that sildenafil is a PDE5 inhibitor, which is prescribed as an oral firstline treatment for erectile dysfunction. D.Carbidopa/levodopa Carbidopa/levodopa is a dopaminergic medication, which is prescribed to treat Parkinson's disease. Set confidence level: 5 2 A nurse is caring for a client who has gestational hypertension and is experiencing postpartum hemorrhage. Which of the following medications should the nurse anticipate? A.Dinoprostone B.Misoprostol C.Methylergonovine D.Carboprost A.Dinoprostone This medication is contraindicated for clients who have hypertension. B.Misoprostol (CORRECT) The nurse should anticipate administering misoprostol or oxytocin to the client who has gestational hypertension and is experiencing a postpartum hemorrhage. C.Methylergonovine This medication is contraindicated for clients who have hypertension. D.Carboprost This medication is contraindicated for clients who have hypertension. 2 3 A nurse is assessing a 7 month old infant who is experiencing developmental delays. Which of the following findings should the nurse expect? A.Makes eye contact with staff members B.Plays with blocks in the crib C.Restricts attention to large objects D.Momentarily sits erect A.Makes eye contact with staff members The nurse should expect a 7-month-old infant to make eye contact with staff members. However, a 7-month-old infant who is experiencing developmental delays will not display this socialization skills. B.Plays with blocks in the crib The nurse should expect a 7-month-old infant to play with blocks in the crib. However, a 7month-old infant who is experiencing developmental delays will not display this fine motor skill. C.Restricts attention to large objects (CORRECT) The nurse should expect a 7-month-old infant to begin to focus on very small objects. However, a 7-month-old infant who restricts attention to large objects is displaying a sensory developmental delay. D.Momentarily sits erect The nurse should expect a 7-month-old infant to momentarily sit erect. However, a 7-month-old infant who is experiencing developmental delays will not display this gross motor skill. 3 4 A nurse is caring for a client who is being seen for infertility and has a new prescription for clomiphene citrate. Which of the following manifestations should the nurse include in the teaching as a common adverse effect of the medication? A."You might have chills while taking the medication." B."You might experience drooling while taking the medication." C."You might have breast tenderness while taking the medication." D."You might experience an increase in urination while taking the medication." A."You might have chills while taking the medication." The client might experience hot flashes while taking clomiphene citrate. B."You might experience drooling while taking the medication." The client might have a dry mouth while taking clomiphene citrate. C."You might have breast tenderness while taking the medication." (CORRECT) Breast tenderness is a common adverse effect of the medication. D."You might experience an increase in urination while taking the medication." Increased urine output is an adverse effect of furosemide, rather than clomiphene citrate. 3 5 A nurse is discussing palliative care with the family of a client who is terminally ill. Which of the following information should the nurse include? A.Palliative care begins once life-saving treatments have been stopped. B.Palliative care includes a variety of therapies. C.Palliative care requires the client to sign a DNR. D.Palliative care must be provided in the home setting. A.Palliative care begins once life-saving treatments have been stopped. A client is eligible to participate in hospice care when curative or life-saving treatments, such as chemotherapy, have been stopped. Palliative care is available to a client throughout her illness, regardless of the treatment regimen. B.Palliative care includes a variety of therapies. (CORRECT) Along with medical treatments, palliative care includes a holistic approach using a variety of therapies to improve the client's level of comfort. Therapies such as yoga, meditation, and pet therapy enhance the client's quality of life. C.Palliative care requires the client to sign a DNR. Palliative care does not require a client to sign a DNR. Curative treatments can continue simultaneously with palliative care. D.Palliative care must be provided in the home setting. Palliative care is offered in both home and inpatient settings. - - 6 A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum hemorrhage. After notifying the provider, which of the following actions should the nurse take next? A.Massage the client's fundus. B.Insert an indwelling urinary catheter. C.Elevate the client's right hip on a pillow. D.Administer oxygen via nonrebreather face mask at 10 L/min. A.Massage the client's fundus. (CORRECT) The greatest risk to the client is hemorrhage. Therefore, the next action the nurse should take is to massage the client's fundus to expel clots and promote contractions. B.Insert an indwelling urinary catheter. The nurse should insert an indwelling urinary catheter to monitor perfusion of the kidneys. However, this is not the next action the nurse should take. C.Elevate the client's right hip on a pillow. The nurse should elevate the client's right hip to enhance perfusion. However, this is not the next action the nurse should take. D.Administer oxygen via nonrebreather face mask at 10 L/min. The nurse should administer oxygen at 10 L/min to enhance perfusion. However, this is not the next action the nurse should take. -- 7 A nurse in a provider’s office is performing office a skin assessment on a client who reports concern about lesions on her back. Which of the following images should the nurse identify as having the characteristics of melanoma?