QUESTIONS AND ANSWERS

QUESTIONS AND ANSWERS

EXAM

ATI NCLEX RATIONALES

TESTED AND CONFIRMED A+ ANSWERS

• A nurse is caring for a client who has a new prescription for alosetron. What are the

expected therapeutic effects of this medication?

Alosetron MoA/Use: selective blockade of serotonin receptors, which innervate the viscera and result in increased firmness in stool and decrease in urgency/frequency of defecation. This med is approved only for female clients who have severe IBS-D that has lasted more than 6 months and has been resistant to conventional management.

• An oncology client is prescribed filgrastim. What are the indications for this therapy?

Filgrastim (Neupogen) Indications: Prevention of febrile neutropenia, reduction of time for neutrophil recovery and duration of fever in patients undergoing chemotherapy, mobilization of hematopoietic progenitor plantation, management of chronic severe neutropenia

• A critical care client is in need of adenosine. What is the indication of this medication

and how is this medication administered?

Adenosine (Adenocard) Indications: paroxysmal supraventricular tarchycardia

Administer via IV bolus, flushed with saline after administration.

• The client has been ordered ranitidine. List three (3) teaching points to discuss with the

client prior to the first administration.

Ranitidine Pt. Teaching: Take medication as directed for the full course of the therapy, take missed doses as soon as remembered but not if almost time for next dose, do not double doses.

• A client with an upper respiratory infection is prescribed guaifenesin. Identify two (2)

teaching points to discuss with the client prior to administering this medication.

Guaifenesin Pt. Teaching: Do not crush, report cough longer than 1 week, increase fluid intake

• The client with Klebsiella in the urine is ordered the medication ciprofloxacin. Identify

three (3) complications associated with this medication the client can develop with administration of this medication.

Ciprofloxacin SE: GI discomfort (Nausea, vomiting, diarrhea), Achilles tendon rupture, suprainfection (thrush, vaginal yeast infection), phototoxicity (severe sunburn)

• A nurse is caring for a client following an infratentorial craniotomy. How should the

nurse position this client in the immediate post-operative period?

Supine on their side. Turn Q2H for 24-48H.

• A nurse is caring for a client following a bone marrow biopsy. What information should

the nurse include in the discharge education?

Report excess bleeding, signs of infection, check site daily, apply ice to site to prevent bleeding, avoid aspirin, return in 7-10 days to remove sutures.

• What are three (3) risk factors for testicular cancer? List three (3) subjective and

objective findings in the client with testicular cancer?

Risk Factors: HIV infection, undescended testes, genetic disposition, metastasis of another cancer, and age 20-54.

Subjective: feeling of heaviness in the testicles, lump in the testes, painless testes

Objective: change in bowel/bladder habits, change in warts/moles, unusual

bleeding/discharge

• A nurse is providing education regarding risk factors for gout. What information should

be provided?

Gout Risk Factors: cardiovascular disease, alcohol substance disorder, diuretic use, obesity, chemotherapy agents, chronic kidney failure, trauma, starvation dieting

• A nurse is caring for a client with chronic gastritis. Provide three (3) dietary

recommendations the nurse should include in client education?

Frequent meals, avoiding coffee, alcohol, or foods causing GI irritation. Chew slowly.

• A nurse is caring for a client who has been admitted with renal calculi. List three (3)

interventions the nurse will take in the management of renal calculi.

Report labs/diagnostics to HCP, provide pre-operative and post-operative care per indications, monitor pain/I&Os/urinary pH When a client has renal calculi, the nurse will need to strain the urine for the passage of the stone. This should be the first intervention to occur.If you need a professional to complete your college homework at a small fee, then reach out to amazingclasshelp.com