RN ATI Capstone Pharmacology 2 Quiz -Nurselytic

Correct Answer: A

Rationale: Diazepam undergoes enterohepatic recirculation, contributing to its prolonged duration of action.

Correct Answer: A

Rationale: Morphine, an opioid, depresses the respiratory center, and a rate of 10 breaths per minute signals potential overdose, requiring immediate intervention (e.g., naloxone) to reverse life-threatening hypoventilation. Blood pressure and pulse are normal, not urgent. Pain at 4/10 suggests control, not distress. Respiratory depression is morphine's most dangerous effect, especially in acute settings, where even slight drops below 12 bpm demand action. This aligns with opioid pharmacology'mu-receptor agonism slows breathing'making A the priority finding to address swiftly for client safety.

Correct Answer: C

Rationale: When teaching a patient how to use sublingual nitroglycerin tablets, the nurse should include the instruction that if the chest pain is not relieved after one tablet, the patient should call 911 immediately. This is because persistent chest pain could indicate a more serious cardiac event, such as a myocardial infarction, that requires prompt medical attention. It is important for the patient to seek emergency help if the chest pain is not relieved after taking one sublingual nitroglycerin tablet. Taking multiple doses without relief of symptoms can be dangerous and delay appropriate medical intervention.

Correct Answer: D

Rationale: The patient is exhibiting signs of a transfusion reaction, specifically indicating the possibility of a febrile non-hemolytic transfusion reaction. Chills and back pain are common symptoms of this type of reaction. The nurse's priority action in this situation is to discontinue the blood transfusion immediately to prevent further complications and potential harm to the patient. It is crucial to notify the prescriber promptly so that appropriate interventions can be initiated. Observing for other symptoms and slowing the infusion rate are important actions but may not be the priority in this scenario where the patient is experiencing signs of a possible transfusion reaction. It is not appropriate to tell the patient that these symptoms are a normal reaction, as they indicate a potential complication that needs immediate attention.

Correct Answer: A

Rationale: Chronic high-dose caffeine cessation causes withdrawal. Lethargy -reflects reduced adenosine blockade, leading to fatigue. Migraine , nausea , and vomiting (E) may occur, but lethargy is most common. Tinnitus isn't typical. His 20-year habit predicts this CNS depression.