ATI RN
ATI Pharmacology N211 Delia Exam Questions
Question 1 of 5
A nurse is assessing a client who has a peripheral IV with a continuous infusion. Which of the following findings is a manifestation of phlebitis? (Select all that apply)
Correct Answer: B,C,D,E
Rationale: The correct manifestations of phlebitis are warmth at insertion site (
B), streak formation (
C), throbbing (
D), and erythema (E). Warmth indicates inflammation, streak formation suggests infection spreading along the vein, throbbing is a sign of increased blood flow due to inflammation, and erythema is redness caused by inflammation. A damp dressing (
A) is not specific to phlebitis.
Choices F and G are not relevant. In summary, the correct manifestations indicate inflammation, infection, increased blood flow, and redness at the IV site, while the incorrect choices do not align with typical phlebitis symptoms.
Question 2 of 5
A nurse is providing discharge teaching for a client who has multiple medication prescriptions and must take the medications at specific intervals when at home. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Let's work together to devise a time schedule that is convenient for you on a daily basis. This answer is correct because it involves collaboration with the client to create a personalized medication schedule that fits their daily routine. This approach promotes client autonomy and adherence to medication regimens.
Option A is incorrect because it suggests that timing is not important, which is not true for medications that require specific intervals. Option C is incorrect as it imposes a rigid schedule without considering the client's needs. Option D is incorrect as it jumps to the conclusion of switching schedules without exploring the client's preferences first.
Question 3 of 5
A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: A
Rationale: The correct answer is A: 75 mL/hr.
To calculate the infusion rate, divide the total volume (1800 mL) by the total time (24 hr): 1800 mL / 24 hr = 75 mL/hr. This ensures a consistent and safe infusion rate for the TPN. Other choices are incorrect as they do not provide the accurate calculation based on the volume and time specified in the question. Option B-G are not applicable as the correct answer has already been determined.
Question 4 of 5
A nurse is preparing to teach a client about his prescription of lithium for the treatment of bipolar disorder. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: You will need your blood levels drawn weekly during the first month. This is crucial because lithium has a narrow therapeutic index, meaning that blood levels need to be closely monitored to ensure efficacy and prevent toxicity. Regular monitoring helps adjust the dosage to maintain the therapeutic range. Option A is incorrect because lithium is usually taken with food to minimize gastrointestinal side effects. Option B is incorrect as stopping lithium abruptly can lead to a relapse of bipolar symptoms. Option C is incorrect as there is no specific requirement for a low-salt diet with lithium.
Question 5 of 5
A nurse in a mental health clinic is caring for a client who has bipolar disorder and a prescription for an antipsychotic medication. The provider and nursing staff suspect the client is not adhering to his medication therapy. Which of the following interventions should the staff use to encourage the client's adherence? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct interventions to encourage the client's adherence are using sustained-release forms, providing once-daily dosing, and performing mouth checks following medication administration. Sustained-release forms help maintain consistent blood levels, reducing the need for frequent dosing, thus improving adherence. Once-daily dosing simplifies the medication regimen, making it easier for the client to remember and follow. Performing mouth checks helps ensure the client is actually taking the medication. Rotating staff may disrupt rapport and consistency, affecting trust. Engaging in conversation may not directly impact adherence. Thus, choices A and B are incorrect.