ATI RN Pharmacology 2019 I | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Administer the medication through clothing if necessary. This instruction is important because during an emergency situation when administering epinephrine, it may not be practical to expose the skin for an injection. By allowing the medication to be administered through clothing if necessary, the client can receive the life-saving medication quickly and effectively. Avoiding massaging the site after injection (choice
A) is not relevant to the correct use of an epinephrine auto-injector. Injecting the medication into the abdomen (choice
B) is not recommended as the standard site for administration is the thigh. Aspirating prior to administration (choice
D) is unnecessary for an epinephrine auto-injector.

Correct Answer: C

Rationale: The correct answer is C: Bradycardia. Methimazole is used to treat hyperthyroidism in patients with Graves' disease. One of the side effects of methimazole is bradycardia, which is a slower than normal heart rate. If the client is experiencing bradycardia, it indicates that the dose of methimazole may be too high and needs to be decreased to prevent further complications. Exophthalmos, diaphoresis, and weight loss are common symptoms of hyperthyroidism and would not necessarily indicate a need for a lower dose of methimazole.

Correct Answer: A

Rationale: The correct answer is A: "I will limit potassium-rich foods in my diet." This is the correct statement because spironolactone is a potassium-sparing diuretic, so limiting potassium-rich foods helps prevent hyperkalemia.
Choice B is incorrect because spironolactone should be taken with food to enhance absorption and reduce stomach upset.
Choice C is incorrect because salt substitutes often contain potassium, which can counteract the medication's effects.
Choice D is incorrect because doubling up on medication can lead to overdose and adverse effects.

Correct Answer: B

Rationale: The correct answer is B: Wheezing. Anaphylaxis is a severe allergic reaction that can occur with penicillin IV. Wheezing is a common symptom of anaphylaxis due to bronchospasm, which can lead to respiratory distress. This finding should be reported promptly to the provider for immediate intervention to prevent further complications. The other choices are incorrect because:
A) Hypertonia is not a typical manifestation of anaphylaxis,
B) Urinary retention is not directly related to anaphylaxis, and
D) Increased blood pressure is not a common sign of anaphylaxis, as it usually causes hypotension.

Correct Answer: C

Rationale: The correct action for the nurse to take first is to assess the client for adverse reactions (
Choice
C). This is crucial because the nurse needs to ensure the client's safety and well-being after missing the medication dose. By assessing the client for any potential adverse reactions promptly, the nurse can address any immediate concerns and take necessary actions to mitigate any negative effects. This step prioritizes the client's health and safety.

Other choices are not the first priority in this situation:
A: Filing an incident report (
Choice
A) can be done later after ensuring the client's immediate safety.
B: Determining factors that led to the omission (
Choice
B) is important for preventing future errors but is not the first step when a client's health may be at risk.
D: Reporting the missed dosage to the client's provider (
Choice
D) is important but should come after assessing the client's current condition.