ATI RN
ATI RN Pharmacology 2023 Retake 2 Questions
Question 1 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: B
Rationale: The correct answer is B: Blurred vision. Carbamazepine, an antiepileptic medication, can cause ocular side effects, such as blurred vision, diplopia, and nystagmus. The nurse should instruct the client to monitor for changes in vision and report any visual disturbances immediately to prevent potential complications. Insomnia (choice
A) is not a common adverse effect of carbamazepine. Tachypnea (choice
C) refers to rapid breathing and is not typically associated with this medication. Metallic taste (choice
D) is not a common side effect of carbamazepine.
Question 2 of 5
A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should identify that which of the following is the priority finding?
Correct Answer: A
Rationale: The correct answer is A. Respirations deep at a rate of 10/min is the priority finding because it indicates respiratory depression, a serious side effect of morphine. This can lead to hypoxia and respiratory arrest. Monitoring respiratory status is crucial to prevent adverse outcomes. Urinary output, vomiting, and blood pressure are important but do not pose immediate life-threatening risks like respiratory depression. Prioritizing the assessment of respiratory status ensures prompt intervention to prevent respiratory compromise.
Question 3 of 5
A nurse is reviewing a client's medication administration record and finds digoxin was administered to the client with a heart rate of 58/min. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Examine the client's vital signs and condition. The nurse should first assess the client's current status to determine if any adverse effects of digoxin, such as bradycardia, are occurring. This step is crucial for immediate intervention if necessary.
A: Notifying the nurse manager can be done later after assessing the client.
B: Filing an incident report is important but not the first priority when the client's safety is at risk.
C: Notifying the provider can be done after assessing the client's condition.
In summary, assessing the client's vital signs and condition is the priority to ensure the client's safety and well-being.
Question 4 of 5
A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client's oxygen saturation. This is important because diazepam can cause respiratory depression, leading to decreased oxygen saturation. By monitoring oxygen saturation, the nurse can quickly identify any adverse reactions related to respiratory function. Option A is incorrect because diazepam does not typically cause seizure activity. Option B is not directly related to assessing for adverse reactions to diazepam. Option D is not relevant to monitoring for adverse reactions to sedation. Overall, monitoring oxygen saturation is the most appropriate action to assess for adverse reactions to diazepam in this scenario.
Question 5 of 5
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Administer epinephrine IM. In an anaphylactic reaction, epinephrine is the drug of choice due to its rapid onset and vasoconstrictive effects which help reverse the symptoms. IM route ensures quick absorption. Giving diphenhydramine (
A) may be helpful for mild allergic reactions but is not as effective for anaphylaxis. Elevating legs (
B) is not a priority and may worsen the client's condition. Replacing IV fluid (
C) is not the immediate action needed.