ATI RN Pharmacology 2023 V | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: The client will wear his reading glasses when drawing up a dose of insulin glargine. This is crucial to ensure accurate dosing and prevent medication errors, especially for older adults who may have visual impairments. Wearing reading glasses can help the client see the markings on the syringe clearly, ensuring they draw up the correct dose.



Choices B, C, and D are incorrect:
B: Taking an additional dose of insulin glargine prior to exercise is not appropriate without proper guidance from a healthcare provider as it can lead to hypoglycemia.
C: Administering insulin glargine before each meal is not correct as insulin glargine is a long-acting insulin and is usually administered once daily at the same time each day.
D: Using the deltoid muscle as an injection site is not recommended for insulin glargine as it is typically injected subcutaneously into the abdomen, thigh, or upper arm for consistent absorption.

Correct Answer: D

Rationale: The correct answer is D. An incident report is needed when there is a deviation from the standard of care that could potentially harm the client. Administering insulin 1 hour before scheduled can lead to hypoglycemia, which is a serious risk.
Choice A is not ideal but does not pose immediate harm.
Choice B is a common side effect of medications.
Choice C, while serious, may be a known condition of the client.

Correct Answer: C

Rationale: The correct answer is C: Taking a high-ceiling diuretic. High-ceiling diuretics, like furosemide, can lead to hypokalemia, which increases the risk of digoxin toxicity. Hypokalemia enhances the toxic effects of digoxin on the heart by increasing its binding and potentiating its action. Additionally, low potassium levels can predispose the client to cardiac dysrhythmias, which are a common manifestation of digoxin toxicity.

Choices A, B, and D do not directly increase the risk of digoxin toxicity. A HMG CoA reductase inhibitor, prolapsed mitral valve, and COPD do not have a direct pharmacological interaction with digoxin that predisposes the client to toxicity.

Correct Answer: A

Rationale: The correct answer is A: "Your urine will turn orange while you are taking this medication." Rifampin is known to cause harmless discoloration of bodily fluids, including urine, sweat, and tears, turning them orange-red. This is important for the client to be aware of to prevent unnecessary concern.


Choice B is incorrect because rifampin is usually taken once or twice a day, not specifically at bedtime.
Choice C is incorrect because wearing soft contact lenses should be avoided while taking rifampin due to the risk of staining the lenses.
Choice D is incorrect because rifampin can reduce the effectiveness of oral contraceptives, making them less reliable.


Therefore, the nurse should emphasize the unique side effect of urine discoloration when taking rifampin to the client.

Correct Answer: C

Rationale: The correct answer is C: Check your heart rate 1 hour after taking the medication. This statement is important as digoxin can affect heart rate, and monitoring it helps assess for potential toxicity. Option A is incorrect because taking a missed dose could lead to overdose. Option B is unrelated to digoxin therapy. Option D is incorrect as visual changes are not an expected side effect of digoxin. It is crucial for nurses to prioritize patient safety by providing accurate and relevant information.