ATI RN
RN VATI Pharmacology S 2019 Questions
Question 1 of 5
A nurse is caring for a client who is receiving meperidine. Which of the following is the nurse's priority assessment before administering the medication?
Correct Answer: C
Rationale: The correct answer is C: Respiratory rate. Meperidine is an opioid analgesic that can cause respiratory depression.
Therefore, assessing the client's respiratory rate before administering the medication is crucial to prevent potential respiratory compromise. This assessment helps the nurse ensure the client can safely tolerate the medication and intervene promptly if respiratory depression occurs.
Urinary retention (choice
A) is a potential side effect of meperidine but is not the priority assessment compared to respiratory rate. Vomiting (choice
B) may be a concern in terms of medication absorption but does not directly relate to the risk of respiratory depression. Level of consciousness (choice
D) is important but may be influenced by respiratory status, making respiratory rate the priority assessment.
Question 2 of 5
A nurse is caring for a client who has a new prescription for metformin. Which of the following laboratory results should the nurse evaluate prior to administering the first dose?
Correct Answer: B
Rationale: The correct answer is B: Creatinine level. Metformin is excreted by the kidneys, so assessing the client's creatinine level is crucial to determine kidney function. Elevated creatinine levels may indicate impaired renal function and increase the risk of metformin accumulation, leading to potential toxicity. Evaluating potassium levels (choice
A) is important for other medications but not specifically for metformin. Platelet count (choice
C) and liver enzymes (choice
D) are not directly related to metformin administration.
Question 3 of 5
A nurse is providing teaching for a client who has a new prescription for rifampin. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "This medication can cause your urine to turn orange." Rifampin is known to cause harmless discoloration of bodily fluids like urine, sweat, and tears to an orange-red color. This information is important for the client to be aware of to prevent unnecessary worry.
Choice B is incorrect because rifampin is typically taken on an empty stomach.
Choice C is incorrect as insomnia is not a common side effect of rifampin.
Choice D is incorrect since rifampin does not typically require a stool softener.
Question 4 of 5
A nurse accidently removes celecoxib from an automated medication dispensing system (AMDS) instead of citalopram and almost administers the wrong medication to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Report the incident to the nurse manager. This is the appropriate action to take because it ensures that the near-miss error is documented and investigated to prevent future occurrences. Reporting to the nurse manager allows for appropriate follow-up, analysis, and possible system improvements to prevent similar errors.
Choice B is incorrect because documenting that the pharmacy sent the incorrect medication does not address the root cause of the error, which is the nurse's actions.
Choice C is incorrect because contacting the provider to change the prescription is not necessary in this scenario as the error was caught before administration.
Choice D is incorrect because placing the unwrapped celecoxib back into the AMDS poses a risk of it being mistakenly administered in the future.
Overall, choice A is the most appropriate as it prioritizes patient safety and quality improvement.
Question 5 of 5
A nurse discovers that a client has been administered a higher dose of oxybutynin than the prescription indicates. The nurse should assess the client for which of the following adverse effects?
Correct Answer: D
Rationale: Rationale for Correct Answer (D - Bradycardia): Excess oxybutynin can lead to anticholinergic effects, including decreased heart rate (bradycardia). This is due to the drug's action on muscarinic receptors in the heart. Assessing for bradycardia is crucial as it can indicate toxicity.
Summary of Incorrect
Choices:
A: Increased salivation - Oxybutynin is an anticholinergic drug that typically causes dry mouth, not increased salivation.
B: Hyperthermia - Oxybutynin toxicity does not commonly lead to hyperthermia.
C: Urinary incontinence - Oxybutynin is used to treat urinary incontinence, so excess dose would not cause this adverse effect.
E, F, G: No further choices provided.