ATI RN
Quizlet Pharmacology ATI Questions
Question 1 of 5
A child was brought to the emergency room complaining of right upper quadrant abdominal pain, nausea, and vomiting. Upon the interview of the nurse to the mother, the client has been taking a long-
Correct Answer: D
Rationale: The symptoms described in the scenario, along with the patient's history of taking valproic acid, suggest a potential case of valproic acid toxicity. Acetylcysteine is the antidote for valproic acid overdose and should be readily available for treatment in case of toxicity. Acetylcysteine works by replenishing depleted glutathione levels caused by valproic acid toxicity. It helps to prevent further liver damage and can improve outcomes in cases of overdose. Administering acetylcysteine in a timely manner can be crucial in managing valproic acid toxicity.
Question 2 of 5
What medication, if ordered for an 8-year-old patient, should the nurse question? (Select all that apply.)
Correct Answer: A
Rationale: Amiodarone, labetalol, and carvedilol are not indicated for pediatric use and do not have established pediatric dosages. Phentolamine and prazosin have established pediatric dosages and would not need to be questioned. The nurse should always verify the appropriateness of medications for pediatric patients, as their pharmacokinetics and pharmacodynamics differ from adults.
Question 3 of 5
How can central venous access devices (CVADs) be of value in a patient receiving chemotherapy who has stomatitis and severe diarrhea?
Correct Answer: D
Rationale: Central venous access devices (CVADs) can be of value in a patient receiving chemotherapy who has stomatitis and severe diarrhea by allowing concentrated hyperalimentation fluid to be administered through the CVAD. Stomatitis and severe diarrhea can significantly affect oral intake and absorption of nutrients, leading to malnutrition and dehydration. By administering concentrated hyperalimentation fluid through a CVAD, the patient can receive the necessary nutrition and hydration directly into the bloodstream, bypassing the gastrointestinal tract. This can help maintain the patient's nutritional status and manage dehydration effectively during chemotherapy treatment.
Question 4 of 5
The patient is being discharged home with furosemide (Lasix). When providing discharge teaching, which instruction will the nurse include?
Correct Answer: D
Rationale: It is important for the nurse to include instructions for monitoring weight as a part of discharge teaching for a patient receiving furosemide (Lasix) because this medication is a diuretic that helps the body get rid of extra water and salt. Monitoring weight can provide important information about fluid status. A weight gain of more than 1 lb in a day or 2-3 lbs in a week should be reported to the healthcare provider as it may indicate fluid retention or worsening heart failure. This can help prevent complications and ensure appropriate management of the patient's condition.
Question 5 of 5
A female patient needs a whole blood transfusion. In order for transfusion services (the blood bank) to prepare the correct product a sample of the patient's blood must be obtained for:
Correct Answer: B
Rationale: A blood type and crossmatch are essential before a whole blood transfusion to ensure compatibility between the donor and recipient. This process involves determining the patient's blood type (ABO and Rh) and testing for antibodies that could cause a transfusion reaction. A complete blood count and differential are not required for transfusion preparation. Blood culture and sensitivity are used to diagnose infections, not for transfusion compatibility. Therefore, blood type and crossmatch are the correct steps.