ATI RN
ATI Pharmacology Questions
Question 1 of 5
A client in the emergency department has Benzodiazepine toxicity due to an overdose. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: In a situation where a client presents with Benzodiazepine toxicity, the priority action for the nurse is to assess the client. By identifying the client's level of orientation, the nurse can gather crucial information about the client's mental status, which is essential for determining the appropriate care and interventions needed. Administering flumazenil, infusing IV fluids, or preparing for gastric lavage may be necessary interventions but should follow a thorough assessment of the client's condition.
Question 2 of 5
When teaching a client with schizophrenia strategies to cope with anticholinergic effects of Fluphenazine, which of the following should the nurse suggest to minimize anticholinergic effects?
Correct Answer: B
Rationale: In teaching a client with schizophrenia strategies to cope with anticholinergic effects of Fluphenazine, suggesting to chew sugarless gum to moisten the mouth is the most appropriate option. This is because anticholinergic medications like Fluphenazine can cause dry mouth, and chewing gum can help stimulate saliva production, alleviating dryness. Option A is incorrect because taking the medication in the morning will not specifically address anticholinergic effects but rather insomnia. Option C is incorrect as using cooling measures to decrease fever is not relevant to managing anticholinergic effects. Option D is also incorrect as taking an antacid to relieve nausea does not target the anticholinergic effects of Fluphenazine. Educationally, it is important for nurses and healthcare providers to teach clients about potential side effects of medications and provide practical strategies to manage these effects to enhance medication adherence and overall well-being. Understanding the specific side effects of anticholinergic medications and appropriate self-care measures can empower clients to better manage their health.
Question 3 of 5
A healthcare provider is educating an adolescent client who has a new prescription for Clomipramine for OCD. Which of the following instructions should the healthcare provider include to minimize an adverse effect of this medication?
Correct Answer: A
Rationale: To minimize the anticholinergic effect of Clomipramine, the client should wear sunglasses when outdoors to reduce photophobia. This adverse effect is common with tricyclic antidepressant (TCA) use. Checking temperature daily, timing of medication intake, or adding extra calories to the diet are not directly related to minimizing adverse effects of Clomipramine.
Question 4 of 5
A nurse is teaching a female client who has tobacco use disorder about Nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: A
Rationale: Rationale: The correct answer is option A) "I should avoid eating right before I chew a piece of nicotine gum." This statement indicates an understanding of the proper administration of nicotine gum. Nicotine gum should be chewed slowly until a tingling sensation is felt, then parked between the cheek and gum until the tingling stops, and then chewed again. Eating right before chewing the gum can interfere with its absorption. Option B) "I will need to stop using the nicotine gum after 1 year" is incorrect because the duration of nicotine replacement therapy can vary based on individual needs and should be determined in consultation with a healthcare provider. Option C) "I know that nicotine gum is a safe alternative to smoking if I become pregnant" is incorrect as nicotine replacement therapy should be used during pregnancy only under the guidance of a healthcare provider due to potential risks to the fetus. Option D) "I must chew the nicotine gum quickly for about 15 minutes" is incorrect as nicotine gum should be chewed slowly to allow for proper absorption of nicotine through the oral mucosa. Educationally, understanding the proper administration of nicotine replacement therapy is crucial for clients with tobacco use disorder to effectively manage nicotine withdrawal symptoms and increase the chances of successful smoking cessation. It is essential for nurses to provide accurate information and clear instructions to support clients in making informed decisions about their health.
Question 5 of 5
When teaching a client with a new prescription for Timolol how to insert eye drops, which instruction should the nurse include?
Correct Answer: C
Rationale: In teaching a client how to insert eye drops of Timolol, the nurse should include the instruction to drop the prescribed amount of medication into the center of the conjunctival sac (Option C) because this method allows for proper absorption of the medication and minimizes systemic effects. Placing the drops directly on the cornea (Option B) can cause discomfort and potential corneal damage. Pressing a finger on the inside corner of the eye (Option A) is a technique used to prevent systemic absorption in systemic medications, not for ophthalmic drops. Wiping the eyes with a tissue immediately after application (Option D) can remove the medication before it has a chance to be absorbed. Educationally, it is important to understand the anatomy and physiology of the eye to ensure proper administration of eye drops. Teaching correct techniques not only ensures the effectiveness of the medication but also prevents potential harm to the eye. Understanding the rationale behind each instruction helps the client to adhere to the prescribed regimen and achieve optimal therapeutic outcomes.