A dopamine infusion was started in a patient's antecubital vein during resuscitation for profound hypotension, but the electronic infusion device is now sounding an alert for an occlusion. What is the most important immediate concern for the nurse?

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2023 Pharmacology ATI Questions

Question 1 of 5

A dopamine infusion was started in a patient's antecubital vein during resuscitation for profound hypotension, but the electronic infusion device is now sounding an alert for an occlusion. What is the most important immediate concern for the nurse?

Correct Answer: B

Rationale: Dopamine is a vasopressor used to treat hypotension by increasing cardiac output and systemic vascular resistance. An interruption in the infusion can lead to a sudden drop in blood pressure, which is life-threatening in a patient already experiencing profound hypotension. The nurse's immediate concern should be to ensure the infusion is restarted promptly. While infiltration and extravasation (A) are concerns, they are secondary to maintaining the infusion. Reporting the device (C) is not the priority, and hypertension (D) is unlikely due to an occlusion alarm.

Question 2 of 5

Liquid preparation of vegetable drugs prepared by percolation and contains alcohol

Correct Answer: B

Rationale: In this context, a liquid preparation of vegetable drugs prepared by percolation and containing alcohol is known as a fluid extract. Fluid extracts are concentrated herbal extracts that are typically made by percolating a solvent, such as alcohol, through the plant material to extract its active constituents. This process results in a liquid extract that contains the medicinal properties of the plant. Fluid extracts are commonly used in herbal medicine due to their potency and ability to preserve the therapeutic compounds of the plant.

Question 3 of 5

A dopamine infusion was started in a patient's antecubital vein during resuscitation for profound hypotension, but the electronic infusion device is now sounding an alert for an occlusion. What is the most important immediate concern for the nurse?

Correct Answer: B

Rationale: Dopamine is a vasopressor used to treat hypotension by increasing cardiac output and systemic vascular resistance. An interruption in the infusion can lead to a sudden drop in blood pressure, which is life-threatening in a patient already experiencing profound hypotension. The nurse's immediate concern should be to ensure the infusion is restarted promptly. While infiltration and extravasation (A) are concerns, they are secondary to maintaining the infusion. Reporting the device (C) is not the priority, and hypertension (D) is unlikely due to an occlusion alarm.

Question 4 of 5

A patient is taking infliximab and asks the nurse what side effects/adverse reactions to expect from this drug. The nurse lists which side effects? (Select all that apply.)

Correct Answer: D

Rationale: Infliximab is a biologic medication used to treat autoimmune conditions like rheumatoid arthritis and Crohn's disease. Common side effects include fatigue and headache, which are generally mild but can affect the patient's quality of life. Chest pain is a less common but serious side effect that may indicate cardiovascular complications or infusion reactions. Nausea is not typically associated with infliximab. Nurses should educate patients about these potential side effects and advise them to report any severe or persistent symptoms, such as chest pain, immediately.

Question 5 of 5

What patient could potentially take the drug Senna?

Correct Answer: B

Rationale: Senna is a stimulant laxative commonly used to treat constipation. It works by irritating the lining of the intestines, thereby promoting bowel movements. Patients who have not passed stool in several days may benefit from taking Senna to help relieve constipation and promote regular bowel movements. Patients with conditions such as eating disorders, anal fissures, or hemorrhoids may also benefit from stool softeners or other laxatives, but Senna specifically targets constipation due to its stimulant properties. It is essential to consult with a healthcare provider before starting any laxative therapy to determine the appropriate treatment plan for each individual.

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