ATI RN
Quizlet ATI Pharmacology Final Questions
Question 1 of 5
A patient is prescribed daptomycin. Which action(s) should the nurse implement? (Select all that apply.)
Correct Answer: A
Rationale: Daptomycin is a lipopeptide antibiotic used to treat serious Gram-positive infections. Monitoring blood values, particularly creatine phosphokinase (CPK), is essential to detect muscle toxicity, which can lead to rhabdomyolysis. Daptomycin should be diluted in normal saline and administered over 30 minutes to ensure proper absorption and minimize adverse effects. Allergic reactions, though rare, should be monitored. Taking daptomycin on an empty stomach is not required, and gastrointestinal distress should be managed rather than ignored. Culturing the infected area before administration ensures the infection is susceptible to daptomycin.
Question 2 of 5
Which is not one of the rights of medication administration?
Correct Answer: C
Rationale: The five rights of medication administration are: the right patient, the right drug, the right dose, the right route, and the right time. These are essential principles to ensure safe and effective medication administration. The attitude of the healthcare provider is important for delivering care, but it is not included as one of the fundamental rights of medication administration. It is important for healthcare providers to approach medication administration with professionalism, compassion, and attentiveness, but it is not considered one of the primary rights in the context of medication administration protocols.
Question 3 of 5
A 42-year-old female who is obese and with a history of gallstones and cholecystitis complains of superficial skin swelling and itching. Physical examination by the primary care physician reveals skin erythema, tenderness, and swelling consistent with cellulitis. The patient is given a prescription for erythromycin. Which of the following effects must the treating physician be keenly aware of?
Correct Answer: A
Rationale: Erythromycin for cellulitis risks cholestatic jaundice , especially in patients with gallstone history. Abdominal discomfort , nausea , and vomiting (E) are common but less severe. Tinnitus is rare. Jaundice, from hepatic dysfunction, requires monitoring given her biliary background.
Question 4 of 5
A client who is receiving edrophonium chloride suddenly is complaining of abdominal cramps and the nurse observes the client is experiencing increased perspiration and salivation. The nurse makes sure the availability of which of the following?
Correct Answer: C
Rationale: The symptoms of abdominal cramps, increased perspiration, and salivation suggest cholinergic excess, which can occur with edrophonium chloride. Atropine sulfate is the antidote for cholinergic toxicity and should be readily available to counteract these effects. Levodopa, methylphenidate, and carbamazepine are not used to treat cholinergic excess. Therefore, atropine is the correct medication to have on hand.
Question 5 of 5
What is the theraputic classification of Atropine?
Correct Answer: C
Rationale: Atropine belongs to the therapeutic class of antiarrhythmics. It is commonly used to treat and prevent certain types of abnormal heart rhythms, including bradycardia (slow heart rate) and heart block. Atropine works by blocking acetylcholine receptors in the heart, leading to an increase in heart rate and improved conduction of electrical impulses in the heart. This helps to restore normal heart rhythm and improve cardiac function in patients with specific arrhythmias.