ATI RN
ATI RN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Check the client's glucose level. Metformin is an anti-diabetic medication that can lower blood sugar levels, so checking the client's glucose level is crucial to monitor for hypoglycemia. A: Monitoring thyroid function levels is irrelevant as metoprolol and metformin do not directly impact thyroid function. C: Obtaining the client's HDL level is unrelated to the medication error. D: Collecting the client's uric acid level is not necessary in this situation. Checking the glucose level is the most immediate and appropriate action to ensure the client's safety.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Your urine will turn orange while you are taking this medication. Rifampin is known to cause orange discoloration of bodily fluids, including urine, sweat, and tears. This is a harmless side effect and should be expected.
Choice A is incorrect because rifampin can reduce the effectiveness of oral contraceptives.
Choice B is incorrect as wearing soft contact lenses can lead to discoloration.
Choice C is incorrect as rifampin is usually taken once daily in the morning.
Question 3 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse identifies that the client has developed confusion pitting edema. After slowing the infusion rate, which of the following findings should the nurse assess next?
Correct Answer: A
Rationale: The correct answer is A: Urinary output. When a client on TPN develops confusion and pitting edema, it could indicate fluid overload. Slowing the infusion rate is the initial intervention to prevent further fluid accumulation. Assessing urinary output next is crucial to determine if the kidneys are functioning properly and excreting excess fluids. A decrease in urinary output would suggest renal impairment and the need for further intervention. Blood glucose level (
B) may be important but is not the priority in this case. Weight (
C) is a lagging indicator of fluid status. Heart rate (
D) may be affected by fluid overload, but urinary output is more directly related.
Question 4 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale:
Correct
Answer: B. Ensure that the air bubble remains in the syringe.
Rationale: The presence of an air bubble in the syringe prevents medication leakage and ensures accurate dosing. It acts as a cushion, preventing the medication from leaking out before administration. Removing the air bubble may lead to medication wastage or incorrect dosing, impacting the effectiveness of the treatment.
Summary of other choices:
A: Injecting into the lateral thigh is not appropriate for enoxaparin, as it is typically injected into the abdomen.
C: Releasing the skin fold before injecting ensures proper insertion and absorption of the medication.
D: Rubbing the site after injection can cause bruising and discomfort, which is not recommended.
Question 5 of 5
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day?
Correct Answer: A
Rationale:
To calculate the dose of filgrastim for the client weighing 143 lb, first convert the weight to kg (143 lb ÷ 2.2 = 65 kg).
Then, multiply the weight in kg by the dose (5 mcg/kg/day) to get the total dose per day (65 kg x 5 mcg/kg/day = 325 mcg/day).
Therefore, the nurse should administer 325 mcg per day. The correct answer is A (324) as it is the closest value to the calculated dose of 325 mcg/day. Other choices are incorrect as they do not align with the correct calculation.