ATI RN
ATI RN Pharmacology 2023 V 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: A
Rationale: The correct answer is A: Check the client's glucose level. Metformin is a medication used to treat diabetes by lowering blood sugar levels, so administering it instead of metoprolol, a beta-blocker, can lead to hypoglycemia. Checking the client's glucose level is crucial to monitor and address any potential hypoglycemia. The other choices (B, C,
D) are not relevant in this situation as they do not address the immediate risk of hypoglycemia associated with administering metformin instead of metoprolol.
Question 2 of 5
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Inject air into the vial to withdraw the short-acting insulin. This step is necessary to prevent creating a vacuum in the vial, which can make it difficult to withdraw the insulin. By injecting air into the vial before withdrawing the short-acting insulin, the nurse ensures smooth and accurate extraction of the medication. Using two separate syringes (choice
A) is unnecessary as long as the nurse follows proper technique. Ensuring NPH insulin is drawn first (choice
B) is not necessary and may lead to errors in dosage. Administering the insulin within 20 minutes (choice
C) is not relevant to the preparation process.
Question 3 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?
Correct Answer: D
Rationale:
Correct Answer: D. Grasp skin between thumb and forefinger throughout the injection.
Rationale: By grasping the skin between thumb and forefinger throughout the injection, the nurse ensures proper technique to create a taut surface for the needle insertion. This helps to minimize bleeding post-injection by reducing the risk of hitting a blood vessel.
Summary of Incorrect
Choices:
A: Aspirating the syringe prior to injecting heparin is not necessary for subcutaneous injections and may increase the risk of tissue trauma.
B: The Z-track method is used for intramuscular injections, not subcutaneous injections like heparin.
C: Massaging the site post-injection can increase the risk of bleeding by dispersing the medication.
Question 4 of 5
A nurse is caring for a client who is to receive a corticosteroid injection. The client states, 'I am not taking that injection today.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "I will inform your provider about your decision." This response is appropriate because it respects the client's autonomy and decision-making capacity. By informing the provider, the nurse ensures that the healthcare team is aware of the client's refusal, enabling further discussion and exploration of alternatives.
Choice A may come off as confrontational and does not respect the client's decision.
Choice B disregards the client's autonomy and can damage the nurse-client relationship.
Choice C acknowledges the client's feelings but does not address the refusal directly.
Question 5 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: A
Rationale: The correct answer is A: "Your urine will turn orange while you are taking this medication." Rifampin is known to cause harmless discoloration of bodily fluids, including urine, sweat, and tears, turning them orange-red. This is important for the client to be aware of to prevent unnecessary concern.
Choice B is incorrect because rifampin is usually taken once or twice a day, not specifically at bedtime.
Choice C is incorrect because wearing soft contact lenses should be avoided while taking rifampin due to the risk of staining the lenses.
Choice D is incorrect because rifampin can reduce the effectiveness of oral contraceptives, making them less reliable.
Therefore, the nurse should emphasize the unique side effect of urine discoloration when taking rifampin to the client.