ATI LPN
ATI LPN Pharmacology safety Questions
Extract:
Question 1 of 5
A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale:
Correct
Answer: A. A headache is a common adverse effect of nitroglycerin due to its vasodilatory effects. Over time, the body may develop tolerance to this side effect. It is important for the nurse to educate the client about this common occurrence to alleviate any concerns.
Choice B is incorrect because a headache is not indicative of an allergic reaction to nitroglycerin.
Choice C is incorrect as the headache is likely a direct result of the medication, not anxiety.
Choice D is incorrect as a headache does not indicate tolerance to the medication.
Question 2 of 5
A nurse is reinforcing teaching with a newly licensed nurse regarding sources of medication information. Which of the following resources should the nurse include as reliable references for the nurse to use to evaluate medication information? (Select all that apply.)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. The Physicians' Desk Reference (PDR) is a comprehensive source providing detailed drug information. Published journals undergo rigorous peer review, ensuring credibility. Pharmacists are medication experts and can provide accurate information.
Choice C, pharmaceutical sales representatives, may have biased information.
Choices E, F, G are not provided. In summary, A, B, and D are reliable sources due to their credibility and expertise, while C lacks impartiality and E, F, G are unknown.
Question 3 of 5
A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is to check the client's vital signs (
Choice
D). This is essential to assess any immediate impact of the wrong medication on the client's health and to determine if any urgent interventions are needed. By checking the vital signs, the nurse can quickly identify any signs of distress or complications and initiate appropriate actions to ensure the client's safety.
Notifying the charge nurse (
Choice
A) can come after ensuring the client's immediate well-being. Filling out an incident report (
Choice
B) and documenting the client's condition in the electronic medical record (
Choice
C) are important, but they should follow the assessment of the client's vital signs. These actions help in reporting and documenting the error for quality improvement purposes.
In summary, checking the client's vital signs is the priority as it directly addresses the immediate health impact of the wrong medication, while the other actions are necessary but should follow after ensuring the client's safety.
Question 4 of 5
A nurse is preparing a medication for a client and is converting grams to milligrams. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Move the decimal point 3 places to the right. When converting grams to milligrams, you need to multiply by 1000 because 1 gram is equal to 1000 milligrams. Moving the decimal point 3 places to the right accomplishes this conversion correctly. Moving the decimal point 2 places to the right (choice
A) would result in converting grams to centigrams, not milligrams.
Choices B and D would not result in the correct conversion.
Question 5 of 5
A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg/tablet. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale:
To calculate the number of tablets needed, divide the prescribed dose by the strength of each tablet. In this case, 0.25 mg ÷ 0.125 mg = 2 tablets. Rounding to the nearest whole number, the nurse should administer 2 tablets per dose. This ensures the client receives the correct dosage as prescribed.
Choice A is incorrect because administering only 1 tablet would provide half of the prescribed dosage.
Choice C is incorrect as administering 3 tablets would exceed the prescribed amount.
Choice D is incorrect as administering 4 tablets would also exceed the prescribed dosage.
Therefore, the correct answer is B.