ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B: Breath sounds. The nurse should assess breath sounds first after administering naloxone to a client experiencing opioid toxicity because naloxone can cause sudden opioid withdrawal, leading to respiratory depression or potentially respiratory arrest. Monitoring breath sounds allows the nurse to quickly identify any signs of respiratory distress and intervene promptly. Assessing pain level (
A), heart rate (
C), or blood pressure (
D) is important but assessing breath sounds takes precedence in this situation to ensure the client's airway is clear and respiratory status is stable.
Question 2 of 5
A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that the ondansetron is effective?
Correct Answer: C
Rationale: The correct answer is C: Decreased nausea. Ondansetron is an antiemetic medication commonly used to treat nausea and vomiting.
Therefore, a decrease in nausea indicates that the ondansetron is effective in managing the client's symptoms. Peripheral neuropathy (
A), dizziness (
B), and increased urinary output (
D) are not directly related to the expected therapeutic effect of ondansetron. Peripheral neuropathy and dizziness are not common side effects of ondansetron, and increased urinary output is not a typical indicator of its effectiveness in treating nausea.
Question 3 of 5
A nurse is teaching a client who has a new prescription for nitroglycerin sublingual tablets for treating angina. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Place the tablet under the tongue until dissolved. Nitroglycerin sublingual tablets are meant to be taken sublingually for rapid absorption. Placing the tablet under the tongue allows it to be absorbed directly into the bloodstream, providing quick relief for angina symptoms. Storing the tablets in a refrigerator (choice
A) is incorrect as nitroglycerin should be stored in a cool, dark place away from moisture. Calling 911 if pain persists after 30 minutes (choice
C) is incorrect as the client should call 911 immediately if chest pain is not relieved after taking one tablet. Taking a tablet every 10 minutes until pain subsides (choice
D) is incorrect as the client should take one tablet and wait for 5 minutes before taking another if the pain persists.
Question 4 of 5
A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?
Correct Answer: C
Rationale: The correct answer is C: Pruritus. Pruritus is a common symptom of an allergic reaction, indicating the body's immune response to the medication. Slurred speech (
A) and tremor (
B) are more likely related to neurological side effects. Hematuria (
D) is indicative of a kidney issue, not typically associated with an allergic reaction to cefaclor.
Question 5 of 5
A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the medication into the anterolateral or posterolateral abdominal area. Enoxaparin is a low molecular weight heparin that is typically administered subcutaneously into these areas to prevent bruising, pain, and injury to underlying structures. This is because these areas have a thicker layer of adipose tissue, which helps to prevent accidental intramuscular injection, and also ensures proper absorption of the medication.
Explanation of Why Other
Choices are Incorrect:
A: Massaging the injection site after administering the medication is not recommended as it can lead to bruising or discomfort.
B: Expelling the air bubble from the syringe is generally not necessary for prefilled syringes as they are designed to have the correct dosage without air bubbles.
D: Holding the skin taut at the injection site is not necessary for subcutaneous injections and may cause unnecessary discomfort to the client.