ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is assessing a client prior to administering morphine. Which of the following findings indicates the nurse should withhold the morphine and contact the provider?
Correct Answer: C
Rationale: The correct answer is C: Crackles in the lungs. Crackles indicate potential fluid accumulation in the lungs, which could be a sign of pulmonary edema. Morphine is a respiratory depressant and can worsen respiratory function, leading to respiratory distress in a client with pulmonary edema. Urinary retention (
A) is a common side effect of opioids but does not necessitate withholding morphine. Respiratory rate of 16/min (
B) is within the normal range. Heart rate of 68/min (
D) is also within normal limits.
Question 2 of 5
A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify that which of the following medications prescribed to the client is a contraindication for receiving this vaccine?
Correct Answer: B
Rationale: The correct answer is B: Methotrexate. Methotrexate is an immunosuppressive medication that can weaken the immune system, making the client more susceptible to infections. Shingles vaccine is a live vaccine, and it is contraindicated in individuals taking immunosuppressive medications due to the risk of developing the infection the vaccine is meant to prevent.
Incorrect options:
A: Metformin - Metformin does not interact with the shingles vaccine and is not a contraindication for receiving the vaccine.
C: Estrogen - Estrogen does not interact with the shingles vaccine and is not a contraindication for receiving the vaccine.
D: Esomeprazole - Esomeprazole is a proton pump inhibitor and does not interact with the shingles vaccine and is not a contraindication for receiving the vaccine.
Question 3 of 5
A nurse is caring for a group of clients in a long-term care facility. For which of the following situations should the nurse complete an incident report?
Correct Answer: C
Rationale: The correct answer is C: A client's roommate takes a medication intended for the client. The incident report should be completed in this situation because it involves a medication error that could potentially harm the client. By documenting this incident, the facility can investigate the error, implement corrective actions, and prevent similar errors in the future.
A: A client requesting to take a medication at a different time of day is a routine request and does not require an incident report.
B: A client reporting an unpleasant taste after taking a medication is a common side effect and does not indicate a medication error.
D: A client refusing to take a prescribed medication is a common occurrence and does not necessarily warrant an incident report unless it poses a serious risk to the client's health.
Question 4 of 5
A nurse is planning to administer medications to a client who weighs 198 lb. The prescription reads, 'filgrastim 5 mcg/kg, subcutaneous, daily.' Available is filgrastim 300 mcg/mL. How many mL should the nurse plan to give with each dose?
Correct Answer: A
Rationale:
To calculate the dose of filgrastim, we first need to convert the client's weight from pounds to kilograms. 198 lb is approximately 89.9 kg.
Then, we multiply the weight by the prescribed dose (5 mcg/kg) to get the total dose required, which is 449.5 mcg. Next, we divide the total dose by the concentration of the available filgrastim (300 mcg/mL) to find the volume needed, which is 1.5 mL.
Therefore, the correct answer is A.
Choices B, C, and D are incorrect as they do not match the calculated dose based on the client's weight and the prescribed dosage of filgrastim.
Question 5 of 5
A nurse is caring for a client who has a history of cardiac arrhythmias and is taking verapamil. For which of the following reasons should the nurse consult the pharmacist?
Correct Answer: A
Rationale: The correct answer is A. Consulting the pharmacist to assess the compatibility of verapamil with newly ordered medications is crucial because verapamil is known to have significant drug interactions, especially with other medications that affect heart rhythms. Verapamil is a calcium channel blocker that can potentiate the effects of other antiarrhythmic drugs, leading to serious cardiac complications. By consulting the pharmacist, the nurse can prevent potential drug interactions and ensure the client's safety.
Option B is incorrect because reporting the client's refusal to take verapamil does not require pharmacist consultation but rather involves addressing the client's compliance issues directly. Option C is incorrect because requesting a change in the dosage of verapamil should be discussed with the prescriber, not the pharmacist. Option D is incorrect because verifying the frequency of administration of verapamil can be done by referring to the medication order without pharmacist consultation.