ATI RN Pharmacology 2023 IV | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Hypotension. Fentanyl, a potent opioid, can cause hypotension as an adverse effect due to its central nervous system depressant effects, leading to a decrease in blood pressure. Tachycardia (
A) is less common with fentanyl, insomnia (
B) is not a typical side effect, and diarrhea (
D) is also less likely. It is crucial for the nurse to monitor for signs of hypotension when a client is on a fentanyl patch to prevent complications.

Correct Answer: D

Rationale: The correct answer is D: Can you describe what your pain feels like? This question is crucial in determining the quality of pain, as it helps the nurse understand the characteristics of the pain (e.g., sharp, dull, burning). Understanding the quality of pain can provide valuable information for the nurse to identify potential causes and tailor appropriate pain management strategies.


Choice A is incorrect because pointing to the area of severe pain indicates location, not quality.
Choice B focuses on the timing of pain escalation, not quality.
Choice C assesses pain intensity on a numerical scale, not quality.

In summary, asking the adolescent to describe the pain sensation (choice
D) helps the nurse gain insights into the nature of the pain, which is essential for effective pain management.

Correct Answer: D

Rationale: The correct answer is D: "You will need liver function tests before beginning therapy." This is important because lovastatin, as a statin medication, can potentially cause liver damage. Liver function tests are necessary to monitor any adverse effects. Option A is incorrect because there is no need to avoid dairy products with lovastatin. Option B is incorrect as extended-release medications should not be crushed. Option C is incorrect as the timing of the medication is not specified.

Correct Answer: B

Rationale: The correct answer is B: Monitor the client's weight daily. Monitoring the client's weight daily is essential when administering TPN to assess fluid balance and nutritional status. Weight changes can indicate fluid retention or loss, helping to adjust the TPN solution accordingly. Hanging the TPN to gravity (
A) is incorrect as TPN should be administered using an infusion pump to control the rate accurately. Titrating TPN to blood pressure (
C) is incorrect as TPN is not adjusted based on blood pressure but rather individual nutritional needs. Obtaining the client's blood glucose level weekly (
D) is important but not as crucial as monitoring weight daily to ensure adequate TPN therapy.

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.