ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse that the treatment has been effective?
Correct Answer: B
Rationale: Atropine increases heart rate by blocking vagal effects, so a heart rate of 90/min indicates reversal of bradycardia caused by muscarinic agonists.
Question 2 of 5
What actions should the nurse take?
Correct Answer: C,D,E
Rationale: C: Thiazide diuretics like hydrochlorothiazide can cause orthostatic hypotension, which may contribute to the client's symptoms of dizziness and light-headedness upon standing. Advising the client to change positions slowly can help mitigate these symptoms by allowing the body time to adjust to changes in posture and blood pressure. D: Thiazide diuretics can alter electrolyte levels, including potassium, which is critical for normal cardiac function. Ongoing monitoring for potential dysrhythmias is prudent due to the electrolyte-altering effects of hydrochlorothiazide. E: Given the client's report of dizziness and light-headedness upon standing, checking for orthostatic hypotension is important. Assessing blood pressure and symptoms in supine and standing positions will help evaluate for orthostatic changes.
Question 3 of 5
A nurse is caring for a client who was prescribed phenytoin. Which of the following adverse effects of this medication should the nurse report to the provider?
Correct Answer: C
Rationale: Ataxia can impair safety and daily activities, requiring provider evaluation and possible dosage adjustment.
Question 4 of 5
A nurse is teaching a client who has rheumatoid arthritis about a new prescription for infliximab. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Infliximab increases infection risk due to immune suppression, a key point for client education.
Question 5 of 5
A nurse is preparing to apply a fentanyl transdermal patch. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Pressing the patch firmly ensures secure adhesion and consistent drug delivery.