ATI RN
ATI RN Pharmacology 2023 Retake 2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Elevate the extremity. Elevation helps to reduce swelling and minimize further fluid infiltration into the tissues. By elevating the extremity, the nurse can promote drainage of the infiltrated fluid and prevent complications such as tissue damage.
Other choices are incorrect because:
B: Flushing the IV catheter is not indicated for managing fluid infiltration.
C: Slowing the infusion rate may not address the current issue of fluid infiltration.
D: Applying pressure to the IV site can further damage the tissues and exacerbate the problem.
Question 2 of 5
A nurse is caring for a group of clients. Which of the following situations requires an incident report?
Correct Answer: C
Rationale: The correct answer is C because administering insulin before the scheduled time can lead to hypoglycemia, a serious adverse event that requires documentation in an incident report for quality improvement and accountability. Administering insulin at an incorrect time can result in harm to the client and is considered a medication error.
Choices A, B, and D do not necessarily require incident reports as they are common occurrences in healthcare settings and can be managed through routine documentation and interventions. Vomiting after medication administration and receiving a meal tray slightly early are not considered critical incidents. Experiencing a seizure is a medical emergency that requires immediate intervention but does not necessarily indicate a system error that requires documentation in an incident report.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: B
Rationale: The correct answer is B: Blurred vision. Carbamazepine, an antiepileptic medication, can cause ocular side effects, such as blurred vision, diplopia, and nystagmus. The nurse should instruct the client to monitor for changes in vision and report any visual disturbances immediately to prevent potential complications. Insomnia (choice
A) is not a common adverse effect of carbamazepine. Tachypnea (choice
C) refers to rapid breathing and is not typically associated with this medication. Metallic taste (choice
D) is not a common side effect of carbamazepine.
Question 4 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?
Correct Answer: A
Rationale: The correct answer is A: Grasp skin between thumb and forefinger throughout the injection. This action helps to stabilize the skin and underlying tissues, reducing the risk of bleeding by preventing unnecessary movement during the injection. Grasping the skin also helps to ensure accurate administration of the medication into the subcutaneous tissue.
B: Aspirating the syringe is not necessary for subcutaneous injections as it is commonly done for intramuscular injections to ensure the needle is not in a blood vessel.
C: The Z-track method is used for intramuscular injections to prevent leakage of medication into surrounding tissues, not applicable for subcutaneous injections.
D: Massaging the site following the injection may increase the risk of bleeding by disrupting the clotting process and causing tissue trauma.
Overall, option A is the most appropriate action to minimize bleeding following a subcutaneous injection.
Question 5 of 5
A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Bradycardia. Amiodarone is known to cause bradycardia as an adverse effect due to its impact on the electrical conduction system of the heart. It can slow down the heart rate, leading to bradycardia. This is a common side effect that nurses should monitor for in clients taking amiodarone.
A: Hypertension is not typically associated with amiodarone use; in fact, it is more commonly used to treat hypertension.
B: Bradypnea refers to slow breathing, which is not a typical adverse effect of amiodarone.
C: Fever is not a common adverse effect of amiodarone; it is more likely to cause cardiac and pulmonary side effects.
Overall, the correct answer is D because bradycardia is a known adverse effect of amiodarone, while the other options are not typically associated with this medication.