ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is taking furosemide for heart failure. Which of the following findings indicates an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Hearing loss. Furosemide is a loop diuretic that can cause ototoxicity, leading to hearing loss. This adverse effect is important for the nurse to monitor in clients taking furosemide. Increased blood pressure (
A) is not an adverse effect of furosemide but rather a desired outcome in heart failure management. Ankle edema (
C) is actually a symptom of heart failure and should improve with furosemide use. Decreased blood sugar (
D) is not a common adverse effect of furosemide.
Question 2 of 5
The nurse notifies the client and provides teaching about the newly prescribed medication. For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided: A.
Correct Answer: A,A,B,A,B
Rationale: The correct answer is A, A, B, A, B. A indicates understanding as it shows the client knows to notify the provider of black stools. A is repeated for emphasis. B is incorrect as the client should not take medication with orange juice. C is incorrect as the medication should not be taken on an empty stomach. D is incorrect as antacids are usually recommended with this medication. E is incorrect as rinsing the mouth is not necessary for this medication. The correct choices demonstrate understanding of the medication regimen and safety precautions.
Question 3 of 5
A nurse is caring for a client who received alteplase 12 hr ago following a thrombotic stroke. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: The correct answer is A: Hemorrhage. Alteplase is a thrombolytic medication that dissolves blood clots. One of its major adverse effects is the risk of causing hemorrhage due to its clot-dissolving action. Monitoring for signs of bleeding such as bruising, petechiae, hematemesis, or melena is crucial. Steatorrhea (
B) is unrelated to alteplase. Polycythemia (
C) is an increase in red blood cell count, not a known adverse effect of alteplase. Laryngospasm (
D) is a sudden spasm of the vocal cords, not associated with alteplase use.
Question 4 of 5
A nurse is assessing a client who has hypertension and has started taking lisinopril. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: The correct answer is A: Eyelid edema. Lisinopril, an ACE inhibitor, can cause angioedema, which is a serious side effect. Angioedema can lead to swelling of the face, lips, tongue, or throat, potentially causing airway obstruction. This is a life-threatening condition that requires immediate medical attention. Reporting eyelid edema to the provider promptly can prevent complications.
Choices B, C, and D are common side effects of lisinopril but are not typically considered urgent or life-threatening.
Question 5 of 5
A nurse is assessing a client who received midazolam IV for moderate (conscious) sedation. Which of the following assessments is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Level of consciousness. When a client receives midazolam for conscious sedation, the priority assessment is the level of consciousness to ensure the client is responsive and maintains airway patency. This assessment allows the nurse to monitor for any signs of over-sedation or respiratory depression, which are potential side effects of midazolam. Monitoring the client's temperature, heart rate, and oxygen saturation are important, but they are secondary to assessing the level of consciousness in this scenario. Checking the temperature may be important for general assessment, heart rate for potential adverse effects, and oxygen saturation for respiratory status, but the primary concern is ensuring the client remains conscious and responsive during the sedation procedure.