ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?
Correct Answer: D
Rationale: The correct answer is D: Hypertension. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with tyramine in aged cheese, leading to a hypertensive crisis. Tyramine can cause the release of norepinephrine, resulting in increased blood pressure. A is incorrect because somnolence is not typically associated with this interaction. B is incorrect as bradycardia is not a common manifestation. C is incorrect as diarrhea is not a typical symptom of this interaction.
Therefore, the correct answer is D due to the potential for a dangerous hypertensive crisis.
Question 2 of 5
A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?
Correct Answer: C
Rationale: The correct answer is C: Glaucoma. Atropine is a medication that can worsen glaucoma by increasing intraocular pressure, leading to potential vision loss. Diarrhea (
A), diverticulitis (
B), and bronchospasms (
D) are not contraindications for atropine. In fact, atropine can be used to treat diarrhea and bronchospasms. Always consider the client's medical history to ensure safe administration of medications.
Question 3 of 5
A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Return expired medication to the pharmacist. This is the safest and most environmentally friendly method of medication disposal. Pharmacies have proper protocols for disposing of medications to prevent harm to individuals and the environment. Pouring medication into a wastebasket (
B) can result in accidental ingestion by children or pets. Flushing medication down the toilet (
C) can contaminate water sources. Crushing medication and rinsing them down the sink (
D) can also contaminate water and harm aquatic life.
Question 4 of 5
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Correct Answer: D
Rationale: The correct answer is D: Dispose of the remaining medication while another nurse observes. This is the appropriate action because hydromorphone is a controlled substance, and any remaining portion of the tablet should be properly disposed of to prevent diversion or misuse. Having another nurse observe the disposal ensures accountability and adherence to proper protocols.
Choices A, B, and C are incorrect because storing or returning the remaining medication can lead to potential misuse or unauthorized access. The safest practice is to dispose of the remaining medication properly to eliminate any risk of diversion.
Choice E, F, and G are not applicable as they are not part of the question scenario.
Question 5 of 5
A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Your urine will turn orange while you are taking this medication. Rifampin is known to cause harmless discoloration of bodily fluids, including urine, sweat, and tears, turning them orange-red. This is important for the client to be aware of to prevent unnecessary concern or alarm.
Incorrect choices:
A: This medication can interfere with the effectiveness of oral contraceptives, reducing their efficacy.
B: Rifampin is usually taken once daily in the morning on an empty stomach.
C: Rifampin can stain soft contact lenses, so it is recommended to switch to glasses while taking this medication.