ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Melena. Melena is a serious side effect of warfarin, indicating gastrointestinal bleeding. This is a priority because it can lead to life-threatening complications. Abdominal cramping (
B) could also be concerning but is not as urgent as melena. Fever (
C) is not directly related to warfarin use. Hair loss (
D) is not typically associated with warfarin and is a lower priority.
Question 2 of 5
A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Consult a drug reference guide for possible interactions. This is the best action because drug reference guides provide comprehensive information on potential interactions between medications and food. By consulting a reliable drug reference guide, the nurse can ensure the safety and effectiveness of the medication administration.
A: Having the client take the medication on an empty stomach may not necessarily prevent interactions.
C: Asking another nurse may not be reliable as the other nurse might not have the necessary information.
D: Checking the client's medical record is important but may not provide detailed information on all potential interactions like a drug reference guide.
Question 3 of 5
A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct
Answer: C - Administer the medication into the anterolateral or posterolateral abdominal area.
Rationale:
1. Enoxaparin is a low molecular weight heparin that is typically administered subcutaneously.
2. The anterolateral and posterolateral abdominal areas are recommended sites for subcutaneous injections due to the presence of a thick layer of adipose tissue and minimal risk of hitting blood vessels or nerves.
3. These areas have a larger surface area, which allows for better absorption and reduces the risk of tissue damage.
4. By selecting these specific areas, the nurse ensures proper administration and absorption of the medication.
Summary:
A: Massaging the injection site can cause bruising or tissue damage and is not recommended after administering enoxaparin.
B: Holding the skin taut is not necessary and may cause discomfort to the client during injection.
D: Expelling air bubbles is important to prevent air embolism but is not specific to the administration
Question 4 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?
Correct Answer: C
Rationale: The correct answer is C: Calcium. Levothyroxine absorption can be affected by calcium supplements, so the client should wait at least 4 hours after taking levothyroxine before taking calcium. Calcium can bind to levothyroxine in the gastrointestinal tract, reducing its absorption and effectiveness. Ginkgo biloba (
Choice
A), Zinc (
Choice
B), and Vitamin C (
Choice
D) do not interact significantly with levothyroxine absorption, so there is no need to wait before taking them.
Question 5 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: D
Rationale:
Correct
Answer: D. Grasp skin between thumb and forefinger throughout the injection.
Rationale: By grasping the skin between thumb and forefinger throughout the injection, the nurse ensures proper technique to create a taut surface for the needle insertion. This helps to minimize bleeding post-injection by reducing the risk of hitting a blood vessel.
Summary of Incorrect
Choices:
A: Aspirating the syringe prior to injecting heparin is not necessary for subcutaneous injections and may increase the risk of tissue trauma.
B: The Z-track method is used for intramuscular injections, not subcutaneous injections like heparin.
C: Massaging the site post-injection can increase the risk of bleeding by dispersing the medication.