ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should identify that which of the following is the priority finding?
Correct Answer: D
Rationale: The correct answer is D: Respirations deep at a rate of 10/min. This is the priority finding because it indicates respiratory depression, a serious side effect of morphine. Low respiratory rate and deep breathing can lead to hypoxia and respiratory arrest. Monitoring respiratory status is crucial when administering opioids.
A: Urinary output of 20 mL within 1 hr - While decreased urinary output may indicate decreased renal perfusion, respiratory depression is a more immediate concern.
B: Blood pressure 90/60 mm Hg - Hypotension can be a side effect of morphine, but respiratory depression takes precedence.
C: Vomiting 30 mL of fluid - Although vomiting can be a side effect of morphine, it is not as immediately life-threatening as respiratory depression.
Question 2 of 5
A nurse is caring for a client who is taking interferon. Which of the following findings indicates the client is experiencing an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Fever. Interferon can cause flu-like symptoms, including fever, as an adverse effect. This is due to its immunomodulatory properties. Tinnitus (
A) is not a common adverse effect of interferon. Paresthesia (
C) refers to abnormal sensations like tingling, which are not typically associated with interferon. Oliguria (
D) is a decrease in urine output and is not a common adverse effect of interferon. In summary, fever is the most likely adverse effect of interferon, while the other options are less likely to be directly related to this medication.
Question 3 of 5
A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure. When titrating a nitroprusside infusion, monitoring blood pressure is crucial as nitroprusside is a potent vasodilator that can cause significant hypotension. The goal is to maintain a specific blood pressure range to ensure adequate perfusion to vital organs without causing hypotension or hypertension. Monitoring urine output (
A), stroke volume (
B), and cardiac output (
D) may provide valuable information, but blood pressure is the most direct indicator of the drug's effect on the cardiovascular system. It is essential to titrate the infusion based on blood pressure changes to prevent adverse effects and ensure optimal patient outcomes.
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 assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should identify that which of the following is the priority finding?
Correct Answer: D
Rationale: The correct answer is D: Respirations deep at a rate of 10/min. This is the priority finding because it indicates respiratory depression, a serious side effect of morphine. Low respiratory rate and deep breathing can lead to hypoxia and respiratory arrest. Monitoring respiratory status is crucial when administering opioids.
A: Urinary output of 20 mL within 1 hr - While decreased urinary output may indicate decreased renal perfusion, respiratory depression is a more immediate concern.
B: Blood pressure 90/60 mm Hg - Hypotension can be a side effect of morphine, but respiratory depression takes precedence.
C: Vomiting 30 mL of fluid - Although vomiting can be a side effect of morphine, it is not as immediately life-threatening as respiratory depression.