ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 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: C
Rationale: The correct answer is C: Bradycardia. Amiodarone is a medication used to treat arrhythmias but can cause adverse effects on the heart, including slowing down the heart rate (bradycardia). This is due to its effect on the electrical conduction system of the heart. Fever (choice
A) is not a common adverse effect of amiodarone. Hypertension (choice
B) is not typically associated with amiodarone use. Bradypnea (choice
D), which is slow breathing, is not a common adverse effect of amiodarone.
Therefore, the most anticipated adverse effect in this scenario is bradycardia.
Question 2 of 5
A nurse is teaching a client who has a new prescription for a metered-dose inhaler. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A,B,C,E
Rationale: The correct answers are A, B, C, and E. A spacer improves drug delivery and reduces side effects. Inhaling slowly helps medication reach the lungs. Holding the mouthpiece between the lips ensures proper inhalation technique. Rinsing the mouth after use prevents oral thrush.
Choice D is incorrect as the inhaler may be for prevention too.
Question 3 of 5
A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. Hypotension is the priority finding because it can lead to decreased placental perfusion and compromise fetal oxygenation. The nurse should address hypotension promptly to prevent adverse outcomes for both the mother and the baby. Leg weakness is a common side effect of epidural anesthesia but is not as urgent as hypotension. Urinary retention can occur due to the epidural, but it does not pose an immediate threat to the client or baby. An elevated temperature may indicate infection but is not directly related to the epidural anesthesia.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-release capsule. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C - "I will need to have blood levels drawn."
Rationale:
1. Theophylline is a medication with a narrow therapeutic range, requiring monitoring of blood levels.
2. Regular blood tests help ensure the medication is at a safe and effective level in the body.
3. Monitoring blood levels helps prevent toxicity or subtherapeutic levels.
4. Options A, B, and D are incorrect as they may lead to incorrect dosing or administration of the medication.
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: C
Rationale: The correct answer is C: Bradycardia. Amiodarone is a medication used to treat arrhythmias but can cause adverse effects on the heart, including slowing down the heart rate (bradycardia). This is due to its effect on the electrical conduction system of the heart. Fever (choice
A) is not a common adverse effect of amiodarone. Hypertension (choice
B) is not typically associated with amiodarone use. Bradypnea (choice
D), which is slow breathing, is not a common adverse effect of amiodarone.
Therefore, the most anticipated adverse effect in this scenario is bradycardia.