ATI RN
ATI Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?
Correct Answer: A
Rationale: The correct answer is A: Administer epinephrine 1M. Epinephrine is the first-line treatment for anaphylaxis as it helps to reverse the severe allergic reaction by constricting blood vessels, improving blood pressure, and opening airways to improve breathing. It is administered intramuscularly to ensure rapid absorption and effectiveness. This action is crucial in preventing further deterioration of the client's condition.
Choice B: Replacing the infusion with 0.9% sodium chloride may help stabilize the client's fluid status but does not address the anaphylactic reaction directly.
Choice C: Giving diphenhydramine intramuscularly can help with itching and mild allergic reactions but is not as effective or rapid-acting as epinephrine in treating anaphylaxis.
Choice D: Elevating the client's legs and feet is not appropriate in this situation as the priority is to address the anaphylactic reaction promptly.
In summary, administering
Question 2 of 5
A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale:
1. Safety: Wearing reading glasses ensures accurate dosage measurement, crucial for insulin administration.
2. Precision: Insulin dosage is precise; reading glasses help ensure correct measurement.
3. Client-centered: Older adults may have visual impairments; wearing glasses promotes self-care.
4. Education: Teaches importance of accuracy in insulin administration to prevent complications.
Summary:
A: Incorrect - Insulin glargine is a long-acting insulin and is not necessarily administered before each meal.
B: Incorrect - Deltoid muscle is not a recommended site for insulin injections due to variable absorption rates.
C: Incorrect - Additional doses of insulin glargine should be prescribed by a healthcare provider, not based on exercise alone.
Question 3 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 course of action because drug reference guides provide comprehensive information on potential interactions between medications and food. They are reliable sources for healthcare professionals to ensure safe administration.
Choice A: Having the client take the medication on an empty stomach may not always prevent interactions and could potentially lead to adverse effects.
Choice C: Relying solely on another nurse's knowledge may not be sufficient, as medication interactions can be complex and require specific expertise.
Choice D: Checking the client's medical record is important but may not provide real-time information on potential interactions. It is best to consult a drug reference guide for the most up-to-date information.
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: B
Rationale: The correct answer is B: Calcium. Levothyroxine should be taken on an empty stomach to ensure proper absorption. Calcium can interfere with levothyroxine absorption, so it is recommended to wait at least 4 hours between taking them. Ginkgo biloba, Vitamin C, and Zinc do not interfere significantly with levothyroxine absorption. Taking them at the same time as levothyroxine should not cause any issues.
Question 5 of 5
A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Keep the solution refrigerated until 1 hr before infusion. This is important to prevent bacterial growth and maintain the integrity of the TPN solution. Keeping it refrigerated helps to preserve the nutrients and prevent contamination.
A: Obtaining the client's weight three times a week is not directly related to administering TPN.
B: Checking the client's WBC count daily is not necessary for administering TPN.
D: Changing the solution every 36 hours is not the standard practice for TPN administration.
In summary, choice C is correct because it ensures the safety and efficacy of the TPN solution, while the other choices are not directly relevant to the administration process.