ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a gonococcal infection and has been prescribed an IM injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "I will discuss other treatment options with your provider." This is the best choice because it addresses the client's fear of needles while still ensuring appropriate care. By discussing alternative treatment options with the healthcare provider, the nurse can find a solution that the client is comfortable with, such as oral medication or another route of administration. This response shows respect for the client's autonomy and promotes a collaborative approach to care.
Choice A is incorrect because it uses a fear-based tactic to coerce the client into accepting the injection.
Choice B may be true, but it does not address the client's fear directly.
Choice D is incorrect because it is not accurate to say there are no other treatment options available.
Question 2 of 5
A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?
Correct Answer: D
Rationale: The correct answer is D: Breath sounds. When administering naloxone for opioid toxicity, the priority assessment should be the client's breath sounds. Naloxone can cause rapid reversal of opioid effects, potentially leading to respiratory depression or even respiratory arrest.
Therefore, assessing the client's breath sounds will help the nurse determine if the client is effectively breathing post-administration. If breath sounds are absent or inadequate, immediate intervention may be necessary to maintain airway patency and oxygenation. Assessing heart rate (
A), pain level (
B), and blood pressure (
C) are important but come after ensuring adequate breathing.
Question 3 of 5
A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Exercise caution when changing positions. This is important to include in the teaching because captopril, an ACE inhibitor, can cause orthostatic hypotension, leading to dizziness upon standing up quickly. By advising the client to exercise caution when changing positions, the nurse can help prevent falls and other complications. Option A is incorrect as captopril can increase potassium levels, so adding a daily potassium supplement may lead to hyperkalemia. Option B is incorrect because increasing sodium intake can counteract the medication's blood pressure-lowering effects. Option D is incorrect as monitoring pulse rate is not specifically necessary for captopril.
Question 4 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 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.