ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major burns and is experiencing dehydration. The nurse should anticipate a prescription to infuse which of the following solutions?
Correct Answer: A
Rationale: The correct answer is A: Lactated Ringer's solution. Lactated Ringer's is the best choice for a client with major burns and dehydration as it is an isotonic solution that helps restore fluid balance and electrolytes lost due to burns. It contains sodium, chloride, potassium, calcium, and lactate, which are essential for cellular function and can help with rehydration. Dextrose 5% solutions (B and
C) are hypotonic and may worsen the cellular dehydration in this case. 0.45% sodium chloride (
D) is a hypotonic solution and may not provide enough electrolyte replacement for a client with major burns.
Question 2 of 5
A nurse is teaching a client who has rheumatoid arthritis about a new prescription for infliximab. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "You will be at an increased risk for infection while receiving this medication." Infliximab is an immunosuppressant medication used to treat rheumatoid arthritis by targeting the immune system. As a result, it can increase the client's risk of infections. This information is crucial for the client to be aware of in order to take necessary precautions and monitor for signs of infection.
Choice A is incorrect because sun sensitivity is not a common side effect of infliximab.
Choice C is incorrect as the frequency and duration of infliximab infusions vary depending on the individual's response and the treatment plan.
Choice D is incorrect as metallic taste is not a commonly reported side effect of infliximab.
Choices E, F, and G are not provided in the question, making them irrelevant.
Question 3 of 5
A nurse is caring for a client who received alteplase 12 hr ago following a thrombotic stroke. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: The correct answer is A: Hemorrhage. Alteplase is a thrombolytic medication that dissolves blood clots. One of its major adverse effects is the risk of causing hemorrhage due to its clot-dissolving action. Monitoring for signs of bleeding such as bruising, petechiae, hematemesis, or melena is crucial. Steatorrhea (
B) is unrelated to alteplase. Polycythemia (
C) is an increase in red blood cell count, not a known adverse effect of alteplase. Laryngospasm (
D) is a sudden spasm of the vocal cords, not associated with alteplase use.
Question 4 of 5
A nurse is teaching a client who has a depressive disorder about amitriptyline. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "This medication can cause an increase in appetite." Amitriptyline is a tricyclic antidepressant known to cause weight gain and increased appetite as side effects, leading to potential weight gain. This information is important for the client to be aware of to monitor for changes in their eating habits. Hair loss (
A), diarrhea (
C), and urinary frequency (
D) are not common side effects of amitriptyline, making them incorrect choices.
Question 5 of 5
A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: You will have a central line placed to receive TPN. This is because TPN is a hypertonic solution that requires a central line for administration to prevent complications such as phlebitis or thrombosis in peripheral veins.
Choice A is incorrect because blood sugar monitoring frequency may vary based on individual needs.
Choice B is incorrect as weight monitoring is typically done daily, not twice a week, to monitor for fluid balance.
Choice D is incorrect as intake and output should be closely monitored daily for TPN patients due to the risk of electrolyte imbalances.