ATI RN
ATI RN Pharmacology 2019 I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Confusion. Confusion is a serious adverse effect of citalopram that can indicate a rare but potentially life-threatening condition called serotonin syndrome. Serotonin syndrome is characterized by confusion, agitation, fever, sweating, tremors, and rapid heart rate. It is crucial to report confusion immediately to the provider to prevent further complications.
Weight loss (
A), bruxism (
B), and insomnia (
C) are common side effects of citalopram but are not as urgent or life-threatening as confusion.
Therefore, they do not take priority in this situation.
Question 2 of 5
A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client for hearing loss. Erythromycin can cause ototoxicity, leading to potential hearing loss. Monitoring for hearing loss is crucial to detect any early signs of ototoxicity. Option B is incorrect as a high-fiber diet is not directly related to erythromycin administration. Option C is incorrect because erythromycin lactobionate IV bolus should be administered over 20-60 minutes, not 10 minutes. Option D is incorrect as erythromycin lactobionate should be reconstituted with sterile water, not a 5% dextrose solution.
Question 3 of 5
A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the medication over 2 hr. Amphotericin B lipid complex is a potent antifungal medication known to cause severe infusion-related reactions. Administering it slowly over 2 hours reduces the risk of adverse effects such as fever, chills, and hypotension. Priming the tubing with saline (choice
B) is not necessary for this medication. Discarding the medication if it is yellow (choice
C) is incorrect as amphotericin B lipid complex may have a yellow color due to its formulation. Using a gravity flow set (choice
D) is incorrect as this medication should be administered with a controlled infusion device to ensure the correct rate.
Choice E is a duplicate.
Question 4 of 5
A nurse is assessing a client who has Graves' disease and is taking methimazole. Which of the following findings indicates the client needs a lower dose of the medication?
Correct Answer: C
Rationale: The correct answer is C: Bradycardia. Methimazole is used to treat hyperthyroidism in patients with Graves' disease. One of the side effects of methimazole is bradycardia, which is a slower than normal heart rate. If the client is experiencing bradycardia, it indicates that the dose of methimazole may be too high and needs to be decreased to prevent further complications. Exophthalmos, diaphoresis, and weight loss are common symptoms of hyperthyroidism and would not necessarily indicate a need for a lower dose of methimazole.
Question 5 of 5
A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Correct Answer: B
Rationale: The correct answer is B: Oliguria. Osmotic laxatives work by drawing water into the intestines to promote bowel movements, which can lead to excessive fluid loss and dehydration. Oliguria, decreased urine output, is a sign of fluid volume deficit as the body conserves water. Weight gain (
A) is not indicative of fluid volume deficit. Headaches (
C) can be a sign of dehydration but are not as specific as oliguria. Nausea (
D) can be a side effect of osmotic laxatives but does not directly indicate fluid volume deficit.