ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major depressive disorder and a prescription for venlafaxine. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C: Hypertension. Venlafaxine is a serotonin-norepinephrine reuptake inhibitor (SNRI) that can increase blood pressure. Notify the provider to address potential adverse effects. Bradycardia (
A) is not typically associated with venlafaxine. Tachypnea (
B) and hypothermia (
D) are not common side effects of the medication.
Question 2 of 5
A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct
Answer: A: Wear gloves when handling the medication.
Rationale: Wearing gloves when handling hazardous IV medications is essential to prevent direct contact with the medication, protecting the nurse from potential skin absorption or exposure. Gloves act as a barrier between the medication and the nurse's skin, reducing the risk of adverse effects.
Summary of Incorrect
Choices:
B: Administering the medication while wearing protective footwear is not necessary for administering IV medications. The risk of exposure comes primarily from direct contact with the medication, which gloves can adequately address.
C: Administering the medication in a negative pressure room is excessive for routine administration of IV medications. Negative pressure rooms are typically reserved for airborne precautions.
D: Wearing an N95 respiratory mask is unnecessary for administering hazardous IV medications that do not generate airborne particles. Gloves are the primary protective measure needed in this scenario.
Question 3 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:
Correct
Answer: A. Administer epinephrine IM.
Rationale: Epinephrine is the first-line treatment for anaphylaxis as it acts quickly to reverse the severe symptoms. Administering it intramuscularly helps in rapid absorption and onset of action, improving the client's chances of recovery.
Summary of Other
Choices:
B. Elevating the client's legs and feet is not the priority in anaphylaxis. While it may help with blood circulation, it does not address the immediate life-threatening symptoms.
C. Giving diphenhydramine IM can be considered as an adjunct therapy, but it is not the initial treatment for anaphylaxis.
D. Replacing the infusion with 0.9% sodium chloride does not address the anaphylactic reaction and should not be the first action taken in this situation.
Question 4 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Ensure that the air bubble remains in the syringe. This instruction is crucial when administering enoxaparin to prevent injecting air into the subcutaneous tissue, which can lead to air embolism. Removing air bubbles ensures accurate dosage delivery. Releasing the skin fold (
A) helps with accurate injection depth but is not specific to enoxaparin. Injecting into the lateral thigh (
B) is not recommended for enoxaparin, as the abdomen is the preferred site. Rubbing the site after injection (
D) can cause bruising and is unnecessary.
Question 5 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take to prevent adverse effects?
Correct Answer: C
Rationale: The correct answer is C: Change the IV tubing every 24 hours. This is crucial to prevent infection and maintain the integrity of the TPN solution. Regular tubing changes reduce the risk of bacterial growth and contamination, which can lead to serious complications like sepsis. Performing blood glucose monitoring hourly (
A) is important but not directly related to preventing adverse effects of TPN. Monitoring the client's weight weekly (
B) is not as immediate or critical as changing the IV tubing. Changing the IV dressing every 96 hours (
D) is too infrequent and increases the risk of infection.