ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication that can cause respiratory depression as a common adverse effect. This is due to its central nervous system depressant effects, which can lead to a decrease in respiratory drive. Monitoring the client's respiratory rate is crucial to detect any signs of respiratory depression promptly. The other choices are incorrect because propofol does not typically cause a decrease in body temperature, an increase in bowel function, or an increase in heart rate. It is important to prioritize the monitoring of respiratory status when administering propofol to ensure the client's safety.
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: The correct answer is D: The client will wear his reading glasses when drawing up a dose of insulin glargine. This is important because insulin dosages need to be precise, and using reading glasses ensures accurate measurement, reducing the risk of under- or overdosing. Using the deltoid muscle as an injection site (
A) is not appropriate for insulin glargine, as it should be injected into the subcutaneous tissue of the abdomen, thigh, or upper arm. Administering insulin glargine before each meal (
B) is incorrect as it is a long-acting insulin usually given once daily at the same time. Taking an additional dose prior to exercise (
C) is not necessary and can lead to hypoglycemia.
Question 3 of 5
A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication that can cause respiratory depression as a common adverse effect. This is due to its central nervous system depressant effects, which can lead to a decrease in respiratory drive. Monitoring the client's respiratory rate is crucial to detect any signs of respiratory depression promptly. The other choices are incorrect because propofol does not typically cause a decrease in body temperature, an increase in bowel function, or an increase in heart rate. It is important to prioritize the monitoring of respiratory status when administering propofol to ensure the client's safety.
Question 4 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: B
Rationale: The correct response is B: "I will discuss other treatment options with your provider." This answer is appropriate because it shows the nurse's willingness to address the client's fear of needles and explore alternative treatments. It demonstrates patient-centered care and promotes open communication. Option A may minimize the client's fear but doesn't address the underlying issue. Option C is coercive and does not respect the client's autonomy. Option D uses fear tactics and is not therapeutic.
Question 5 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: A
Rationale: The correct answer is A: 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 or lightheadedness when changing positions. This caution helps prevent falls and other related complications.
Other choices are incorrect:
B: Increasing sodium intake is not recommended as it can exacerbate hypertension, which captopril is prescribed to treat.
C: Taking a daily potassium supplement is not necessary unless specifically prescribed by the healthcare provider, as captopril can already affect potassium levels.
D: Monitoring pulse rate is not directly related to captopril use; blood pressure monitoring is more relevant for this medication.