ATI RN
ATI RN Pharmacology 2023 III 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: B
Rationale: The correct answer is B: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication commonly used for anesthesia. One of its common adverse effects is respiratory depression, leading to a decrease in respiratory rate. This occurs due to the central nervous system depressant properties of propofol, which can suppress the drive to breathe. Monitoring the client's respiratory rate is crucial to prevent respiratory complications.
Other choices are incorrect because:
A: Decrease in body temperature - Propofol does not typically affect body temperature.
C: Increase in heart rate - Propofol usually causes a decrease in heart rate due to its vasodilatory effects.
D: Increase in bowel function - Propofol does not directly impact bowel function.
Question 2 of 5
A nurse is preparing to administer a medication to a client. Using the rights of medication administration, which of the following actions should the nurse take to ensure the right medication is administered to the client?
Correct Answer: D
Rationale: The correct answer is D: Verify a written order with the medication administration record. This step ensures that the medication being administered matches the prescribed order, reducing the risk of errors. Documenting the full name post-administration (
A) does not prevent errors. Asking another nurse to check dosage (
B) may help but does not guarantee the right medication. Using client identifiers (
C) is important but does not directly ensure the medication is correct.
Question 3 of 5
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer IV dextrose. In hypoglycemia, the client has low blood sugar levels. Administering IV dextrose will quickly raise the client's blood sugar levels to a normal range, addressing the immediate issue. Discontinuing the infusion (
B) would not address the hypoglycemia and could worsen the client's condition. Warming the formula (
A) is not relevant to treating hypoglycemia. Obtaining arterial blood gases (
D) is not necessary to address hypoglycemia.
Question 4 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: B
Rationale: The correct answer is B: Grasp skin between thumb and forefinger throughout the injection. This technique helps to create tension on the skin, stabilizing the tissue and reducing the risk of bleeding. Massaging the site (choice
A) can actually increase bleeding. Aspirating the syringe (choice
C) is not necessary for subcutaneous injections. The Z-track method (choice
D) is used for intramuscular injections, not subcutaneous.
Question 5 of 5
A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
Correct Answer: B
Rationale: The correct answer is B: Furosemide and amikacin. Furosemide is a loop diuretic known to cause ototoxicity, which can lead to hearing loss. When combined with amikacin, an aminoglycoside antibiotic also known for its potential ototoxic effects, the risk of hearing loss is increased. Monitoring these medications for any signs of hearing impairment is crucial to prevent permanent damage.
Choices A, C, and D do not typically cause hearing loss as a side effect or through interactions. Propranolol, raloxifene, digoxin, levothyroxine, losartan, and atorvastatin are not associated with ototoxicity. Monitoring these medications for hearing loss related to medication interactions is not necessary.