ATI RN
ATI RN Pharmacology 2023 V 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: A
Rationale: The correct answer is A: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication that can cause respiratory depression as a common adverse effect. It works by depressing the central nervous system, leading to a decrease in respiratory rate. Monitoring the client's respiratory rate is crucial to ensure adequate oxygenation.
Incorrect choices:
B: Increase in bowel function - Propofol does not affect bowel function.
C: Decrease in body temperature - Propofol may cause hypotension but not a decrease in body temperature.
D: Increase in heart rate - Propofol typically causes a decrease in heart rate due to its sedative effects, not an increase.
Question 2 of 5
A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Inject air into the vial to withdraw the short-acting insulin. This step is necessary to prevent creating a vacuum in the vial, which can make it difficult to withdraw the insulin. By injecting air into the vial before withdrawing the short-acting insulin, the nurse ensures smooth and accurate extraction of the medication. Using two separate syringes (choice
A) is unnecessary as long as the nurse follows proper technique. Ensuring NPH insulin is drawn first (choice
B) is not necessary and may lead to errors in dosage. Administering the insulin within 20 minutes (choice
C) is not relevant to the preparation process.
Question 3 of 5
A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Consult a drug reference guide for possible interactions. This is the best action because drug reference guides provide comprehensive information on potential interactions between medications and food. By consulting a reliable drug reference guide, the nurse can ensure the safety and effectiveness of the medication administration.
A: Having the client take the medication on an empty stomach may not necessarily prevent interactions.
C: Asking another nurse may not be reliable as the other nurse might not have the necessary information.
D: Checking the client's medical record is important but may not provide detailed information on all potential interactions like a drug reference guide.
Question 4 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: B
Rationale: The correct answer is B: Administer epinephrine IM. Epinephrine is the first-line treatment for anaphylaxis as it helps reverse severe allergic reactions by constricting blood vessels, improving breathing, and increasing heart rate. Administering epinephrine promptly can prevent progression to life-threatening complications.
A: Giving diphenhydramine may help with itching and hives, but it does not address the immediate life-threatening symptoms of anaphylaxis.
C: Replacing the infusion with saline does not address the client's immediate need for treatment of anaphylaxis.
D: Elevating the client's legs and feet does not address the airway compromise and cardiovascular collapse seen in anaphylaxis.
In summary, administering epinephrine is crucial in managing an anaphylactic reaction due to its rapid onset of action and life-saving effects.
Question 5 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: A
Rationale: The correct answer is A: Decrease in respiratory rate. Propofol is a sedative-hypnotic medication that can cause respiratory depression as a common adverse effect. It works by depressing the central nervous system, leading to a decrease in respiratory rate. Monitoring the client's respiratory rate is crucial to ensure adequate oxygenation.
Incorrect choices:
B: Increase in bowel function - Propofol does not affect bowel function.
C: Decrease in body temperature - Propofol may cause hypotension but not a decrease in body temperature.
D: Increase in heart rate - Propofol typically causes a decrease in heart rate due to its sedative effects, not an increase.