ATI RN Pharmacology 2023 IV | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Apply a cool compress at the IV site. Phlebitis is inflammation of the vein, and applying a cool compress can help reduce inflammation and discomfort. Elevating the extremity (choice
A) may help with swelling but won't address the inflammation directly. Decreasing the flow rate (choice
B) may not resolve the phlebitis and could impact the effectiveness of the infusion. Aspirating fluid from the catheter (choice
D) is not recommended as it can introduce infection or dislodge the catheter.

Correct Answer: D

Rationale: The correct answer is D: Can you describe what your pain feels like? This question is crucial in determining the quality of pain, as it helps the nurse understand the characteristics of the pain (e.g., sharp, dull, burning). Understanding the quality of pain can provide valuable information for the nurse to identify potential causes and tailor appropriate pain management strategies.


Choice A is incorrect because pointing to the area of severe pain indicates location, not quality.
Choice B focuses on the timing of pain escalation, not quality.
Choice C assesses pain intensity on a numerical scale, not quality.

In summary, asking the adolescent to describe the pain sensation (choice
D) helps the nurse gain insights into the nature of the pain, which is essential for effective pain management.

Correct Answer: C

Rationale: The correct answer is C: Monitor the client for ventricular arrhythmia after administration. This is crucial because naloxone can precipitate ventricular arrhythmias in some cases due to its rapid reversal of opioid effects. Monitoring for this adverse effect allows for prompt intervention if needed.

Choice A is incorrect because naloxone is not administered orally, it is typically given intravenously or intramuscularly due to its rapid onset of action.
Choice B is incorrect as naloxone is not contraindicated for clients with glaucoma.
Choice D is incorrect because naloxone has a short duration of action, so it should be administered as needed rather than on a fixed schedule every 1 to 2 hours.

Correct Answer: C

Rationale: The correct answer is C: Contact the provider to clarify the prescription. This is the correct action because the prescription lacks specific instructions on how the medication should be administered. By contacting the provider, the nurse can seek clarification on the frequency and route of administration, ensuring the client receives the medication safely and effectively.

Choice A is incorrect because immediately sending the medication without clarification could lead to potential errors in administration.

Choice B is incorrect as it assumes the client knows how to use the medication without proper instructions.

Choice D is incorrect as administering the medication within 90 minutes without clarity on the prescription could jeopardize the client's safety.

Correct Answer: B

Rationale: The correct answer is B: Monitor the client's weight daily. Monitoring the client's weight daily is essential when administering TPN to assess fluid balance and nutritional status. Weight changes can indicate fluid retention or loss, helping to adjust the TPN solution accordingly. Hanging the TPN to gravity (
A) is incorrect as TPN should be administered using an infusion pump to control the rate accurately. Titrating TPN to blood pressure (
C) is incorrect as TPN is not adjusted based on blood pressure but rather individual nutritional needs. Obtaining the client's blood glucose level weekly (
D) is important but not as crucial as monitoring weight daily to ensure adequate TPN therapy.