ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. Allergic reactions to ceftriaxone can lead to a sudden drop in blood pressure, causing hypotension. This is due to the release of histamines in response to the medication, leading to vasodilation and loss of vascular tone. Polyuria, nausea, and bradycardia are not typical manifestations of an allergic reaction to ceftriaxone. Polyuria may indicate a kidney issue, nausea could be a common side effect, and bradycardia is usually not associated with allergic reactions. It is important for the nurse to recognize hypotension as a potential allergic reaction to promptly intervene and prevent further complications.
Question 2 of 5
A nurse is caring for a client who received alteplase 12 hr ago following a thrombotic stroke. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: The correct answer is A: Hemorrhage. Alteplase is a thrombolytic medication that dissolves blood clots. One of its major adverse effects is the risk of causing hemorrhage due to its clot-dissolving action. Monitoring for signs of bleeding such as bruising, petechiae, hematemesis, or melena is crucial. Steatorrhea (
B) is unrelated to alteplase. Polycythemia (
C) is an increase in red blood cell count, not a known adverse effect of alteplase. Laryngospasm (
D) is a sudden spasm of the vocal cords, not associated with alteplase use.
Question 3 of 5
A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?
Correct Answer: B
Rationale: The correct answer is B: Endocarditis. Metronidazole is commonly used to treat anaerobic infections, including endocarditis caused by anaerobic bacteria. Endocarditis is an infection of the inner lining of the heart chambers and valves, which metronidazole is effective against. Kidney transplant (
A) is not a direct indication for metronidazole use. Seizures (
C) are a potential side effect of metronidazole, not an indication for its use. Hypokalemia (
D) is an electrolyte imbalance and not a direct indication for metronidazole.
Question 4 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?
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.
Question 5 of 5
A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?
Correct Answer: C
Rationale: The correct answer is C: Bradycardia. Amiodarone is a medication used to treat arrhythmias but can cause adverse effects on the heart, including slowing down the heart rate (bradycardia). This is due to its effect on the electrical conduction system of the heart. Fever (choice
A) is not a common adverse effect of amiodarone. Hypertension (choice
B) is not typically associated with amiodarone use. Bradypnea (choice
D), which is slow breathing, is not a common adverse effect of amiodarone.
Therefore, the most anticipated adverse effect in this scenario is bradycardia.