ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hyperkalemia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Place the client on a cardiac monitor. Hyperkalemia can lead to life-threatening cardiac arrhythmias. By placing the client on a cardiac monitor, the nurse can continuously monitor the client's heart rhythm for any signs of arrhythmias. This allows for prompt detection and intervention if needed to prevent cardiac complications.
A: Warming the formula to room temperature is not relevant to managing hyperkalemia.
B: Requesting a lactose-free formula is not necessary for addressing hyperkalemia.
C: Administering IV dextrose does not directly address hyperkalemia and may not be appropriate for this situation.
Question 2 of 5
A nurse is teaching a client who has a new prescription for a metered-dose inhaler. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A,B,C,E
Rationale: The correct answers are A, B, C, and E. A spacer improves drug delivery and reduces side effects. Inhaling slowly helps medication reach the lungs. Holding the mouthpiece between the lips ensures proper inhalation technique. Rinsing the mouth after use prevents oral thrush.
Choice D is incorrect as the inhaler may be for prevention too.
Question 3 of 5
A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. Hypotension is the priority finding because it can lead to decreased placental perfusion and compromise fetal oxygenation. The nurse should address hypotension promptly to prevent adverse outcomes for both the mother and the baby. Leg weakness is a common side effect of epidural anesthesia but is not as urgent as hypotension. Urinary retention can occur due to the epidural, but it does not pose an immediate threat to the client or baby. An elevated temperature may indicate infection but is not directly related to the epidural anesthesia.
Question 4 of 5
A nurse is preparing to administer dextrose 5% in water 350 mL IV to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: A
Rationale: The correct answer is A: 19 gtt/min.
To calculate the drip rate, use the formula: mL/hr = gtt/min × drop factor. First, convert 3 hours to minutes (3 hr × 60 min/hr = 180 min).
Then, calculate the mL/min infusion rate (350 mL ÷ 180 min = 1.944 mL/min). Now, use the drop factor of 10 gtt/mL to find the gtt/min (1.944 mL/min × 10 gtt/mL = 19.44 gtt/min). Since you can only administer whole drops, round down to the nearest whole number, giving you 19 gtt/min. Other choices are incorrect as they do not result from the correct calculations.
Question 5 of 5
A nurse is assessing a client who has hypertension and has started taking lisinopril. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: The correct answer is A: Eyelid edema. Lisinopril, an ACE inhibitor, can cause angioedema, which is a serious side effect. Angioedema can lead to swelling of the face, lips, tongue, or throat, potentially causing airway obstruction. This is a life-threatening condition that requires immediate medical attention. Reporting eyelid edema to the provider promptly can prevent complications.
Choices B, C, and D are common side effects of lisinopril but are not typically considered urgent or life-threatening.