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 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 3 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.
Question 4 of 5
A nurse is teaching a client who has rheumatoid arthritis about a new prescription for infliximab. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "You will be at an increased risk for infection while receiving this medication." Infliximab is an immunosuppressant medication used to treat rheumatoid arthritis by targeting the immune system. As a result, it can increase the client's risk of infections. This information is crucial for the client to be aware of in order to take necessary precautions and monitor for signs of infection.
Choice A is incorrect because sun sensitivity is not a common side effect of infliximab.
Choice C is incorrect as the frequency and duration of infliximab infusions vary depending on the individual's response and the treatment plan.
Choice D is incorrect as metallic taste is not a commonly reported side effect of infliximab.
Choices E, F, and G are not provided in the question, making them irrelevant.
Question 5 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.