ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?
Correct Answer: C
Rationale: The correct answer is C: Taking a high-ceiling diuretic. High-ceiling diuretics, like furosemide, can lead to hypokalemia, which increases the risk of digoxin toxicity. Hypokalemia enhances the toxic effects of digoxin on the heart by increasing its binding and potentiating its action. Additionally, low potassium levels can predispose the client to cardiac dysrhythmias, which are a common manifestation of digoxin toxicity.
Choices A, B, and D do not directly increase the risk of digoxin toxicity. A HMG CoA reductase inhibitor, prolapsed mitral valve, and COPD do not have a direct pharmacological interaction with digoxin that predisposes the client to toxicity.
Question 2 of 5
A nurse is caring for a client and preparing to complete a medication reconciliation. Which of the following actions should the nurse complete first?
Correct Answer: B
Rationale: The correct answer is B. Compiling a list of all medications the client is currently taking should be completed first in medication reconciliation to ensure accuracy. This step allows the nurse to have a comprehensive understanding of the client's current medication regimen. Documenting and sending the updated list to the pharmacy (
A) should come after compiling the list to ensure accuracy. Comparing preadmission medications to current medications (
C) and addressing discrepancies (
D) are important steps but should follow compiling the current medication list.
Question 3 of 5
A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?
Correct Answer: B
Rationale: The correct answer is B: Glaucoma. Atropine is a medication that can worsen the condition of glaucoma by increasing intraocular pressure, leading to potential vision damage. Bronchospasms (
A), diverticulitis (
C), and diarrhea (
D) are not contraindications for atropine administration. Bronchospasms can actually be treated with atropine, while diverticulitis and diarrhea are not directly affected by atropine.
Question 4 of 5
A nurse is caring for a client who is taking interferon. Which of the following findings indicates the client is experiencing an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Fever. Interferon can cause flu-like symptoms, including fever, as an adverse effect. This is due to its immunomodulatory properties. Tinnitus (
A) is not a common adverse effect of interferon. Paresthesia (
C) refers to abnormal sensations like tingling, which are not typically associated with interferon. Oliguria (
D) is a decrease in urine output and is not a common adverse effect of interferon. In summary, fever is the most likely adverse effect of interferon, while the other options are less likely to be directly related to this medication.
Question 5 of 5
A nurse is caring for a client who is to receive a corticosteroid injection. The client states, 'I am not taking that injection today.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "I will inform your provider about your decision." This response is appropriate because it respects the client's autonomy and decision-making capacity. By informing the provider, the nurse ensures that the healthcare team is aware of the client's refusal, enabling further discussion and exploration of alternatives.
Choice A may come off as confrontational and does not respect the client's decision.
Choice B disregards the client's autonomy and can damage the nurse-client relationship.
Choice C acknowledges the client's feelings but does not address the refusal directly.