ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a client who has a depressive disorder about amitriptyline. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "This medication can cause an increase in appetite." Amitriptyline is a tricyclic antidepressant known to cause weight gain and increased appetite as side effects, leading to potential weight gain. This information is important for the client to be aware of to monitor for changes in their eating habits. Hair loss (
A), diarrhea (
C), and urinary frequency (
D) are not common side effects of amitriptyline, making them incorrect choices.
Question 3 of 5
A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: You will have a central line placed to receive TPN. This is because TPN is a hypertonic solution that requires a central line for administration to prevent complications such as phlebitis or thrombosis in peripheral veins.
Choice A is incorrect because blood sugar monitoring frequency may vary based on individual needs.
Choice B is incorrect as weight monitoring is typically done daily, not twice a week, to monitor for fluid balance.
Choice D is incorrect as intake and output should be closely monitored daily for TPN patients due to the risk of electrolyte imbalances.
Question 4 of 5
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?
Correct Answer: D
Rationale: The correct answer is D: Urticaria. Urticaria, also known as hives, is a common manifestation of an allergic reaction to penicillin. It presents as raised, itchy welts on the skin. Monitoring for urticaria is crucial as it indicates a potential allergic response, which can progress to more severe reactions like anaphylaxis. Dyspepsia (
A) refers to indigestion and is not typically associated with allergic reactions. Bradycardia (
B) is a slow heart rate, which is not a common sign of an allergic reaction. Pallor (
C) refers to paleness of the skin and is a non-specific symptom that may not necessarily indicate an allergic reaction.
Therefore, the nurse should focus on monitoring for urticaria as a key sign of an allergic reaction to penicillin G IM.
Question 5 of 5
A nurse is reviewing the medical history of a client who is to start taking prednisone. Which of the following findings should the nurse identify as a contraindication to prednisone therapy?
Correct Answer: B
Rationale: The correct answer is B: Has a systemic fungal infection. Prednisone is a corticosteroid that suppresses the immune system, making the body more susceptible to fungal infections.
Therefore, having a systemic fungal infection would be a contraindication to prednisone therapy as it could worsen the existing infection.
A: Prior episode of kidney stones - This is not a contraindication to prednisone therapy.
C: History of asthma - Prednisone is commonly used to manage asthma, so having a history of asthma does not contraindicate its use.
D: Taking levothyroxine orally - Levothyroxine is a thyroid hormone replacement medication and does not directly interact with prednisone.