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 preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: C
Rationale: The correct answer is C: Heart rate. Before administering propranolol, a beta-blocker, the nurse should assess the client's heart rate because this medication works by slowing down the heart rate and reducing blood pressure. Monitoring the heart rate helps ensure the medication is given safely and effectively. Assessing pain level (
A) is important but not directly related to propranolol administration. Temperature (
B) is not typically a crucial assessment before giving propranolol. Respiratory rate (
D) is also important but not the priority when administering this medication.
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 providing teaching to a client who has a new prescription for theophylline, a sustained-release capsule. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C - "I will need to have blood levels drawn."
Rationale:
1. Theophylline is a medication with a narrow therapeutic range, requiring monitoring of blood levels.
2. Regular blood tests help ensure the medication is at a safe and effective level in the body.
3. Monitoring blood levels helps prevent toxicity or subtherapeutic levels.
4. Options A, B, and D are incorrect as they may lead to incorrect dosing or administration of the medication.
Question 5 of 5
A nurse is caring for a client who has a life-threatening ventricular dysrhythmia. Which of the following medications should the nurse anticipate administering?
Correct Answer: D
Rationale: The correct answer is D: Amiodarone. Amiodarone is an antiarrhythmic medication commonly used to treat life-threatening ventricular dysrhythmias. It works by prolonging the action potential duration and refractory period of cardiac muscle cells, thereby stabilizing the heart's electrical activity. Digoxin (
A) is not typically used for ventricular dysrhythmias. Dopamine (
B) is a vasopressor used for hypotension, not dysrhythmias. Verapamil (
C) is a calcium channel blocker, which is contraindicated in ventricular dysrhythmias.
Therefore, the nurse should anticipate administering amiodarone to treat the client's life-threatening ventricular dysrhythmia.