ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who has heart failure and a prescription for a repeat dose of furosemide 40 mg orally. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: While important, reviewing electrolyte levels takes priority, especially considering furosemide's potential impact on electrolyte balance. Furosemide, a loop diuretic, can lead to electrolyte imbalances, such as hypokalemia, so it is crucial to review electrolyte levels before administering another dose. Before administering the medication, reviewing electrolyte levels is essential to avoid potential complications. Monitoring urinary output is important, but reviewing electrolyte levels is more crucial in this situation.
Question 2 of 5
A nurse is preparing to administer an IM injection to a client who has gonorrhea. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The needle size may be appropriate, but the Z-track technique should be used to prevent leakage of the medication into subcutaneous tissue. The site may be appropriate, but the Z-track technique should be used. Aspiration is necessary to ensure the needle is not in a blood vessel before injecting the medication. The Z-track technique helps prevent the medication from leaking into subcutaneous tissue.
Question 3 of 5
A nurse is preparing to administer medications to a client through an enteral feeding tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Medications should be administered separately to ensure proper absorption and effectiveness. This action helps prevent aspiration during medication administration but is not specific to enteral feeding tube administration. Flushing the tube with normal saline helps ensure that the entire medication dose reaches the client and prevents tube blockage. This action is not necessary and may disrupt the flow of the medication.
Question 4 of 5
A nurse is reinforcing discharge teaching with the family of a client who has a new diagnosis of Parkinson's disease and a prescription for levodopa/carbidopa. Which of the following statements made by the client's family indicates an understanding of the teaching?
Correct Answer: B
Rationale: Eating a lot of protein can interfere with the absorption of levodopa, so this statement is incorrect. Levodopa/carbidopa can cause dyskinesias or involuntary movements, so monitoring for this is essential. Levodopa does not cure Parkinson's disease or prevent its progression; it helps manage symptoms. While levodopa can improve symptoms, the onset of action is not typically rapid, and it may take some time for optimal effect.
Question 5 of 5
A nurse is obtaining a medication history from a client who has systemic lupus erythematosus (SLE) and reports taking several herbal supplements daily. The nurse should identify that SLE is a contraindication for taking which of the following herbal supplements?
Correct Answer: A
Rationale: Echinacea may stimulate the immune system, and in individuals with autoimmune disorders like SLE, this immune stimulation can exacerbate the condition. Flaxseed is generally considered safe for individuals with SLE. Ginger is generally considered safe for individuals with SLE. Glucosamine is generally considered safe for individuals with SLE.