ATI RN Pharmacology 2023 V | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: The client will wear his reading glasses when drawing up a dose of insulin glargine. This is crucial to ensure accurate dosing and prevent medication errors, especially for older adults who may have visual impairments. Wearing reading glasses can help the client see the markings on the syringe clearly, ensuring they draw up the correct dose.



Choices B, C, and D are incorrect:
B: Taking an additional dose of insulin glargine prior to exercise is not appropriate without proper guidance from a healthcare provider as it can lead to hypoglycemia.
C: Administering insulin glargine before each meal is not correct as insulin glargine is a long-acting insulin and is usually administered once daily at the same time each day.
D: Using the deltoid muscle as an injection site is not recommended for insulin glargine as it is typically injected subcutaneously into the abdomen, thigh, or upper arm for consistent absorption.

Correct Answer: B

Rationale: The correct answer is B: Administer epinephrine IM. Epinephrine is the first-line treatment for anaphylaxis as it helps reverse severe allergic reactions by constricting blood vessels, improving breathing, and increasing heart rate. Administering epinephrine promptly can prevent progression to life-threatening complications.

A: Giving diphenhydramine may help with itching and hives, but it does not address the immediate life-threatening symptoms of anaphylaxis.
C: Replacing the infusion with saline does not address the client's immediate need for treatment of anaphylaxis.
D: Elevating the client's legs and feet does not address the airway compromise and cardiovascular collapse seen in anaphylaxis.

In summary, administering epinephrine is crucial in managing an anaphylactic reaction due to its rapid onset of action and life-saving effects.

Correct Answer: B

Rationale: The correct answer is B: Compile a list of all medications the client is currently taking. This should be completed first to establish a baseline of the client's current medications. By compiling a comprehensive list, the nurse can ensure accuracy when comparing preadmission medications (
C), addressing discrepancies (
D), and documenting updates (
A). Without an accurate list of current medications, the nurse may overlook important details and compromise patient safety. Comparing preadmission medications, addressing discrepancies, and documenting updates are all important steps in medication reconciliation, but they should follow the initial compilation of the client's current medications to ensure a thorough and accurate process.

Correct Answer: C

Rationale: The correct answer is C: Prochlorperazine. This medication is an antiemetic, which helps to alleviate vomiting. It works by blocking dopamine receptors in the brain, reducing nausea and vomiting. Propafenone (
A) is an antiarrhythmic drug, Metformin (
B) is used for diabetes, and Simvastatin (
D) is a statin for cholesterol. These medications do not treat vomiting. It is important for the nurse to select the appropriate medication to address the client's symptoms effectively.

Correct Answer: A

Rationale: The correct answer is A: Reason. The nurse should clarify the reason for giving ondansetron to ensure the appropriateness of the medication for the client's condition. Clarifying the reason helps prevent medication errors and ensures safe and effective treatment. Routes, doses, and frequencies are standard parts of a prescription that the nurse should be familiar with and can verify without additional clarification. The reason for prescribing the medication is crucial for the nurse to understand the client's condition and the intended therapeutic effect of the medication. Clarifying the reason also promotes effective communication between the healthcare provider and the nurse.