ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
Correct Answer: A
Rationale: The correct answer is A: Furosemide and amikacin. Furosemide is a loop diuretic known to cause hearing loss, especially when used in combination with aminoglycosides like amikacin. Aminoglycosides can potentiate the ototoxic effects of loop diuretics, leading to hearing loss. Propranolol and raloxifene (
B), Digoxin and levothyroxine (
C), and Losartan and atorvastatin (
D) do not have known interactions leading to hearing loss. Monitoring Furosemide and amikacin combination is crucial to prevent adverse effects.
Question 2 of 5
A nurse is teaching a group of clients about proper disposal of unused pain medications at home. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Mix unused medications in coffee grounds before disposing of them. Mixing medications in coffee grounds helps to make them unattractive to children, pets, and individuals who may intentionally seek them out. It also helps to mask the medication's smell to deter others from retrieving them. This method is recommended by the FDA and EPA for safe medication disposal.
Choice A is incorrect because throwing medications in a dumpster can lead to misuse by others.
Choice B is incorrect as it does not ensure the medication is properly disposed of.
Choice C is incorrect as crushing opioids can still be dangerous if retrieved by others.
Question 3 of 5
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Elevate the extremity. Elevating the extremity helps to reduce swelling and promote fluid reabsorption, preventing further infiltration. By elevating the extremity, gravity assists in draining the excess fluid back into circulation. Applying pressure (choice
A) may further damage tissues. Slowing the infusion rate (choice
B) may not be sufficient to prevent further infiltration. Flushing the IV catheter (choice
D) is not appropriate in this situation as it does not address the issue of infiltration.
Question 4 of 5
A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Wear gloves when handling the medication. This is essential to prevent direct contact with the hazardous IV medication, reducing the risk of exposure and contamination. Administering the medication in a negative pressure room (
A) is unnecessary for routine administration and may not be feasible in all settings. Protective footwear (
B) is not directly related to handling IV medication. Wearing an N95 respiratory mask (
D) is not necessary unless the medication produces airborne particles.
Question 5 of 5
A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?
Correct Answer: D
Rationale: The correct answer is D: Ginkgo biloba. Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its antiplatelet effects. This combination can lead to excessive bleeding. Coenzyme Q10 (
A) does not have significant interactions with warfarin. Probiotics (
B) and valerian (
C) are also generally safe to take with warfarin.
Therefore, the nurse should identify ginkgo biloba as contraindicated due to its potential to enhance the anticoagulant effects of warfarin.