ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the medication into the anterolateral or posterolateral abdominal area. Enoxaparin is a low molecular weight heparin that is typically administered subcutaneously into these areas to prevent bruising, pain, and injury to underlying structures. This is because these areas have a thicker layer of adipose tissue, which helps to prevent accidental intramuscular injection, and also ensures proper absorption of the medication.
Explanation of Why Other
Choices are Incorrect:
A: Massaging the injection site after administering the medication is not recommended as it can lead to bruising or discomfort.
B: Expelling the air bubble from the syringe is generally not necessary for prefilled syringes as they are designed to have the correct dosage without air bubbles.
D: Holding the skin taut at the injection site is not necessary for subcutaneous injections and may cause unnecessary discomfort to the client.
Question 2 of 5
A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's oxygen saturation. When a client is receiving diazepam for sedation, respiratory depression is a potential adverse reaction. Monitoring oxygen saturation provides crucial information about the client's respiratory status. Decreased oxygen saturation levels can indicate respiratory distress, which is a serious adverse reaction that requires immediate intervention. Auscultating bowel sounds (
B), checking urinary output (
C), and monitoring for seizure activity (
D) are not directly related to assessing for adverse reactions to diazepam sedation. Bowel sounds and urinary output assessment are more relevant to gastrointestinal and renal function, respectively. Seizure activity monitoring is not a common adverse reaction to diazepam sedation.
Question 3 of 5
A nurse is caring for a client who has major depressive disorder and a prescription for venlafaxine. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C: Hypertension. Venlafaxine is a serotonin-norepinephrine reuptake inhibitor (SNRI) that can increase blood pressure. Notify the provider to address potential adverse effects. Bradycardia (
A) is not typically associated with venlafaxine. Tachypnea (
B) and hypothermia (
D) are not common side effects of the medication.
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: A
Rationale:
Correct
Answer: A: Wear gloves when handling the medication.
Rationale: Wearing gloves when handling hazardous IV medications is essential to prevent direct contact with the medication, protecting the nurse from potential skin absorption or exposure. Gloves act as a barrier between the medication and the nurse's skin, reducing the risk of adverse effects.
Summary of Incorrect
Choices:
B: Administering the medication while wearing protective footwear is not necessary for administering IV medications. The risk of exposure comes primarily from direct contact with the medication, which gloves can adequately address.
C: Administering the medication in a negative pressure room is excessive for routine administration of IV medications. Negative pressure rooms are typically reserved for airborne precautions.
D: Wearing an N95 respiratory mask is unnecessary for administering hazardous IV medications that do not generate airborne particles. Gloves are the primary protective measure needed in this scenario.
Question 5 of 5
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?
Correct Answer: A
Rationale:
Correct
Answer: A. Administer epinephrine IM.
Rationale: Epinephrine is the first-line treatment for anaphylaxis as it acts quickly to reverse the severe symptoms. Administering it intramuscularly helps in rapid absorption and onset of action, improving the client's chances of recovery.
Summary of Other
Choices:
B. Elevating the client's legs and feet is not the priority in anaphylaxis. While it may help with blood circulation, it does not address the immediate life-threatening symptoms.
C. Giving diphenhydramine IM can be considered as an adjunct therapy, but it is not the initial treatment for anaphylaxis.
D. Replacing the infusion with 0.9% sodium chloride does not address the anaphylactic reaction and should not be the first action taken in this situation.