ATI RN Pharmacology 2023 II | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Check the client's hemoglobin level. This is important before administering epoetin alfa, as it stimulates red blood cell production and can increase hemoglobin levels. Monitoring the client for hypotension (
A) is important but not directly related to administering epoetin alfa. Injecting at a 15-degree angle (
B) is not specific to administering this medication. Administering in the deltoid (
D) is not the recommended site for subcutaneous injections of epoetin alfa.

Correct Answer: C

Rationale: The correct answer is C: Administer IV dextrose. Hypoglycemia in a client receiving parenteral nutrition indicates a low blood sugar level, which can be dangerous. Administering IV dextrose is the appropriate action to quickly raise the blood sugar level. Obtaining arterial blood gases (
Choice
A) is not necessary for managing hypoglycemia. Warming formula to room temperature (
Choice
B) will not address the low blood sugar level. Discontinuing the infusion (
Choice
D) would worsen the hypoglycemia by stopping the source of nutrition.

Correct Answer: D

Rationale: The correct answer is D: Glyburide. Sulfonamide antibiotics and sulfonylurea medications like glyburide share a similar chemical structure, increasing the risk of cross-reactivity in individuals with sulfonamide allergies. Famotidine (
A) is an H2 blocker, not contraindicated in sulfonamide allergies. Aspirin (
B) is not contraindicated unless the individual has a specific aspirin allergy. Metronidazole (
C) is an antibiotic in a different class and not contraindicated in sulfonamide allergies. Thus, the nurse should identify glyburide as contraindicated due to the potential cross-reactivity in a client with a sulfonamide allergy.

Correct Answer: A

Rationale: The correct answer is A: Blurred vision. Carbamazepine is known to cause ocular side effects, including blurred vision. The rationale behind this is that carbamazepine can affect the eye muscles and nerves, leading to visual disturbances. It is important for the client to monitor for any changes in vision and report them to their healthcare provider.
Other choices (B, C,
D) are incorrect because tachypnea (fast breathing), insomnia, and metallic taste are not common adverse effects associated with carbamazepine use. It is crucial for the nurse to focus on educating the client about the specific potential adverse effects of the medication to ensure early detection and appropriate management.

Correct Answer: B

Rationale: The correct answer is B: Administer the medication into the anterolateral or posterolateral abdominal area. Enoxaparin is a low molecular weight heparin that should be injected subcutaneously into the fatty tissue in the abdomen. This area has a good blood supply, allowing for better absorption of the medication. The nurse should choose an area away from the umbilicus and any scar tissue to prevent discomfort and ensure proper absorption. Massaging the injection site after administering the medication (
Choice
A) is not recommended as it can cause bruising and discomfort. Holding the skin taut at the injection site (
Choice
C) is unnecessary and may increase the risk of injecting the medication too deeply. Expelling the air bubble from the syringe (
Choice
D) is not necessary for subcutaneous injections and may lead to medication wastage.