ATI RN Pharmacology 2023 -Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Use IV tube ports when injecting medications. This is crucial to avoid direct contact between the latex material and the client, reducing the risk of an allergic reaction. IV tube ports are latex-free, ensuring safety for the client with a latex allergy.
Incorrect choices:
B: Removing medication from multi-dose vials with the stopper in place can expose the client to latex from the vial's stopper.
C: Securing loose cords in stockinette with tape does not directly address the client's latex allergy.
D: Scheduling the surgery as the last procedure of the day does not specifically address the client's latex allergy and is not a standard practice for managing latex allergies.

Correct Answer: A

Rationale: The correct answer is A: Instruct the client to take small sips of water. This action helps the nurse assess the thyroid gland's size, shape, and movement as the client swallows. Asking the client to take small sips of water facilitates the palpation of the thyroid gland and helps identify any abnormalities.

Choices B, C, and D are incorrect.
Choice B, asking the client to hyperextend their neck, can distort the thyroid gland's position and make it difficult to assess accurately.
Choice C, inspecting the isthmus as the client holds their breath, is not a standard technique for assessing the thyroid gland.
Choice D, assisting the client to a supine position, is not necessary for a thyroid assessment and may not provide optimal access to the gland.

Correct Answer: B,C,D

Rationale:
To select the correct answer, , we must identify concerning signs that require immediate action.
B: A client being difficult to arouse indicates altered consciousness, necessitating urgent attention.
C: A respiratory rate of 10/min is abnormally low and indicates respiratory distress.
D: A pulse oximetry of 88% on room air is below the normal range, indicating hypoxemia.
Incorrect options:
A: Temperature of 37.5°C is within normal range.
E: Pupils being equal and reactive are normal findings.
F: Blood pressure of 99/46 mm Hg is slightly low but not critically concerning.
G: Heart rate of 61/min is within normal limits.

Correct Answer: B

Rationale: The correct answer is B: 7.5 mL.
To calculate this, we first determine how many 20 mg doses are in 30 mg (30 mg ÷ 20 mg = 1.5 doses).
Then, since the medication is 20 mg/5 mL, each dose is 5 mL (20 mg ÷ 5 mL = 4 mL).
Therefore, 1.5 doses x 4 mL/dose = 6 mL. However, since we need to round up to ensure the full dosage is administered, the nurse should administer 7.5 mL.

Choice A (7 mL) is incorrect as it does not provide the full dosage.

Choices C (8 mL) and D (8.5 mL) are incorrect as they exceed the necessary dosage, leading to potential overdose risks.

Correct Answer: B

Rationale:
Correct Answer: B


Rationale:
The correct answer is B because sharing health information with a relative without the client's permission would violate client confidentiality. Respecting a client's right to privacy and obtaining their consent before sharing sensitive information is crucial in maintaining confidentiality. This principle is in line with ethical standards and legal requirements, such as the Health Insurance Portability and Accountability Act (HIPA
A). It demonstrates a clear understanding of the importance of protecting client privacy.

Incorrect choices:
A: Sharing client information in public areas like hallways violates confidentiality.
C: Sharing a client's diagnosis with any health care team member may not be necessary for their care and could breach confidentiality.
D: While accessing medical records may require permission, written permission from the provider is not specifically needed for a client to access their own records.