ATI RN Pharmacology 2023 Retake 2

Extract:

Question 1 of 5

A nurse is preparing an educational training session about collaborating with the provider to prevent medication errors. Which of the following information should the nurse include in the teaching?

A. Reading back the provider's prescription is only necessary for high alert medications. B. Providers should cosign all verbal prescriptions. C. Utilize assistive personnel as a witness to verbal provider prescriptions. D. Safe abbreviations should only be used by providers.

Correct Answer: B

Rationale: The correct answer is B: Providers should cosign all verbal prescriptions. This is essential to prevent medication errors by ensuring accountability and double-checking the accuracy of the prescription. Cosigning adds an additional layer of safety by involving another healthcare professional in the process. Reading back prescriptions (
A) is important for all medications, not just high alert ones, to confirm understanding. Utilizing assistive personnel as a witness (
C) may introduce potential for miscommunication or errors. Safe abbreviations (
D) should be used by all healthcare professionals, not just providers, to reduce errors.

Question 2 of 5

A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?

A. A child who recently received the human papillomavirus vaccine B. An older adult client living in a long-term care facility C. A client who has AIDS D. A young adult who has an allergy to eggs

Correct Answer: C

Rationale: The correct answer is C. Clients with AIDS have compromised immune systems, making them more susceptible to adverse effects of the varicella vaccine. It is contraindicated in immunocompromised individuals due to the risk of disseminated vaccine-related disease.
Choice A is incorrect because receiving the HPV vaccine does not affect the varicella vaccine.
Choice B is incorrect as older adults in long-term care facilities are not contraindicated for the varicella vaccine.
Choice D is incorrect because while the varicella vaccine is grown in cells derived from eggs, the risk of an allergic reaction is low, and precautions can be taken.

Question 3 of 5

A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?

A. Monitor the client's thyroid function levels. B. Check the client's glucose level. C. Obtain the client's HDL level. D. Collect the client's uric acid level.

Correct Answer: B

Rationale: The correct answer is B: Check the client's glucose level. Metformin is a medication used to treat diabetes by lowering blood sugar levels. Given accidentally instead of metoprolol, which is a beta-blocker for blood pressure, the nurse must monitor the client's glucose level to assess for hypoglycemia or hyperglycemia due to the mix-up. Monitoring glucose levels promptly allows for timely intervention if needed.

Other choices are incorrect because:
A: Monitoring thyroid function levels is not necessary in this situation.
C: Obtaining HDL levels is not relevant to the medication error.
D: Collecting uric acid levels is unrelated to the administration error.

Question 4 of 5

A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?

A. This medication will not interfere with the effectiveness of oral contraceptives. B. You can continue to wear soft contact lenses while taking this medication. C. You should take this medication once each day at bedtime. D. Your urine will turn orange while you are taking this medication.

Correct Answer: D

Rationale:
Rationale: The correct answer is D because rifampin can cause orange discoloration of urine due to its side effect. The other choices are incorrect because A is false, as rifampin can decrease the effectiveness of oral contraceptives. B is incorrect because rifampin can stain soft contact lenses. C is incorrect because rifampin is usually taken once daily in the morning on an empty stomach.

Question 5 of 5

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse identifies that the client has developed confusion pitting edema. After slowing the infusion rate, which of the following findings should the nurse assess next?

A. Urinary output B. Blood glucose level C. Weight D. Heart rate

Correct Answer: A

Rationale: The correct answer is A: Urinary output. When a client receiving TPN develops confusion and pitting edema, it indicates possible fluid overload. Slowing the infusion rate helps reduce the risk, but assessing urinary output is crucial to monitor kidney function and fluid balance. Decreased urinary output may suggest renal impairment or inadequate fluid removal, necessitating further intervention. Blood glucose level (
B) is important but not the priority in this scenario. Weight (
C) may provide information on fluid retention but does not directly assess kidney function. Heart rate (
D) may be affected by various factors and is not as specific in assessing fluid balance as urinary output.

ATI RN Pharmacology 2023 Retake 2 | Nurselytic

Nurselytic

ATI RN

ATI RN