ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a medication to a client when they discover that the wrong medication was dispensed by the pharmacy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: File a report with the facility to document the incident as a near miss medication error. This action is crucial for patient safety and quality improvement. By documenting the incident as a near miss, the facility can investigate the root cause, implement preventive measures, and prevent future errors. Informing the client (
A) may cause unnecessary distress. Contacting the prescribing provider (
B) is important but should be done after reporting to the facility. Writing in the client's medical record (
C) is not sufficient for proper reporting.
Choices E, F, and G are not relevant to the situation.
Question 2 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Monitor the client's weight daily. Monitoring the client's weight daily is essential when administering TPN to assess fluid balance and nutritional status. Weight changes can indicate fluid retention or loss, helping to adjust the TPN solution accordingly. Hanging the TPN to gravity (
A) is incorrect as TPN should be administered using an infusion pump to control the rate accurately. Titrating TPN to blood pressure (
C) is incorrect as TPN is not adjusted based on blood pressure but rather individual nutritional needs. Obtaining the client's blood glucose level weekly (
D) is important but not as crucial as monitoring weight daily to ensure adequate TPN therapy.
Question 3 of 5
A nurse is assessing a client who has a transdermal fentanyl patch in place. Which of the following findings should the nurse document as an adverse effect of this medication?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Fentanyl, a potent opioid, can cause hypotension as an adverse effect due to its central nervous system depressant effects, leading to a decrease in blood pressure. Tachycardia (
A) is less common with fentanyl, insomnia (
B) is not a typical side effect, and diarrhea (
D) is also less likely. It is crucial for the nurse to monitor for signs of hypotension when a client is on a fentanyl patch to prevent complications.
Question 4 of 5
A nurse in an outpatient clinic is teaching a client who has a new prescription for oxycodone. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: You should take a stool softener while taking this medication. Oxycodone is an opioid analgesic that can cause constipation as a side effect. Taking a stool softener can help prevent or alleviate constipation.
Choice A is incorrect because oxycodone does not typically cause increased urination.
Choice B is incorrect because oxycodone should be taken with food to minimize gastrointestinal side effects.
Choice D is incorrect because there is no need to minimize sunlight exposure specifically with oxycodone.
Question 5 of 5
A nurse is speaking with the adult child of a client who is terminally ill and has decided to discontinue further treatment. The adult child states, 'I am not going to let this happen.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "We have to respect the wishes of your parent." This response is appropriate because it acknowledges the autonomy and decision-making capacity of the client. In end-of-life care, it is crucial to honor the client's wishes and decisions regarding their treatment. This response also promotes ethical principles such as beneficence and non-maleficence by prioritizing the client's autonomy and well-being.
Choice A is incorrect as obtaining power of attorney does not address the client's wishes directly.
Choice B focuses on the adult child's emotions rather than the client's decision.
Choice D shifts the focus to the nurse's feelings rather than the client's autonomy. These responses do not prioritize the client's wishes and autonomy, making them inappropriate in this situation.