ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?
Correct Answer: B
Rationale: Grasp skin between thumb and forefinger throughout the injection helps to stabilize the tissue and ensure the medication is delivered into the subcutaneous layer. This technique can help minimize bleeding and bruising by reducing tissue trauma during the injection.
Question 2 of 5
A nurse is caring for a client who is taking rifampin. Which of the following findings should the nurse monitor for as an adverse effect of the medication?
Correct Answer: B
Rationale: Jaundice is a significant adverse effect of rifampin, indicating potential liver damage. Rifampin can cause hepatotoxicity, leading to elevated liver enzymes and bilirubin levels, which manifest as jaundice. Monitoring liver function tests is crucial for clients on rifampin to detect any early signs of liver damage.
Question 3 of 5
A nurse accidentally administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Check the client's glucose level is the most appropriate action, as metformin is an antidiabetic medication that lowers blood glucose levels. Monitoring the client's glucose level will help assess the impact of the incorrect medication administration and guide further treatment.
Question 4 of 5
A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?
Correct Answer: A
Rationale: Taking a high-ceiling diuretic, such as furosemide, can lead to hypokalemia (low potassium levels), which increases the risk of digoxin toxicity. Low potassium levels enhance the effects of digoxin on the heart, making toxicity more likely.
Question 5 of 5
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Correct Answer: B
Rationale: Dispose of the remaining medication while another nurse observes is correct. Proper disposal of controlled substances like hydromorphone requires witnessing by another nurse to ensure accountability and prevent misuse.