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:
Correct Answer: B: Grasp skin between thumb and forefinger throughout the injection.
Rationale: Grasping the skin between the thumb and forefinger helps to create tension at the injection site, which can help minimize bleeding after the injection. This technique helps to stabilize the skin and underlying tissues, reducing the risk of bruising or bleeding. It also ensures proper needle insertion and medication delivery without causing damage to the surrounding blood vessels or tissues.
Summary of Other
Choices:
A: Using the Z-track method is not necessary for subcutaneous injections, as it is primarily for intramuscular injections to prevent medication leakage.
C: Massaging the site can increase bleeding by causing further disruption of the blood vessels.
D: Aspirating the syringe is not needed for subcutaneous injections since the needle tip is not in a blood vessel.
Question 2 of 5
A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?
Correct Answer: C
Rationale: The correct answer is C: Glaucoma. Atropine is contraindicated in clients with glaucoma because it can increase intraocular pressure, worsening the condition. Bronchospasms (
A), diarrhea (
B), and diverticulitis (
D) are not contraindications for atropine administration. Bronchospasms can actually be treated with atropine, and diarrhea and diverticulitis are not directly affected by atropine.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
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.
Question 4 of 5
A nurse is caring for a client who develops an anaphylactic reaction to antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: The correct answer is C: Administer epinephrine IM. Epinephrine is the first-line treatment for anaphylactic reactions as it helps to reverse the symptoms rapidly by constricting blood vessels and relaxing airway muscles. It is crucial in preventing further complications such as severe respiratory distress and cardiovascular collapse. Giving diphenhydramine (choice
A) can help with itching or hives but is not as effective in treating the life-threatening symptoms of anaphylaxis. Elevating the client's legs and feet (choice
B) is not the priority in this emergency situation. Replacing the infusion with 0.9% sodium chloride (choice
D) does not address the immediate need to counteract the anaphylactic reaction.
Question 5 of 5
A nurse is caring for a client who is receiving total parenteral nutrition. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: C
Rationale: The correct answer is C: Electrolyte imbalance.
Total parenteral nutrition (TPN) provides essential nutrients directly into the bloodstream, bypassing the digestive system. This can lead to electrolyte imbalances due to the concentrated nature of the solution. Monitoring electrolyte levels is crucial to prevent complications such as hyperglycemia or hypokalemia. Diarrhea (
A), aspiration pneumonia (
B), and nausea (
D) are not typically associated with TPN administration.