ATI RN
ATI RN Pharmacology 2023 V 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: D
Rationale:
Correct Answer: D. Grasp skin between thumb and forefinger throughout the injection.
Rationale: By grasping the skin between thumb and forefinger throughout the injection, the nurse ensures proper technique to create a taut surface for the needle insertion. This helps to minimize bleeding post-injection by reducing the risk of hitting a blood vessel.
Summary of Incorrect
Choices:
A: Aspirating the syringe prior to injecting heparin is not necessary for subcutaneous injections and may increase the risk of tissue trauma.
B: The Z-track method is used for intramuscular injections, not subcutaneous injections like heparin.
C: Massaging the site post-injection can increase the risk of bleeding by dispersing the medication.
Question 2 of 5
A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?
Correct Answer: D
Rationale: The correct answer is D: Breath sounds. When administering naloxone for opioid toxicity, the priority assessment should be the client's breath sounds. Naloxone can cause rapid reversal of opioid effects, potentially leading to respiratory depression or even respiratory arrest.
Therefore, assessing the client's breath sounds will help the nurse determine if the client is effectively breathing post-administration. If breath sounds are absent or inadequate, immediate intervention may be necessary to maintain airway patency and oxygenation. Assessing heart rate (
A), pain level (
B), and blood pressure (
C) are important but come after ensuring adequate breathing.
Question 3 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?
Correct Answer: C
Rationale: The correct answer is C: Calcium. Levothyroxine absorption can be affected by calcium supplements, so the client should wait at least 4 hours after taking levothyroxine before taking calcium. Calcium can bind to levothyroxine in the gastrointestinal tract, reducing its absorption and effectiveness. Ginkgo biloba (
Choice
A), Zinc (
Choice
B), and Vitamin C (
Choice
D) do not interact significantly with levothyroxine absorption, so there is no need to wait before taking them.
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?
Correct Answer: A
Rationale: The correct answer is A: "Your urine will turn orange while you are taking this medication." Rifampin is known to cause harmless discoloration of bodily fluids, including urine, sweat, and tears, turning them orange-red. This is important for the client to be aware of to prevent unnecessary concern.
Choice B is incorrect because rifampin is usually taken once or twice a day, not specifically at bedtime.
Choice C is incorrect because wearing soft contact lenses should be avoided while taking rifampin due to the risk of staining the lenses.
Choice D is incorrect because rifampin can reduce the effectiveness of oral contraceptives, making them less reliable.
Therefore, the nurse should emphasize the unique side effect of urine discoloration when taking rifampin to the client.
Question 5 of 5
A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Administer the medication into the anterolateral or posterolateral abdominal area.
Rationale:
1. Enoxaparin is a low molecular weight heparin that is typically administered subcutaneously.
2. The anterolateral and posterolateral abdominal areas are recommended sites for subcutaneous injections due to the presence of a thick layer of adipose tissue and minimal risk of hitting blood vessels or nerves.
3. These areas have a larger surface area, which allows for better absorption and reduces the risk of tissue damage.
4. By selecting these specific areas, the nurse ensures proper administration and absorption of the medication.
Summary:
A: Massaging the injection site can cause bruising or tissue damage and is not recommended after administering enoxaparin.
B: Holding the skin taut is not necessary and may cause discomfort to the client during injection.
D: Expelling air bubbles is important to prevent air embolism but is not specific to the administration