ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is preparing to administer hydrochlorothiazide to a client. Which of the following adverse effects should the nurse monitor the client for?
Correct Answer: D
Rationale: The correct answer is D: Hypotension. Hydrochlorothiazide is a diuretic that works by increasing urine output, leading to decreased blood volume and potential lowering of blood pressure.
Therefore, the nurse should monitor the client for signs of hypotension such as dizziness, weakness, or fainting. Ototoxicity (
A) is not associated with hydrochlorothiazide. Weight gain (
B) is unlikely as the medication promotes fluid loss. Hyperkalemia (
C) is not a common adverse effect of hydrochlorothiazide, as it typically lowers potassium levels.
Question 2 of 5
A nurse is caring for a client who has a gonococcal infection and has been prescribed an IM injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "We will discuss other treatment options with your provider." This response is appropriate because it acknowledges the client's fear of needles and shows a willingness to explore alternative treatment options. It promotes open communication and collaboration between the nurse, client, and healthcare provider.
Option A is incorrect because it uses a threatening approach, which may further discourage the client from receiving treatment. Option B is incorrect as it dismisses the client's fear as insignificant and may come across as insensitive. Option D is incorrect as it presents a false ultimatum and does not address the client's concerns.
Question 3 of 5
A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?
Correct Answer: D
Rationale: The correct answer is D: Ginkgo biloba. Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its antiplatelet effects. This combination can lead to excessive bleeding. Coenzyme Q10 (
A) does not have significant interactions with warfarin. Probiotics (
B) and valerian (
C) are also generally safe to take with warfarin.
Therefore, the nurse should identify ginkgo biloba as contraindicated due to its potential to enhance the anticoagulant effects of warfarin.
Question 4 of 5
A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 ml via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 50
Rationale: The correct answer is 50 gtt/min.
To calculate the infusion rate in drops per minute (gtt/min), we use the formula: (Volume to be infused in ml × drop factor) ÷ time in minutes. In this case, (100 ml × 15 gtt/ml) ÷ 30 min = 1500 gtt ÷ 30 min = 50 gtt/min. This ensures the correct administration rate for cefazolin. Other choices are incorrect because they do not follow the correct calculation method or do not result in the appropriate infusion rate.
Question 5 of 5
A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's oxygen saturation. When administering diazepam for conscious sedation, a potential adverse reaction is respiratory depression, which can lead to decreased oxygen saturation. Monitoring oxygen saturation allows the nurse to promptly identify any respiratory compromise. Checking urinary output (
B) is not directly related to assessing for adverse reactions to diazepam. Monitoring for seizure activity (
C) is important when administering medications that lower seizure threshold, but it is not a common adverse reaction of diazepam. Auscultating bowel sounds (
D) is unrelated to assessing for adverse reactions to diazepam.