ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: D
Rationale: The correct answer is D: Heart rate. Propranolol is a beta-blocker that primarily works by slowing down the heart rate and reducing blood pressure.
Therefore, it is crucial for the nurse to assess the client's heart rate before administering this medication to ensure it is within the safe range. Assessing the heart rate helps the nurse monitor for potential side effects such as bradycardia.
A: Pain level is not directly related to the administration of propranolol.
B: Temperature is not directly related to the administration of propranolol.
C: Respiratory rate is not the primary parameter to assess before administering propranolol.
In summary, assessing the heart rate is essential before administering propranolol to monitor its effects and ensure client safety.
Question 2 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
Question 3 of 5
A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Return expired medication to the pharmacist. This is the safest and most environmentally friendly method of medication disposal. Pharmacies have proper protocols for disposing of medications to prevent harm to individuals and the environment.
Choice A is incorrect as flushing medication down the toilet can contaminate water sources.
Choice B is incorrect as throwing medication in the trash can lead to accidental ingestion by children or pets.
Choice D is incorrect as crushing medication and rinsing it down the sink can also harm the environment. It is essential to follow proper disposal guidelines to ensure the safety of everyone.
Question 4 of 5
A nurse is educating a client who has a new prescription for digoxin. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Check your heart rate 1 hour after taking the medication. This statement is important as digoxin can affect heart rate, and monitoring it helps assess for potential toxicity. Option A is incorrect because taking a missed dose could lead to overdose. Option B is unrelated to digoxin therapy. Option D is incorrect as visual changes are not an expected side effect of digoxin. It is crucial for nurses to prioritize patient safety by providing accurate and relevant information.
Question 5 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.