ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to insert a miconazole vaginal suppository for a client who has vulvovaginal candidiasis. Which of the following actions is appropriate for inserting this medication?
Correct Answer: B
Rationale: The correct answer is B: Insert the suppository along the posterior wall of the vaginal canal. This is because the posterior wall of the vaginal canal allows for the suppository to be placed in the most effective location for absorption and treatment of the infection. Placing it along this wall ensures proper placement and maximum efficacy of the medication.
Choice A: Assisting the client to a left lateral position is not directly related to the correct technique for inserting the suppository.
Choice C: Applying petroleum jelly to the suppository is not necessary and may interfere with the medication's absorption.
Choice D: Putting on sterile gloves before handling the suppository is not required for this procedure as the suppository is meant to be inserted directly into the vaginal canal.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for lithium. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Increase fluid intake. Lithium is a medication used to treat bipolar disorder, and it can cause dehydration and increase the risk of lithium toxicity. By increasing fluid intake, the client can maintain proper hydration levels, which helps to prevent lithium toxicity. This information is crucial for the client's safety and well-being.
Incorrect choices:
B: Decrease sodium intake - While monitoring sodium intake is important with lithium therapy, decreasing it is not necessary.
C: Eat foods high in potassium - While maintaining a balanced diet is important, focusing on potassium specifically is not directly related to lithium therapy.
D: Take the medication 1 hr before meals - Lithium can be taken with or without food, so the timing of meals in relation to medication is not a critical teaching point.
Question 3 of 5
A nurse is reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?
Correct Answer: C
Rationale: The correct answer is C: Lithium carbonate. Furosemide can decrease lithium excretion, leading to increased lithium levels and toxicity. Levothyroxine (
A), Cetirizine (
B), and Albuterol (
D) do not have significant interactions with furosemide. In summary, the other choices are incorrect because they do not pose a contraindication when taken concurrently with furosemide, unlike lithium carbonate.
Question 4 of 5
A nurse is checking the forearm of a client who received a tuberculin skin test 48 hr ago. Which of the following findings at the injection site should indicate to the nurse a positive result?
Correct Answer: B
Rationale: The correct answer is B: Firmness. A positive tuberculin skin test is indicated by induration (firmness) at the injection site, not redness, swelling, or pain. Induration of 10mm or more is considered positive for most individuals. Excoriation (choice
A) refers to scratching or scraping of the skin, not a typical sign of a positive tuberculin skin test. Ulceration (choice
C) involves open sores, not related to a tuberculin skin test. Bleeding (choice
D) at the injection site is not a sign of a positive result.
Question 5 of 5
A nurse is planning care for a client who has angina and a new prescription for nitroglycerin ointment. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A. The nurse should cover the administration area with plastic wrap when applying nitroglycerin ointment to prevent accidental exposure to others and to ensure proper absorption of the medication. This step helps to enhance the drug's efficacy by promoting direct contact with the skin and preventing it from being rubbed off onto clothing or other surfaces. Massaging the ointment into the skin (
B) may alter the absorption rate and distribution of the medication. Spreading the ointment in a 10 cm2 area (
C) may lead to inaccurate dosing. Applying the ointment in a thick layer (
D) may result in overdose or underdose due to inconsistent dosing.