ATI RN
ATI RN Pharmacology 2023 Retake 2 Questions
Extract:
Question 1 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: D
Rationale:
Rationale: The correct answer is D because rifampin can cause orange discoloration of urine due to its side effect. The other choices are incorrect because A is false, as rifampin can decrease the effectiveness of oral contraceptives. B is incorrect because rifampin can stain soft contact lenses. C is incorrect because rifampin is usually taken once daily in the morning on an empty stomach.
Question 2 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse identifies that the client has developed confusion pitting edema. After slowing the infusion rate, which of the following findings should the nurse assess next?
Correct Answer: A
Rationale: The correct answer is A: Urinary output. When a client receiving TPN develops confusion and pitting edema, it indicates possible fluid overload. Slowing the infusion rate helps reduce the risk, but assessing urinary output is crucial to monitor kidney function and fluid balance. Decreased urinary output may suggest renal impairment or inadequate fluid removal, necessitating further intervention. Blood glucose level (
B) is important but not the priority in this scenario. Weight (
C) may provide information on fluid retention but does not directly assess kidney function. Heart rate (
D) may be affected by various factors and is not as specific in assessing fluid balance as urinary output.
Question 3 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Ensure that the air bubble remains in the syringe. This instruction is important because enoxaparin is a medication that should be administered without aspiration to prevent accidental injection into a blood vessel, which can lead to complications. Keeping the air bubble in the syringe helps to prevent accidental aspiration of blood into the syringe, ensuring the medication is administered correctly.
Choice A is incorrect as enoxaparin is typically administered into the abdomen, not the lateral thigh.
Choice C is incorrect as the skin fold should be held during injection to ensure proper technique.
Choice D is incorrect as rubbing the site after injection can cause irritation.
Question 4 of 5
A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the correct dose of filgrastim for the client weighing 143 lb, we first convert the weight to kg: 143 lb ÷ 2.2 = 65 kg. Next, we multiply the weight in kg by the dose (5 mcg/kg/day): 65 kg x 5 mcg/kg/day = 325 mcg/day. Rounded to the nearest whole number, the nurse should administer 325 mcg/day.
Therefore, the correct answer is A: 324 mcg. The other choices are incorrect as they do not reflect the accurate calculation based on the client's weight and the prescribed dose.
Question 5 of 5
A nurse is caring for a client who is receiving high-dose metalopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia. Metoclopramide, a medication that promotes gastric emptying, can lead to tardive dyskinesia, a movement disorder characterized by involuntary muscle movements. Monitoring for this adverse effect is crucial due to its serious and potentially irreversible nature. Black stools (
A) are more commonly associated with gastrointestinal bleeding. Dry cough (
B) is not a common side effect of metoclopramide. Oral candidiasis (
C) is a fungal infection in the mouth and is not directly related to metoclopramide use.