ATI RN
ATI RN Pharmacology 2023 V 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: 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 2 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 3 of 5
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Dispose of the remaining medication while another nurse observes. This is the appropriate action because hydromorphone is a controlled substance, and it is crucial to follow proper disposal protocols to prevent misuse or diversion. By disposing of the remaining medication while another nurse observes, it ensures accountability and adherence to safety guidelines.
Choice A is incorrect because returning the medication to the pharmacy could lead to potential errors or misuse.
Choice C is incorrect as storing half a pill in the automated system could violate medication storage regulations.
Choice D is incorrect because placing a partial pill in a unit-dose package may not be allowed and could lead to dosing errors.
Question 4 of 5
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Elevate the extremity. Elevating the extremity helps to reduce swelling and promote fluid reabsorption, preventing further infiltration. By elevating the extremity, gravity assists in draining the excess fluid back into circulation. Applying pressure (choice
A) may further damage tissues. Slowing the infusion rate (choice
B) may not be sufficient to prevent further infiltration. Flushing the IV catheter (choice
D) is not appropriate in this situation as it does not address the issue of infiltration.
Question 5 of 5
A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Consult a drug reference guide for possible interactions. This is the best action because drug reference guides provide comprehensive information on potential interactions between medications and food. By consulting a reliable drug reference guide, the nurse can ensure the safety and effectiveness of the medication administration.
A: Having the client take the medication on an empty stomach may not necessarily prevent interactions.
C: Asking another nurse may not be reliable as the other nurse might not have the necessary information.
D: Checking the client's medical record is important but may not provide detailed information on all potential interactions like a drug reference guide.