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 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 3 of 5
A nurse is assessing an adult client who is receiving morphine via continuous IV infusion. The nurse should identify that which of the following is the priority finding?
Correct Answer: D
Rationale: The correct answer is D: Respirations deep at a rate of 10/min. This is the priority finding because it indicates respiratory depression, a serious side effect of morphine. Low respiratory rate and deep breathing can lead to hypoxia and respiratory arrest. Monitoring respiratory status is crucial when administering opioids.
A: Urinary output of 20 mL within 1 hr - While decreased urinary output may indicate decreased renal perfusion, respiratory depression is a more immediate concern.
B: Blood pressure 90/60 mm Hg - Hypotension can be a side effect of morphine, but respiratory depression takes precedence.
C: Vomiting 30 mL of fluid - Although vomiting can be a side effect of morphine, it is not as immediately life-threatening as respiratory depression.
Question 4 of 5
A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. In septic shock, the client experiences severe hypotension due to decreased blood flow to vital organs. Dopamine is a vasopressor used to increase blood pressure.
Therefore, if the nurse observes persistent hypotension, it indicates that the current dose of dopamine is not effectively raising blood pressure and should be increased. Extravasation (
A), headache (
B), and chest pain (
D) are not direct indications for adjusting the dopamine infusion rate in this scenario.
Question 5 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.