ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid?
Correct Answer: A
Rationale: The correct answer is A: Cheddar cheese. Phenelzine is a monoamine oxidase inhibitor (MAOI) that interacts with tyramine-rich foods, such as aged cheeses like cheddar. Tyramine can cause dangerously high blood pressure levels when combined with MAOIs. Sweet potatoes, orange juice, and canned tuna do not contain high levels of tyramine and are safe to consume with phenelzine.
Question 2 of 5
A nurse is preparing to administer dextrose 5% in water 350 mL IV to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: A
Rationale: The correct answer is A: 19 gtt/min.
To calculate the drip rate, use the formula: mL/hr = gtt/min × drop factor. First, convert 3 hours to minutes (3 hr × 60 min/hr = 180 min).
Then, calculate the mL/min infusion rate (350 mL ÷ 180 min = 1.944 mL/min). Now, use the drop factor of 10 gtt/mL to find the gtt/min (1.944 mL/min × 10 gtt/mL = 19.44 gtt/min). Since you can only administer whole drops, round down to the nearest whole number, giving you 19 gtt/min. Other choices are incorrect as they do not result from the correct calculations.
Question 3 of 5
A nurse is caring for an adolescent who is receiving treatment for burns and is requesting medication for pain. Which of the following questions should the nurse ask to determine the quality of the adolescent's pain?
Correct Answer: D
Rationale: The correct answer is D: Can you describe what your pain feels like? This question is crucial in determining the quality of pain, as it helps the nurse understand the characteristics of the pain (e.g., sharp, dull, burning). Understanding the quality of pain can provide valuable information for the nurse to identify potential causes and tailor appropriate pain management strategies.
Choice A is incorrect because pointing to the area of severe pain indicates location, not quality.
Choice B focuses on the timing of pain escalation, not quality.
Choice C assesses pain intensity on a numerical scale, not quality.
In summary, asking the adolescent to describe the pain sensation (choice
D) helps the nurse gain insights into the nature of the pain, which is essential for effective pain management.
Question 4 of 5
A nurse is preparing to administer a medication to a client when they discover that the wrong medication was dispensed by the pharmacy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: File a report with the facility to document the incident as a near miss medication error. This action is crucial for patient safety and quality improvement. By documenting the incident as a near miss, the facility can investigate the root cause, implement preventive measures, and prevent future errors. Informing the client (
A) may cause unnecessary distress. Contacting the prescribing provider (
B) is important but should be done after reporting to the facility. Writing in the client's medical record (
C) is not sufficient for proper reporting.
Choices E, F, and G are not relevant to the situation.
Question 5 of 5
A nurse is preparing to apply a fentanyl transdermal patch. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Press the patch firmly into place using the palm of the hand for 30 seconds. This action helps ensure proper adhesion of the fentanyl patch to the skin, promoting consistent drug delivery. Pressing the patch helps create better contact between the patch and the skin, enhancing absorption. It is important to press the patch firmly but gently to avoid damaging the patch or irritating the skin.
Explanation for other choices:
A: Cleaning the application area with an alcohol swab is not necessary and may irritate the skin.
B: Applying a warm compress may alter drug absorption and is not recommended for fentanyl patches.
D: Discarding the used patch in a clear plastic bag and placing it in the trash is correct for disposal but not related to applying the patch.