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 carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Blurred vision. Carbamazepine is known to cause visual disturbances, such as blurred vision, diplopia, and other vision changes. The nurse should instruct the client to monitor for these adverse effects as they may indicate a need to adjust the medication dosage. Insomnia (choice
A) is not a common adverse effect of carbamazepine. Tachypnea (choice
B) refers to rapid breathing and is not typically associated with this medication. Metallic taste (choice
C) is not a common side effect of carbamazepine. In summary, monitoring for blurred vision is crucial when taking carbamazepine to ensure early identification of potential side effects.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Blurred vision. Carbamazepine is known to cause visual disturbances, such as blurred vision, diplopia, and other vision changes. The nurse should instruct the client to monitor for these adverse effects as they may indicate a need to adjust the medication dosage. Insomnia (choice
A) is not a common adverse effect of carbamazepine. Tachypnea (choice
B) refers to rapid breathing and is not typically associated with this medication. Metallic taste (choice
C) is not a common side effect of carbamazepine. In summary, monitoring for blurred vision is crucial when taking carbamazepine to ensure early identification of potential side effects.
Question 3 of 5
A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?
Correct Answer: D
Rationale: The correct answer is D: PT (Prothrombin Time). Prothrombin Time measures the clotting ability of the blood, which is crucial for monitoring warfarin therapy. Warfarin is an anticoagulant that works by inhibiting clotting factors dependent on Vitamin K, such as prothrombin. By reviewing the PT before administering warfarin, the nurse can ensure the client's blood is clotting appropriately.
A: PTT (Partial Thromboplastin Time) measures the intrinsic pathway of the clotting cascade and is not specific to warfarin therapy.
B:
Total iron-binding capacity is unrelated to warfarin therapy.
C: WBC (White Blood Cell count) is not necessary to review before administering warfarin.
Question 4 of 5
A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's oxygen saturation. When administering diazepam for conscious sedation, a potential adverse reaction is respiratory depression, which can lead to decreased oxygen saturation. Monitoring oxygen saturation allows the nurse to promptly identify any respiratory compromise. Checking urinary output (
B) is not directly related to assessing for adverse reactions to diazepam. Monitoring for seizure activity (
C) is important when administering medications that lower seizure threshold, but it is not a common adverse reaction of diazepam. Auscultating bowel sounds (
D) is unrelated to assessing for adverse reactions to diazepam.
Question 5 of 5
A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?
Correct Answer: B
Rationale:
Correct Answer: B. Oxycodone causes central nervous system depression.
Rationale: Oxycodone is an opioid analgesic that acts on the central nervous system (CNS) to relieve pain. One common side effect of opioids like oxycodone is respiratory depression, where the CNS is suppressed, leading to a decrease in respiratory rate. In this case, the client's respiratory rate of 8/min is indicative of CNS depression caused by the oxycodone.
Summary of other choices:
A: Oxycodone does not block sodium channels to suspend nerve conduction.
C: Oxycodone does not inhibit prostaglandin synthesis.
D: Oxycodone does not promote vasodilation of cranial arteries.
Therefore, choices A, C, and D are incorrect in the context of the client's respiratory rate being 8/min.