ATI RN
RN VATI Pharmacology S 2019 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has a new prescription for atenolol. Which of the following adverse effects should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Lightheadedness. Atenolol is a beta-blocker that can cause a decrease in blood pressure, leading to lightheadedness due to reduced blood flow to the brain. Tachycardia (choice
B) is not an adverse effect as atenolol actually slows down the heart rate. Dry mouth (choice
C) is not a common adverse effect of atenolol. Bronchodilation (choice
D) is not expected with atenolol as it can actually cause bronchoconstriction in some individuals.
Question 2 of 5
A nurse is caring for a client who has anxiety and a prescription for oral lorazepam PRN. Which of the following is the correct way to transcribe the prescription into the electronic medical record?
Correct Answer: C
Rationale: The correct answer is C: Lorazepam 2.5 mg PO every 8 hours as needed for anxiety. This transcribes the prescription accurately, specifying the medication, dose, route, frequency, and indication. Option A specifies a bedtime dose without mentioning PRN, B specifies once daily at bedtime without PRN, and D specifies a fixed interval dosing schedule. These options do not reflect the PRN nature of the prescription, making them incorrect.
Question 3 of 5
A nurse is caring for a client who is receiving heparin by continuous IV infusion for treatment of venous thrombosis. Which of the following laboratory values should the nurse monitor for in order to titrate the heparin dose?
Correct Answer: B
Rationale: The correct answer is B: aPTT. Activated Partial Thromboplastin Time (aPTT) is a lab value used to monitor heparin therapy. Heparin works by inhibiting clot formation, so monitoring aPTT ensures the blood is at the appropriate level of anticoagulation. If aPTT is too low, there is a risk of clot formation, and if it is too high, there is a risk of bleeding. Platelet function assay (
A) measures platelet function, not heparin effectiveness. INR (
C) is used to monitor warfarin therapy, not heparin. Amylase (
D) is a pancreatic enzyme, not relevant to heparin monitoring. Monitoring aPTT helps maintain the therapeutic range for heparin dosing.
Question 4 of 5
A nurse in the emergency department is planning care for a client who had a myocardial infarction and is receiving thrombolytic therapy with an WV infusion of alteplase. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Monitor for changes in level of consciousness. This is essential because thrombolytic therapy with alteplase can increase the risk of intracranial bleeding, which can lead to changes in the level of consciousness. Monitoring for neurological signs, especially changes in mental status, is crucial for early detection and intervention in case of intracranial bleeding.
Choice A is incorrect as aspirin is not recommended alongside thrombolytic therapy due to increased risk of bleeding.
Choice B is incorrect as ambulating the client may increase the risk of bleeding complications.
Choice C is incorrect as administering a sodium phosphate enema is not relevant to the client's condition.
Question 5 of 5
A nurse is preparing to administer a new prescription for ampicillin 1.5g IV every 6 hr to a client who has an upper respiratory infection. The client also has a prescription for a sputum specimen for culture and sensitivity. Which of the following actions should the nurse plan to take?
Correct Answer: A,C,D,E
Rationale:
Correct
Answer: A, C, D, E
Rationale:
A: Verify the prescription - It is essential for the nurse to confirm the accuracy and appropriateness of the new medication order before administration.
C: Assess the client for an allergy to penicillin - Since ampicillin is a penicillin antibiotic, it is crucial to evaluate the client for any potential allergic reactions.
D: Document giving the medications - Documentation is a critical aspect of nursing practice to ensure accurate recording of the medication administration.
E: Obtain a sputum for culture and sensitivity - This action is necessary to identify the causative organism and determine the most effective antibiotic therapy for the client's infection.
Summary:
B: Administering the medication at specific times is not relevant to the question.
F, G: No additional options provided.