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: Atenolol, a beta-blocker, can cause orthostatic hypotension, leading to lightheadedness, especially when changing positions.
Question 2 of 5
A nurse is providing discharge teaching to a client who has a prescription for enoxaparin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Expelling the air bubble before injecting enoxaparin ensures accurate dosing and prevents tissue irritation during subcutaneous administration.
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: aPTT is used to monitor heparin's anticoagulant effect, ensuring the therapeutic range is maintained to prevent thrombosis or bleeding.
Question 4 of 5
A nurse is caring for a client who is receiving meperidine. Which of the following is the nurse's priority assessment before administering the medication?
Correct Answer: C
Rationale: The priority assessment before administering meperidine is the client's respiratory rate. Opioids can cause respiratory depression, leading to reduced breathing and inadequate ventilation. Monitoring the respiratory rate allows the nurse to detect any signs of respiratory distress or inadequate breathing, enabling them to intervene promptly to prevent serious complications.
Question 5 of 5
A nurse is providing teaching to a client who has chronic rheumatoid arthritis and a new prescription for hydroxychloroquine. The nurse should instruct the client to obtain which of the following diagnostic studies routinely?
Correct Answer: A
Rationale: Hydroxychloroquine can cause retinal toxicity, requiring routine eye examinations to monitor for vision changes and prevent irreversible damage.