ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?
Correct Answer: B
Rationale: The correct answer is B: Endocarditis. Metronidazole is commonly used to treat anaerobic infections, including endocarditis caused by anaerobic bacteria. Endocarditis is an infection of the inner lining of the heart chambers and valves, which metronidazole is effective against. Kidney transplant (
A) is not a direct indication for metronidazole use. Seizures (
C) are a potential side effect of metronidazole, not an indication for its use. Hypokalemia (
D) is an electrolyte imbalance and not a direct indication for metronidazole.
Question 2 of 5
What actions should the nurse take?
Correct Answer: C,D,E
Rationale: The correct actions for the nurse to take are C, D, and E.
C: Advising the client to change positions slowly helps prevent orthostatic hypotension and potential falls.
D: Monitoring the client for dysrhythmias is important, especially if the client is taking medications that can affect cardiac function.
E: Checking the client for orthostatic hypotension is crucial to assess for potential adverse effects of medications.
Choice A is incorrect as it does not address potential side effects related to position changes.
Choice B is incorrect as restricting potassium intake may not be necessary based on the client's condition.
Question 3 of 5
A nurse is reviewing the medical record of a female client who asks about a prescription for alendronate for the treatment of osteoporosis. Which of the following findings should the nurse identify as a safety risk for the client when taking this medication?
Correct Answer: B
Rationale: The correct answer is B. Immobility restricting the client to a supine position is a safety risk when taking alendronate because it can increase the risk of esophageal irritation and ulceration due to difficulty swallowing pills and maintaining an upright position after taking the medication. This can lead to serious complications such as esophagitis or esophageal ulcers.
Choice A (first-degree relative with Paget's disease) is incorrect as it is not directly related to the safety of taking alendronate.
Choice C (history of anaphylaxis following a bee sting) is also incorrect as it does not pose a direct risk when taking alendronate.
Choice D (postmenopausal) is a common indication for alendronate use and not a safety risk in itself.
Question 4 of 5
A nurse is teaching a client who has a prescription for an epinephrine auto-injector. The nurse should instruct the client to take which of the following actions first?
Correct Answer: B
Rationale: The correct answer is B: Jab the device into the outer thigh. This action is crucial because epinephrine needs to be delivered quickly in case of an allergic reaction. Jabbing the device ensures prompt administration, as opposed to massaging the thigh first (
A), seeking immediate medical attention (
C), or holding the injector in place (
D), which can delay the delivery of epinephrine and worsen the client's condition.
Question 5 of 5
A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?
Correct Answer: A
Rationale: The correct answer is A: Nitroglycerin. Nitroglycerin is a contraindication for sildenafil due to the potential severe hypotension when both drugs are used together. Nitroglycerin is a vasodilator that can significantly lower blood pressure, and when combined with sildenafil, which also causes vasodilation, the additive effect can lead to dangerously low blood pressure. Albuterol, Furosemide, and Indomethacin do not have significant interactions with sildenafil that would contraindicate their use together.