ATI RN
ATI RN Pharmacology 2019 Exam 6 Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is 2.6 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A lithium level of 2.6 mEq/L indicates toxicity, requiring hemodialysis to rapidly reduce levels and prevent harm.
Question 2 of 5
A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Cloudy epoetin alfa suggests contamination or degradation, requiring discard to ensure patient safety.
Question 3 of 5
A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use?
Correct Answer: D
Rationale: TPN's hypertonic nature requires a central venous access device to prevent vein irritation and ensure safe delivery.
Question 4 of 5
A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: Pioglitazone can cause fluid retention, leading to edema, requiring monitoring to prevent complications like heart failure.
Question 5 of 5
A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?
Correct Answer: B
Rationale: Filgrastim should be refrigerated; sitting at room temperature for 2 hours may reduce efficacy, warranting an incident report.