ATI RN Pharmacology 2023 IV | Nurselytic

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.

Correct Answer: C

Rationale: The correct response is C: "We have to respect the wishes of your parent." This response is appropriate because it acknowledges the autonomy and decision-making capacity of the client. In end-of-life care, it is crucial to honor the client's wishes and decisions regarding their treatment. This response also promotes ethical principles such as beneficence and non-maleficence by prioritizing the client's autonomy and well-being.


Choice A is incorrect as obtaining power of attorney does not address the client's wishes directly.
Choice B focuses on the adult child's emotions rather than the client's decision.
Choice D shifts the focus to the nurse's feelings rather than the client's autonomy. These responses do not prioritize the client's wishes and autonomy, making them inappropriate in this situation.

Correct Answer: A

Rationale: The correct answer is A: "I will take the patch off after dinner every night." This statement indicates understanding because nitroglycerin patches are typically worn for 12-14 hours, then removed for a 10-12 hour patch-free period to prevent tolerance. Removing the patch after dinner ensures a suitable time frame for effectiveness without interruption.


Choice B is incorrect because applying a new patch to the same site repeatedly can lead to skin irritation and reduced absorption.
Choice C is incorrect as cutting the patch compromises the controlled release mechanism and can cause an uneven dose.
Choice D is incorrect because applying a second patch without medical advice can lead to overdose and severe hypotension.

Correct Answer: C

Rationale: The correct response is C: "I will notify your provider of your decision." This answer is correct because it shows respect for the client's autonomy while also ensuring that the healthcare provider is informed of the client's decision to refuse medication. By notifying the provider, the nurse ensures that the client's healthcare team is aware of the situation and can make any necessary adjustments to the treatment plan.



Choices A, B, and D are incorrect because they do not prioritize the client's autonomy and may come across as judgmental or dismissive.
Choice A minimizes the client's concerns, choice B puts the client on the spot without addressing the underlying reasons for refusal, and choice D uses a threatening approach that may harm the nurse-client relationship. It's important for the nurse to respect the client's decision while also ensuring that proper communication with the healthcare team is maintained.

Correct Answer: C

Rationale: The correct answer is C: Hypotension. Fentanyl, a potent opioid, can cause hypotension as an adverse effect due to its central nervous system depressant effects, leading to a decrease in blood pressure. Tachycardia (
A) is less common with fentanyl, insomnia (
B) is not a typical side effect, and diarrhea (
D) is also less likely. It is crucial for the nurse to monitor for signs of hypotension when a client is on a fentanyl patch to prevent complications.