ATI RN Pharmacology 2023 IV | Nurselytic

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: Hemorrhage. Alteplase is a thrombolytic medication that dissolves blood clots. One of its major adverse effects is the risk of causing hemorrhage due to its clot-dissolving action. Monitoring for signs of bleeding such as bruising, petechiae, hematemesis, or melena is crucial. Steatorrhea (
B) is unrelated to alteplase. Polycythemia (
C) is an increase in red blood cell count, not a known adverse effect of alteplase. Laryngospasm (
D) is a sudden spasm of the vocal cords, not associated with alteplase use.

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.

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: Bruising. Clopidogrel is an antiplatelet medication that helps prevent blood clots. One of the common side effects of clopidogrel is increased risk of bleeding, which can manifest as easy bruising. Monitoring and reporting bruising is important as it could indicate potential issues with clotting.
A: Blurred vision is not a common side effect of clopidogrel.
B: Constipation is not a common side effect of clopidogrel.
D: Weight loss is not a common side effect of clopidogrel.