ATI RN
ATI RN Pharmacology 2023 II Questions
Extract:
Question 1 of 5
A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hours after taking levothyroxine before taking which of the following supplements?
Correct Answer: C
Rationale: The correct answer is C: Calcium. Levothyroxine absorption can be affected by calcium, so the client should wait 4 hours after taking levothyroxine before taking calcium supplements to prevent interference with the medication's absorption. Zinc, Vitamin C, and Ginkgo biloba do not significantly affect levothyroxine absorption, so there is no need to wait 4 hours before taking them.
Question 2 of 5
A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Correct
Answer: A. Ensure that the air bubble remains in the syringe.
Rationale: Leaving the air bubble in the syringe ensures accurate dosing of enoxaparin. The air bubble acts as a safety measure to prevent any medication loss during injection. Removing the air bubble could lead to underdosing the medication.
Incorrect:
B: Injecting into the lateral thigh is incorrect as enoxaparin is usually administered in the abdomen.
C: Releasing the skin fold before injecting ensures proper needle insertion but is not specific to enoxaparin administration.
D: Rubbing the site after injection can cause bruising and is not recommended.
Question 3 of 5
A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Correct Answer: D
Rationale: The correct answer is D: Heart rate. Propranolol is a beta-blocker that primarily works by reducing heart rate and blood pressure. Assessing the client's heart rate before administering the medication is crucial to prevent potential complications such as bradycardia or heart block. Temperature (
A), respiratory rate (
B), and pain level (
C) are not directly related to the action or potential side effects of propranolol.
Therefore, they are not the priority assessments before administering this medication.
Question 4 of 5
A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure. When titrating nitroprusside, a vasodilator used to lower blood pressure, monitoring blood pressure is crucial. The goal is to maintain a specific target blood pressure range to prevent hypotension or hypertension. Adjusting the infusion rate based on blood pressure ensures the client's hemodynamic stability. Monitoring stroke volume, cardiac output, or urine output is not specific to the effects of nitroprusside. Blood pressure directly reflects the drug's vasodilatory effect, making it the most appropriate parameter to guide titration.
Question 5 of 5
A nurse is monitoring a client's peripheral IV infusion of a vesicant medication and observes swelling and coolness of the skin at the insertion site. After stopping the infusion, which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Remove the IV catheter. Swelling and coolness at the insertion site indicate extravasation, which is the leakage of vesicant medication into the surrounding tissue, causing potential tissue damage. Removing the IV catheter immediately helps prevent further infiltration and tissue injury. Notifying the provider (
A) can be done after removing the catheter. Applying warm compress (
B) is incorrect as it can increase the absorption of the vesicant and worsen tissue damage. Aspirating fluid (
C) may not be effective in removing the medication from the tissue.