ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is talking with a client who has been taking levothyroxine to treat hypothyroidism. The nurse should instruct the client to avoid taking which of the following over-the-counter medications within 4 hr of taking levothyroxine?
Correct Answer: A
Rationale: Calcium can interfere with the absorption of levothyroxine, so they should be taken separately. These do not interfere significantly with levothyroxine absorption. Fish oil supplements do not interfere significantly with levothyroxine absorption. Antihistamines do not interfere significantly with levothyroxine absorption.
Question 2 of 5
A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion. Which of the following steps should the nurse take first?
Correct Answer: B
Rationale: Third, the nurse should connect the tubing of the medication bag to the primary tubing using a Y-connector or a piggyback port. First, the nurse should check the IV site for signs of infiltration, which means that the fluid is leaking into the surrounding tissue instead of the vein. Second, the nurse should hang the antibiotic medication bag above the level of the primary infusion. Fourth, the nurse should wipe the connection port of the primary IV tubing with an antiseptic swab to prevent contamination and infection.
Question 3 of 5
A nurse is assisting in the care of a client who is receiving morphine via a continuous epidural infusion. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: B
Rationale: Constipation is a common side effect of opioids but not an immediate concern. Respiratory depression is a severe side effect of morphine and requires immediate attention. Facial flushing is a common side effect of opioids but is not immediately concerning. While low blood pressure may be a concern, respiratory rate is a more critical indicator of potential life-threatening complications.
Question 4 of 5
A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: While diarrhea is a concern, it is a common side effect of vancomycin and may not be the highest priority. Elevated white blood cell count may indicate infection but is not directly related to vancomycin therapy. Elevated creatinine suggests kidney impairment, a potential side effect of vancomycin. This is a critical finding that needs immediate attention. An elevated heart rate can be a side effect of vancomycin but is not as immediately concerning as renal impairment.
Question 5 of 5
A nurse is caring for a client who is receiving acetaminophen for mild pain. The nurse should monitor the client for which of the following adverse effects of this medication?
Correct Answer: A
Rationale: Acetaminophen can cause liver damage, and jaundice is a sign of hepatic injury. Monitoring for jaundice is essential. Acetaminophen is an antipyretic, and fever is not an adverse effect but rather an intended therapeutic effect. Diarrhea is not a common adverse effect of acetaminophen. Tinnitus is not typically associated with acetaminophen use.