ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a depressive disorder about amitriptyline. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "This medication can cause an increase in appetite." Amitriptyline is a tricyclic antidepressant known to cause weight gain and increased appetite as side effects, leading to potential weight gain. This information is important for the client to be aware of to monitor for changes in their eating habits. Hair loss (
A), diarrhea (
C), and urinary frequency (
D) are not common side effects of amitriptyline, making them incorrect choices.
Question 2 of 5
A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: You will have a central line placed to receive TPN. This is because TPN is a hypertonic solution that requires a central line for administration to prevent complications such as phlebitis or thrombosis in peripheral veins.
Choice A is incorrect because blood sugar monitoring frequency may vary based on individual needs.
Choice B is incorrect as weight monitoring is typically done daily, not twice a week, to monitor for fluid balance.
Choice D is incorrect as intake and output should be closely monitored daily for TPN patients due to the risk of electrolyte imbalances.
Question 3 of 5
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?
Correct Answer: D
Rationale: The correct answer is D: Urticaria. Urticaria, also known as hives, is a common manifestation of an allergic reaction to penicillin. It presents as raised, itchy welts on the skin. Monitoring for urticaria is crucial as it indicates a potential allergic response, which can progress to more severe reactions like anaphylaxis. Dyspepsia (
A) refers to indigestion and is not typically associated with allergic reactions. Bradycardia (
B) is a slow heart rate, which is not a common sign of an allergic reaction. Pallor (
C) refers to paleness of the skin and is a non-specific symptom that may not necessarily indicate an allergic reaction.
Therefore, the nurse should focus on monitoring for urticaria as a key sign of an allergic reaction to penicillin G IM.
Question 4 of 5
A nurse is reviewing the medical history of a client who is to start taking prednisone. Which of the following findings should the nurse identify as a contraindication to prednisone therapy?
Correct Answer: B
Rationale: The correct answer is B: Has a systemic fungal infection. Prednisone is a corticosteroid that suppresses the immune system, making the body more susceptible to fungal infections.
Therefore, having a systemic fungal infection would be a contraindication to prednisone therapy as it could worsen the existing infection.
A: Prior episode of kidney stones - This is not a contraindication to prednisone therapy.
C: History of asthma - Prednisone is commonly used to manage asthma, so having a history of asthma does not contraindicate its use.
D: Taking levothyroxine orally - Levothyroxine is a thyroid hormone replacement medication and does not directly interact with prednisone.
Question 5 of 5
A nurse is teaching a newly licensed nurse about administering naloxone to treat a client who is experiencing opioid toxicity. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client for ventricular arrhythmia after administration. This is crucial because naloxone can precipitate ventricular arrhythmias in some cases due to its rapid reversal of opioid effects. Monitoring for this adverse effect allows for prompt intervention if needed.
Choice A is incorrect because naloxone is not administered orally, it is typically given intravenously or intramuscularly due to its rapid onset of action.
Choice B is incorrect as naloxone is not contraindicated for clients with glaucoma.
Choice D is incorrect because naloxone has a short duration of action, so it should be administered as needed rather than on a fixed schedule every 1 to 2 hours.