ATI RN
ATI RN Pharmacology 2023 III Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new prescription for nitroglycerin sublingual tablets for treating angina. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Place the tablet under the tongue until dissolved. Nitroglycerin sublingual tablets are meant to be taken sublingually for rapid absorption. Placing the tablet under the tongue allows it to be absorbed directly into the bloodstream, providing quick relief for angina symptoms. Storing the tablets in a refrigerator (choice
A) is incorrect as nitroglycerin should be stored in a cool, dark place away from moisture. Calling 911 if pain persists after 30 minutes (choice
C) is incorrect as the client should call 911 immediately if chest pain is not relieved after taking one tablet. Taking a tablet every 10 minutes until pain subsides (choice
D) is incorrect as the client should take one tablet and wait for 5 minutes before taking another if the pain persists.
Question 2 of 5
A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?
Correct Answer: C
Rationale: The correct answer is C: Pruritus. Pruritus is a common symptom of an allergic reaction, indicating the body's immune response to the medication. Slurred speech (
A) and tremor (
B) are more likely related to neurological side effects. Hematuria (
D) is indicative of a kidney issue, not typically associated with an allergic reaction to cefaclor.
Question 3 of 5
A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the medication into the anterolateral or posterolateral abdominal area. Enoxaparin is a low molecular weight heparin that is typically administered subcutaneously into these areas to prevent bruising, pain, and injury to underlying structures. This is because these areas have a thicker layer of adipose tissue, which helps to prevent accidental intramuscular injection, and also ensures proper absorption of the medication.
Explanation of Why Other
Choices are Incorrect:
A: Massaging the injection site after administering the medication is not recommended as it can lead to bruising or discomfort.
B: Expelling the air bubble from the syringe is generally not necessary for prefilled syringes as they are designed to have the correct dosage without air bubbles.
D: Holding the skin taut at the injection site is not necessary for subcutaneous injections and may cause unnecessary discomfort to the client.
Question 4 of 5
A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's oxygen saturation. When a client is receiving diazepam for sedation, respiratory depression is a potential adverse reaction. Monitoring oxygen saturation provides crucial information about the client's respiratory status. Decreased oxygen saturation levels can indicate respiratory distress, which is a serious adverse reaction that requires immediate intervention. Auscultating bowel sounds (
B), checking urinary output (
C), and monitoring for seizure activity (
D) are not directly related to assessing for adverse reactions to diazepam sedation. Bowel sounds and urinary output assessment are more relevant to gastrointestinal and renal function, respectively. Seizure activity monitoring is not a common adverse reaction to diazepam sedation.
Question 5 of 5
A nurse is caring for a client who has major depressive disorder and a prescription for venlafaxine. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: The correct answer is C: Hypertension. Venlafaxine is a serotonin-norepinephrine reuptake inhibitor (SNRI) that can increase blood pressure. Notify the provider to address potential adverse effects. Bradycardia (
A) is not typically associated with venlafaxine. Tachypnea (
B) and hypothermia (
D) are not common side effects of the medication.