ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a prescription for an epinephrine auto-injector. The nurse should instruct the client to take which of the following actions first?
Correct Answer: B
Rationale: The correct answer is B: Jab the device into the outer thigh. This action is crucial because epinephrine needs to be delivered quickly in case of an allergic reaction. Jabbing the device ensures prompt administration, as opposed to massaging the thigh first (
A), seeking immediate medical attention (
C), or holding the injector in place (
D), which can delay the delivery of epinephrine and worsen the client's condition.
Question 2 of 5
A nurse in an outpatient clinic is teaching a client who has a new prescription for oxycodone. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: You should take a stool softener while taking this medication. Oxycodone is an opioid analgesic that can cause constipation as a side effect. Taking a stool softener can help prevent or alleviate constipation.
Choice A is incorrect because oxycodone does not typically cause increased urination.
Choice B is incorrect because oxycodone should be taken with food to minimize gastrointestinal side effects.
Choice D is incorrect because there is no need to minimize sunlight exposure specifically with oxycodone.
Question 3 of 5
A nurse is assessing a client who has hypertension and has started taking lisinopril. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: The correct answer is A: Eyelid edema. Lisinopril, an ACE inhibitor, can cause angioedema, which is a serious side effect. Angioedema can lead to swelling of the face, lips, tongue, or throat, potentially causing airway obstruction. This is a life-threatening condition that requires immediate medical attention. Reporting eyelid edema to the provider promptly can prevent complications.
Choices B, C, and D are common side effects of lisinopril but are not typically considered urgent or life-threatening.
Question 4 of 5
A nurse is caring for a client who received alteplase 12 hr ago following a thrombotic stroke. The nurse should monitor the client for which of the following adverse effects?
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.
Question 5 of 5
A nurse is preparing to apply a fentanyl transdermal patch. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Press the patch firmly into place using the palm of the hand for 30 seconds. This action helps ensure proper adhesion of the fentanyl patch to the skin, promoting consistent drug delivery. Pressing the patch helps create better contact between the patch and the skin, enhancing absorption. It is important to press the patch firmly but gently to avoid damaging the patch or irritating the skin.
Explanation for other choices:
A: Cleaning the application area with an alcohol swab is not necessary and may irritate the skin.
B: Applying a warm compress may alter drug absorption and is not recommended for fentanyl patches.
D: Discarding the used patch in a clear plastic bag and placing it in the trash is correct for disposal but not related to applying the patch.