ATI RN Pharmacology 2023 IV | Nurselytic

Correct Answer: B

Rationale: The correct answer is B: "You will be at an increased risk for infection while receiving this medication." Infliximab is an immunosuppressant medication used to treat rheumatoid arthritis by targeting the immune system. As a result, it can increase the client's risk of infections. This information is crucial for the client to be aware of in order to take necessary precautions and monitor for signs of infection.


Choice A is incorrect because sun sensitivity is not a common side effect of infliximab.
Choice C is incorrect as the frequency and duration of infliximab infusions vary depending on the individual's response and the treatment plan.
Choice D is incorrect as metallic taste is not a commonly reported side effect of infliximab.

Choices E, F, and G are not provided in the question, making them irrelevant.

Correct Answer: A,B,C,E

Rationale: The correct answers are A, B, C, and E. A spacer improves drug delivery and reduces side effects. Inhaling slowly helps medication reach the lungs. Holding the mouthpiece between the lips ensures proper inhalation technique. Rinsing the mouth after use prevents oral thrush.
Choice D is incorrect as the inhaler may be for prevention too.

Correct Answer: A

Rationale:
Correct Answer: A - Chew the gum slowly over 30 minutes.


Rationale: Chewing nicotine gum slowly over 30 minutes allows for proper absorption of nicotine through the oral mucosa, mimicking the slow release of nicotine from smoking. This helps reduce cravings and withdrawal symptoms effectively.

Summary of incorrect choices:
B: Do not chew more than 40 pieces of gum per day - While there is a recommended maximum amount of nicotine gum per day, this specific instruction does not address proper chewing technique.
C: Allow 9 months for the gum to achieve the therapeutic effect - This is inaccurate as nicotine gum provides immediate relief from cravings and withdrawal symptoms.
D: Drink a glass of water 5 minutes before chewing the gum - While staying hydrated is important, this instruction does not directly relate to the proper use of nicotine gum.

Correct Answer: D

Rationale: The correct answer is D: Can you describe what your pain feels like? This question is crucial in determining the quality of pain, as it helps the nurse understand the characteristics of the pain (e.g., sharp, dull, burning). Understanding the quality of pain can provide valuable information for the nurse to identify potential causes and tailor appropriate pain management strategies.


Choice A is incorrect because pointing to the area of severe pain indicates location, not quality.
Choice B focuses on the timing of pain escalation, not quality.
Choice C assesses pain intensity on a numerical scale, not quality.

In summary, asking the adolescent to describe the pain sensation (choice
D) helps the nurse gain insights into the nature of the pain, which is essential for effective pain management.

Correct Answer: C

Rationale: The correct answer is C: Level of consciousness. When a client receives midazolam for conscious sedation, the priority assessment is the level of consciousness to ensure the client is responsive and maintains airway patency. This assessment allows the nurse to monitor for any signs of over-sedation or respiratory depression, which are potential side effects of midazolam. Monitoring the client's temperature, heart rate, and oxygen saturation are important, but they are secondary to assessing the level of consciousness in this scenario. Checking the temperature may be important for general assessment, heart rate for potential adverse effects, and oxygen saturation for respiratory status, but the primary concern is ensuring the client remains conscious and responsive during the sedation procedure.