ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has rheumatoid arthritis about a new prescription for infliximab. Which of the following statements should the nurse include in the teaching?
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.
Question 2 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 3 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 4 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 5 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.