ATI RN Pharmacology Exam 2024 With NGN -Nurselytic

Correct Answer: A

Rationale: The correct answer is A: concurrent medication use. This choice is correct because it aligns with the concept of assessing the potential risk factors for a client based on their current situation. Identifying concurrent medication use as a risk factor is crucial as it can lead to adverse drug interactions, side effects, or decreased effectiveness of treatments. The other choices, such as recent illness or activity level, may also be important factors in assessing a client's health status, but they do not directly relate to the potential risks associated with medication use in the same way as choice A. In this scenario, focusing on concurrent medication use as a risk factor is the most appropriate and critical consideration for the nurse in determining the client's overall health risks.

Correct Answer: B

Rationale:
Correct Answer: B


Rationale:
1. As opioid tolerance develops, respiratory depression decreases due to the body adapting to the medication.
2. This information is crucial for safe opioid administration and monitoring for potential adverse effects.
3. Option A is incorrect as IM administration should not be recommended as a first-line choice over PO opioids.
4. Option C is incorrect as meperidine is not the opioid of choice for treating chronic pain due to its toxic metabolite accumulation.
5. Option D is incorrect as PRN pain medication should not be withheld for clients on scheduled opioids to ensure adequate pain control.

Correct Answer: A

Rationale: The correct answer is A: Evaluate the client for orthostatic hypotension. After administering double the prescribed dose of valsartan, the nurse's priority is to assess the client for potential adverse effects, such as a sudden drop in blood pressure leading to orthostatic hypotension. This is crucial for immediate intervention to prevent complications.
B: Monitoring urine output is important but not the priority after an overdose.
C: Obtaining laboratory results may be necessary later but is not the immediate action needed.
D: Checking for nasal congestion is unrelated to the overdose of valsartan.
In summary, choice A is correct as it addresses the immediate concern of potential adverse effects, while the other choices are not the priority given the situation.

Correct Answer: B, D

Rationale: The nurse should include statements B and D in the teaching about the new medication. Statement B is important as it informs the patient about a potential side effect (constipation) of the medication, empowering them to monitor for and manage this issue. Statement D is crucial as certain medications can increase sensitivity to sunlight, leading to adverse effects. This instruction helps prevent potential harm. Statements A, C, E, F, and G are incorrect. Statement A is false because taking medication with dairy products can interfere with absorption. Statement C, E, F, and G are not relevant to the medication's specific instructions or potential side effects.

Correct Answer: C

Rationale: The correct answer is C: Estrogen-progestin combination (Non-hormonal forms of contraception). Carbamazepine induces the metabolism of estrogen and progestin, reducing their effectiveness and potentially leading to contraceptive failure. Nicotine (choice
A) does not interact with carbamazepine. Diphenhydramine (choice
B) is an antihistamine and does not have a significant interaction with carbamazepine. Beclomethasone (choice
D) is a corticosteroid inhaler and does not interact with carbamazepine.