ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
What actions should the nurse take?
Correct Answer: C,D,E
Rationale: C: Thiazide diuretics like hydrochlorothiazide can cause orthostatic hypotension, which may contribute to the client's symptoms of dizziness and light-headedness upon standing. Advising the client to change positions slowly can help mitigate these symptoms by allowing the body time to adjust to changes in posture and blood pressure. D: Thiazide diuretics can alter electrolyte levels, including potassium, which is critical for normal cardiac function. Ongoing monitoring for potential dysrhythmias is prudent due to the electrolyte-altering effects of hydrochlorothiazide. E: Given the client's report of dizziness and light-headedness upon standing, checking for orthostatic hypotension is important. Assessing blood pressure and symptoms in supine and standing positions will help evaluate for orthostatic changes.
Question 2 of 5
A nurse is caring for a client who has a prescription for epoetin alfa. Which of the following routes should the nurse plan to use for administration?
Correct Answer: B
Rationale: Epoetin alfa is effectively administered subcutaneously for slow, sustained release into the bloodstream.
Question 3 of 5
A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by intermittent IV bolus. Which of the following manifestations should the nurse identify as an indication of a therapeutic response to the medication?
Correct Answer: D
Rationale: Desmopressin increases water reabsorption in the kidneys, reducing urine output in diabetes insipidus.
Question 4 of 5
A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, 'I forgot to tell the doctor I take albuterol for asthma.' For which of the following medications should the nurse withhold the dose and notify the provider?
Correct Answer: D
Rationale: Propranolol, a beta-blocker, can decrease the effectiveness of albuterol, a beta-2 agonist, and exacerbate asthma symptoms, requiring provider notification.
Question 5 of 5
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Injecting air into the NPH vial first equalizes pressure and facilitates smooth withdrawal, preventing contamination of the regular insulin vial.