ATI RN Pharmacology Exam 2024 With NGN -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Acetaminophen. Acetaminophen is a safe choice to take concurrently with enoxaparin because it does not have significant antiplatelet effects that could increase the risk of bleeding when used with enoxaparin. Ibuprofen, naproxen sodium, and aspirin are nonsteroidal anti-inflammatory drugs (NSAIDs) that can increase the risk of bleeding when used with enoxaparin due to their antiplatelet effects. It is important to avoid NSAIDs when taking enoxaparin. Acetaminophen, on the other hand, is not an NSAID and does not have the same antiplatelet effects, making it a safer option for pain relief in patients taking enoxaparin.

Correct Answer: D

Rationale: The correct answer is D: The client rates pain as 3 on a scale from 0 to 10. This is the best indication that morphine has been effective because pain relief is the primary goal of administering morphine. A pain rating of 3 indicates that the medication has successfully reduced the client's pain level. Vital signs being within normal limits (choice
A) may not necessarily indicate pain relief. The client not requesting additional medication (choice
B) could be due to other factors such as fear of side effects. The client sitting comfortably with eyes closed (choice
C) is subjective and may not always correlate with pain relief.
Therefore, choice D is the most objective and reliable indicator of morphine effectiveness.

Correct Answer: D

Rationale: The correct answer is D: Prevent delirium tremens. Chlordiazepoxide is a benzodiazepine used to manage acute alcohol withdrawal symptoms, including preventing the development of delirium tremens, a severe, life-threatening complication. It works by calming the central nervous system and reducing the risk of seizures and hallucinations associated with alcohol withdrawal.

Choices A, B, and C are incorrect as chlordiazepoxide does not directly address diaphoresis, maintaining abstinence, or lessening cravings. These outcomes are more related to behavioral and psychological interventions rather than pharmacological management of alcohol withdrawal symptoms.

Correct Answer: A

Rationale: The correct answer is A: Indicated. Documenting the blood product transfusion in the client's medical record is crucial for ensuring accurate and comprehensive patient care. Documentation provides a permanent record of the procedure, including details such as the type and volume of blood product transfused, vital signs before and after the transfusion, any signs of adverse reactions, and the client's response to the transfusion. This information is essential for tracking the client's progress, monitoring for any potential complications, and communicating effectively with other healthcare providers involved in the client's care. Failure to document the blood transfusion could lead to errors in treatment, potential legal issues, and compromise the quality of care provided to the client.

Summary:
B: Not indicated - Incorrect. Documenting the blood transfusion is essential for patient safety and continuity of care.
C: -
D: -
E: -
F: -
G: -

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.