NGN ATI RN Pharmacology Exam 2023 B Version 2| Questions and Verified Answers| 100% Correct| A Grade
QUESTION
A nurse is caring for a client who rece... [Show More] ived 0.9% sodium chloride 1L over 4 hr instead of over 8 hr as prescribed. Which of the following information should the RN enter as documentation of the incident?
IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notified.
1 L of 0.9% sodium chloride completed at 0900. Client denies shortness of breath.
0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified.
IV fluid initiated at 0500. Lungs clear to auscultation.:
Answer:
Correct: 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified.
Rationale: The nurse should document the type and amount of fluid, how long it took to infuse, provider notification, and the client's physical status.
QUESTION
RN is admin donepezil (Aricept) to a pt with Alzheimers disease. Which of the following should RN report to HCP immediately?
Dyspepsia
Diarrhea
Dizziness
Dyspnea:
Answer:
Correct: Dyspnea
Rationale: When using the airway, breathing, circulation approach to client care, the nurse should report the adverse effect of dyspnea, caused by bronchoconstriction, to the provider first. Bronchoconstriction, dyspepsia, diarrhea, and dizziness are caused by the increase in acetylcholine levels, which is a primary effect of donepezil.
QUESTION
A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells the nurse that they are allergic to penicillin. Which of the following actions should the nurse take first?
Update the client's medical record.
Notify the provider.
Withhold the medication.
Inform the pharmacist of the client's allergy to penicillin.:
Answer:
Correct: Withhold the med
Rationale: When using the urgent vs nonurgent approach to client care, the nurse should determine that the priority action is to withhold the medication to prevent injury to the client.
QUESTION
A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the following findings is the priority for the nurse to report to the provider?
Hot flashes
Gastrointestinal irritation
Vaginal dryness
Leg tenderness:
Answer:
Correct: leg tenderness
Rationale: The greatest risk to this client is the development of a thromboembolism, which is an adverse effect of tamoxifen. The nurse should also monitor the client for other manifestations of a thromboembolism, including leg tenderness, redness, swelling, and shortness of breath.
QUESTION
A nurse in an ED is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medication should the nurse anticipate administering?
Ondansetron
Magnesium sulfate
Flumazenil
Protamine sulfate:
Answer:
Correct: flumazenil
Rationale: The nurse should anticipate administering flumazenil, an antidote used to reverse benzodiazepines such as diazepam.
QUESTION
A nurse is preparing to administer ciprofloxacin 15mg/kg PO every 12 hr to a child who weighs 20kg. How many mg should the nurse administer per dose?:
Answer:
300
QUESTION
Tx for heroin toxicity in pt who is unresponsive with pinpoint pupils and a RR of 6/min. RN should admin?
Methadone
Bupropion
Diazepam
Naloxone:
Answer:
Correct: Naloxone
Rationale: The nurse should administer naloxone, an opioid antagonist, to a client who has heroin toxicity to reverse the respiratory depressive effects of the heroin. However, the nurse should not administer naloxone too quickly because naloxone can cause hypertension, tachycardia, nausea, vomiting, and might cause the client to enter a state of opioid withdrawal.
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