ATI Pharmacology - PN Exam Test Questions
with 100% correct answers|Verified|Rated A+
- avoiding tourniquets, using BP cuff to visualize.
- no slapping
- hold their hand below the heart.
- avoid using the back of the hand
- avoid rigorous friction while cleaning site. - ANSWER-What are specific considerations for adult clients,
clients who are taking anticoagulants, and clients who have fragile veins?
Infiltration - ANSWER-An IV that is pale, has local swelling, decreased skin temperature around the site,
damp dressing and slowed infusion is what complication?
- Stop the infusion and remove catheter
- elevate extremity
- encourage ROM
- apply a cold or warm compress depending on the solution infiltrated.
- check with the provider to determine whether they still need IV therapy. - ANSWER-What is the
treatment for infiltrated IV?
Extravasation (infiltration of vesicant) - ANSWER-An IV is painful, burning, red and swelling what
complication is occurring?
- Stop the infusion and notify the provider
- follow facility protocol. (withdrawing the vesicant solution from the IV access and infusing an antidote
through catheter before removal.
- repeated treatment for infiltration. - ANSWER-what is the treatment for extravasation?
Fluid overload - ANSWER-A pt receiving IV solutions begins appearing with distended neck veins,
hypertension, tachycardia, SOB, crackles in lungs, and edema what complication is occurring?
,- Slow IV rate or stop.
- raise HOB
- monitor VS & O2
- Adjust the rate after correcting fluid.
- anticipate administering diuretics - ANSWER-What is the treatment for fluid overload?
Phlebitis/thrombophlebitis - ANSWER-A pt with an IV appears edematous, erythema, throbbing,
burning, or pain at the site, increased skin temperature, red line, and slowed infusion
are s/s of what IV complication?
- promptly d/c the infusion and remove the catheter.
- elevate extremity
- apply a cold compress to minimize flow of blood, then warm to increase circulation.
- restart if needed.
- obtain a specimen for culture at site. - ANSWER-what treatments are there for
phlebitis/thrombophlebitis?
- Rotate sites at least every 72 hours according to facility policy.
- Monitory IV sites using phlebitis scale
- avoid lower extremities
- use hand hygiene
- use surgical aseptic technique. - ANSWER-What are some ways to prevent thrombophlebitis?
Central nervous system stimulation - ANSWER-what type of medication would put a patient at risk for
seizures and precautions should be taken.
Central nervous system depression - ANSWER-what type of medication would require a patient to do
not drive, operate heavy machinery, or participate in other activities can be dangerous.
, Anticholinergic drugs - ANSWER-what type of medications will require clients to increase fluids for their
dry mouth, wear sunglasses for photophobia, maintaining urinary habits, and avoid overheating.
Cardiovascular medications - ANSWER-What type of medications would make clients monitor for
indications of orthostatic hypotension (lightheadedness, dizziness).
- monitoring AST and ALT
- n/v
- jaundice
- dark urine
- abdominal discomfort
- anorexia
Primarily with acetaminophen. - ANSWER-A nurse should do what when giving medications that can
create hepatoxicity?
Primarily result of antimicrobial agents and NSAIDs.
- monitor creatinine and BUN
- peak and trough - ANSWER-What should the nurse monitor for drugs that cause nephrotoxicity?
Nephrotoxicity - ANSWER-Acyclovir, ahminoglycosides, cyclosporine, NSAIDs, amphotericin B are all
medications that can cause what?
Tyramine (cheese and processed meat) - ANSWER-Clients taking MAOIs should avoid food with what in
it?
Chelating agent in milk. Should not take tetracycline within 2 hr of consuming dairy products. - ANSWER-
Clients taking tetracycline can interact with what?
Benzodiazepines: Sedative Hypnotic Anxiolytics - ANSWER-What kind of car does -pam drive?
Diazepam, Lorazempam, Chlordiazepoxide, Clonazepam.
with 100% correct answers|Verified|Rated A+
- avoiding tourniquets, using BP cuff to visualize.
- no slapping
- hold their hand below the heart.
- avoid using the back of the hand
- avoid rigorous friction while cleaning site. - ANSWER-What are specific considerations for adult clients,
clients who are taking anticoagulants, and clients who have fragile veins?
Infiltration - ANSWER-An IV that is pale, has local swelling, decreased skin temperature around the site,
damp dressing and slowed infusion is what complication?
- Stop the infusion and remove catheter
- elevate extremity
- encourage ROM
- apply a cold or warm compress depending on the solution infiltrated.
- check with the provider to determine whether they still need IV therapy. - ANSWER-What is the
treatment for infiltrated IV?
Extravasation (infiltration of vesicant) - ANSWER-An IV is painful, burning, red and swelling what
complication is occurring?
- Stop the infusion and notify the provider
- follow facility protocol. (withdrawing the vesicant solution from the IV access and infusing an antidote
through catheter before removal.
- repeated treatment for infiltration. - ANSWER-what is the treatment for extravasation?
Fluid overload - ANSWER-A pt receiving IV solutions begins appearing with distended neck veins,
hypertension, tachycardia, SOB, crackles in lungs, and edema what complication is occurring?
,- Slow IV rate or stop.
- raise HOB
- monitor VS & O2
- Adjust the rate after correcting fluid.
- anticipate administering diuretics - ANSWER-What is the treatment for fluid overload?
Phlebitis/thrombophlebitis - ANSWER-A pt with an IV appears edematous, erythema, throbbing,
burning, or pain at the site, increased skin temperature, red line, and slowed infusion
are s/s of what IV complication?
- promptly d/c the infusion and remove the catheter.
- elevate extremity
- apply a cold compress to minimize flow of blood, then warm to increase circulation.
- restart if needed.
- obtain a specimen for culture at site. - ANSWER-what treatments are there for
phlebitis/thrombophlebitis?
- Rotate sites at least every 72 hours according to facility policy.
- Monitory IV sites using phlebitis scale
- avoid lower extremities
- use hand hygiene
- use surgical aseptic technique. - ANSWER-What are some ways to prevent thrombophlebitis?
Central nervous system stimulation - ANSWER-what type of medication would put a patient at risk for
seizures and precautions should be taken.
Central nervous system depression - ANSWER-what type of medication would require a patient to do
not drive, operate heavy machinery, or participate in other activities can be dangerous.
, Anticholinergic drugs - ANSWER-what type of medications will require clients to increase fluids for their
dry mouth, wear sunglasses for photophobia, maintaining urinary habits, and avoid overheating.
Cardiovascular medications - ANSWER-What type of medications would make clients monitor for
indications of orthostatic hypotension (lightheadedness, dizziness).
- monitoring AST and ALT
- n/v
- jaundice
- dark urine
- abdominal discomfort
- anorexia
Primarily with acetaminophen. - ANSWER-A nurse should do what when giving medications that can
create hepatoxicity?
Primarily result of antimicrobial agents and NSAIDs.
- monitor creatinine and BUN
- peak and trough - ANSWER-What should the nurse monitor for drugs that cause nephrotoxicity?
Nephrotoxicity - ANSWER-Acyclovir, ahminoglycosides, cyclosporine, NSAIDs, amphotericin B are all
medications that can cause what?
Tyramine (cheese and processed meat) - ANSWER-Clients taking MAOIs should avoid food with what in
it?
Chelating agent in milk. Should not take tetracycline within 2 hr of consuming dairy products. - ANSWER-
Clients taking tetracycline can interact with what?
Benzodiazepines: Sedative Hypnotic Anxiolytics - ANSWER-What kind of car does -pam drive?
Diazepam, Lorazempam, Chlordiazepoxide, Clonazepam.
