RN ATI PHARMACOLOGY PROCTORED EXAM VERSION 1 2019-with 100% verified solutions-

lOMoAR cPSD|12263423 Downloaded by Anna Maina () RN ATI PHARMACOLOGY PROCTORED EXAM VERSION 1 2019 -with 100% verified solutions -2023 -2024 70 Q&A Version 1 2019 1. A nurse is caring for a client who is taking phenytoin, for which of the following adverse effects should the nurse monitor and report to the provider a. Cognitive impairment b. Tachycardia c. Elevated blood pressure (HYPOTENSION and DYSRHYTHMIAS) d. Tinnitus Phenytoin (Dilantin) - Anticonvulsant. monitor for any manifestations of CNS effects (such as cognitive impairment), notify the provider if they occur. (p. 96 ATI PHARM) 2. MISSING 3 MISSING 4. A nurse is teaching a client who has a history of acute myocardial infarction about taking metoprolol to treat angina. Which of the following instructions should the nurse include? Page 158 a. Stop taking the medication if you become dizzy (NEVER discontinue abruptly) b. Check your pulse rate daily (Bradycardia, withhold if pulse under 50) c. Expect to see an increase in your urinary output d. Call you provider if you lose more than 1 pound per week (complication of decreased CO - weight gain - call provider) metropolol (Lopressor) - Beta Blockers. Beta1 - affects only the heart. Decreases HR - decreases myocardial contractility 5. A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client’s respiratory status and stopping the medication infusion, which of the following actions should the nurse take next? A. Elevate the client’s legs and feet (Raises BP & pulse, maybe just supplementary though) B. Administer epinephrine IM (Only thing that’ll stop the reaction immed, first line treatment) C. Replace the solution with with 0.9 % sodium chloride D. Give diphenhydramine IM Rationale: If manifestations occur, stop transfusion (ATI’s specific to BLOOD TRANSFUSION, but wouldn’t you still give epi?), notify provider, and then keep IV line open with NS (in this case, replace the bag with NS?) Then, Have epi ready for IM or IV injection. Or do you elevate the legs? LOL 6. A nurse is assessing a client who is receiving OXYTOCIN via continuous IV infusion for labor augmentation. The nurse notes six contractions in a 10 minute period with a nonreassuring FHR. Which of the following actions should the nurse take first ? a. Administer Terbutaline 0.25 mg subcutaneously b. Discontinue the oxycontin IV infusion (INC flow to fetus, control contractions, but not priority) d. Apply oxygen at 10 L / min via face mask Rationale: Idk. I hate maternity. Someone else rationalize this shit. Looking through Padgham’s OB notes, reposition goes first apparently. And then I have a note on the bottom, per TB, O2 first. c. Turn the client on the left side (greatest risk is injury from uteroplacental insufficiency, priority!) lOMoAR cPSD|12263423 Downloaded by Anna Maina () 7. A nurse is administer lactated ringer's solution at 100ml/hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many drops per minute? Round the answer to the nearest whole number? mL / min x gtts