ATI RN
ATI Pharmacology Quizlet
1. A client has a new prescription for Metronidazole. Which of the following instructions should be included in the discharge teaching?
- A. Avoid drinking alcohol while taking this medication.
- B. Take this medication on an empty stomach.
- C. Avoid dairy products while taking this medication.
- D. Take this medication with antacids.
Correct answer: A
Rationale: The correct instruction to include in the discharge teaching for a client prescribed Metronidazole is to avoid drinking alcohol while taking this medication. Drinking alcohol with Metronidazole can result in a disulfiram-like reaction, leading to symptoms such as nausea, vomiting, and flushing. Therefore, it is crucial for the client to abstain from alcohol consumption during the course of treatment with Metronidazole.
2. A healthcare provider is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the healthcare provider use to elicit the child's cooperation?
- A. Offer the child a choice of taking the medication with juice or water
- B. Tell the child it is candy
- C. Hide the medication in a large dish of ice cream
- D. Tell the child they will have a shot instead
Correct answer: A
Rationale: Offering children choices empowers them and can help in gaining cooperation, especially when it comes to taking medications. By providing options like taking the medication with juice or water, the child feels a sense of control and may be more willing to cooperate. This approach respects the child's autonomy and can make the experience more positive for both the child and the healthcare provider. Choices B, C, and D are not ideal strategies as they involve deception or coercion, which can lead to distrust and make the child more resistant to taking medication in the future.
3. A nurse is planning care for a client who has pneumonia. Which of the following interventions should the nurse include in the plan of care?
- A. Place the client in the supine position.
- B. Perform chest percussion every 4 hours.
- C. Administer oxygen via nasal cannula.
- D. Limit fluid intake to 1,500 mL/day.
Correct answer: B
Rationale: The correct intervention for a client with pneumonia is to perform chest percussion every 4 hours. Chest percussion helps loosen secretions and improve airway clearance in clients with pneumonia. Placing the client in the supine position can worsen breathing, so it is incorrect. Administering oxygen via nasal cannula is a common intervention for clients with respiratory issues but is not specific to pneumonia. Limiting fluid intake to 1,500 mL/day may not be appropriate as pneumonia can lead to dehydration, so it is not the priority intervention.
4. A nurse is assessing a client who is receiving enteral feedings through a nasogastric tube. Which of the following findings requires immediate intervention?
- A. Aspirating 100 mL of gastric residual
- B. Gastric pH of 4
- C. Auscultating crackles in the lung bases
- D. Checking residual every 6 hours
Correct answer: C
Rationale: Auscultating crackles in the lung bases indicates fluid in the lungs, which can be a sign of aspiration pneumonia or pulmonary edema and requires immediate intervention to prevent respiratory distress. Aspirating 100 mL of gastric residual is within the acceptable range and does not require immediate intervention. A gastric pH of 4 is normal for gastric contents. Checking residual every 6 hours is a routine nursing intervention and does not indicate an urgent issue like pulmonary complications.
5. A nurse is reviewing the medication record of a client with chronic kidney disease. Which of the following medications should the nurse question?
- A. Calcium carbonate
- B. Furosemide
- C. Epoetin alfa
- D. Spironolactone
Correct answer: D
Rationale: The correct answer is D, Spironolactone. Spironolactone is a potassium-sparing diuretic, which may lead to hyperkalemia in clients with chronic kidney disease. Therefore, its use should be questioned in this population. Choice A, Calcium carbonate, is commonly used to manage phosphate levels in chronic kidney disease. Choice B, Furosemide, is a loop diuretic that helps with fluid retention but should be used with caution in kidney disease. Choice C, Epoetin alfa, is a medication used to stimulate red blood cell production in clients with chronic kidney disease and anemia.
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