ATI RN
Proctored Pharmacology ATI
1. A client is starting a course of Metronidazole to treat an infection. For which of the following adverse effects should the client stop taking Metronidazole and notify the provider?
- A. Metallic taste
- B. Nausea
- C. Ataxia
- D. Dark-colored urine
Correct answer: C
Rationale: The correct answer is C, 'Ataxia.' Ataxia is a sign of central nervous system (CNS) toxicity, which can be a severe adverse effect of Metronidazole. Metallic taste and nausea are common side effects of Metronidazole but do not require stopping the medication unless they persist or worsen. Dark-colored urine is not typically associated with Metronidazole and does not indicate a severe adverse effect.
2. A healthcare provider is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider?
- A. Substernal retractions
- B. Hematuria
- C. Temperature 37.9°C (100.2°F)
- D. Sneezing
Correct answer: Substernal retractions
Rationale: Substernal retractions are a concerning sign of respiratory distress and can indicate acute chest syndrome, a severe complication of sickle-cell anemia. It results from vaso-occlusion in the pulmonary vasculature, leading to impaired oxygenation. Prompt reporting of this symptom is crucial for early intervention to prevent further complications. Hematuria, a high temperature, and sneezing are not specific manifestations of acute chest syndrome and would not warrant immediate notification to the provider in this context.
3. A nurse is teaching a client who has type 1 DM about hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?
- A. Exercise reduces the risk for hypoglycemia.
- B. I can skip my insulin when I don't eat.
- C. I can drink 4 oz of soda if my blood sugar is low.
- D. Diabetic pills don't cause hypoglycemia; only insulin does.
Correct answer: C
Rationale: The client can correct any development of hypoglycemia with a quick intake of glucose. The client should have 15 g carbohydrates on hand to treat hypoglycemic episodes, like 4 oz of regular soda.
4. __________, especially, are more insistent that __________ conform to gender roles.
- A. Mothers; boys
- B. Mothers; girls
- C. Fathers; girls
- D. Fathers; boys
Correct answer: D
Rationale: The correct answer is D: 'Fathers; boys.' The extract provided indicates that fathers are particularly insistent that boys adhere to traditional gender roles, emphasizing masculinity. This is a common stereotype where fathers often push their sons to conform to societal expectations of masculinity. Choices A and B are incorrect because the extract specifies fathers, not mothers. Choice C is incorrect as it pairs fathers with girls, which is not supported by the provided information.
5. The child is admitted with acute abdominal pain and possible appendicitis. What intervention is appropriate to relieve the abdominal discomfort during the evaluation?
- A. Place the child in the Trendelenburg position.
- B. Apply moist heat to the abdomen.
- C. Allow the child to assume a position of comfort.
- D. Administer a saline enema to cleanse the bowel.
Correct answer: C
Rationale: Allowing the child to assume a position of comfort is appropriate as it helps alleviate discomfort without the risk of complications. Placing the child in the Trendelenburg position could increase intra-abdominal pressure and worsen the condition. Applying moist heat may lead to vasodilation and potential perforation in case of appendicitis. Administering a saline enema can be harmful if the appendix is inflamed or perforated.
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