ATI RN PHARMACOLOGY NGN LATEST VERSION (3) UPDATED 2024 WITH VERIFIED QUESTIONS AND DETAILED ANSWERS WITH RATIONALES (GRADED A+)

ATI RN PHARMACOLOGY NGN LATEST
VERSION (3) UPDATED 2024 WITH
VERIFIED QUESTIONS AND DETAILED
ANSWERS WITH RATIONALES (GRADED
A+)
The nurse is caring for a client who has congestive heart failure
and is taking digoxin daily. The client refused breakfast and is
complaining of nausea and weakness. Which of the following
actions will the nurse take first?
Check the client's vital signs Request an order for an antiemetic
Suggest the client rests before eating a meal.
Request a dietician consult - ANSWER-Check the client's vital
signs
Answer: It is possible that the client's nausea is secondary to
digoxin toxicity. By obtaining vital signs, the nurse can assess for
bradycardia, which is a symptom of digoxin toxicity. The nurse
should withhold the medication and call the provider if the client's
heart rate is less than 60 bpm.
A client who has a history of myocardial infarction (MI) is
prescribed aspirin 325 mg. The nurse recognizes that the aspirin is
given due to which of the following actions of the medication?
Antipyretic Antiplatelet aggregate Anti-inflammatory
Anagelsic - ANSWER-Antiplatelet aggregate
Answer: Aspirin is used to decrease the likelihood of blood clotting.
It also is used to reduce the risk of a second heart attack or stroke
by inhibiting platelet aggregation and reducing thrombus formation
in an artery, a vein, or the heart.
The nurse is caring for a client who has just returned from a cardiac
catherterization. The client had two stents place and was accessed
through the left femoral artery. What are the priority action(s) for
the nurse to take? (Select all that apply)
Keep the client's leg straight for at least 4 hours Assess EKG
patterns and reports of chest pain Assess the client for flank pain
and hypotension There is no need to apply pressure to the site.
Frequently assess left pedal pulses. - ANSWER-Keep the client's
leg straight for at least 4 hours
Assess EKG patterns and reports of chest pain Assess the client
for flank pain and hypotension Frequently assess left pedal pulses.
Assess EKG patterns and reports of chest pain,; Monitor the
insertion site for bleeding/hematoma,; Keep the client's leg straight
for at least 4 hours,; Assess the client
for flank pain and hypotension. The nurse should assess the EKG
patterns frequently and should have the client on continuous
monitors that show EKG, blood pressure, heart rate and oxygen
saturations. The nurse should notify the healthcare provider
immediately if the client reports chest pain, has bleeding or
hematoma at the insertion site. Flank pain and hypotension are
possibly signs of bleeding and should be investigated and the
provider notified. The leg should be kept straight for 4-6 hours to
reduce the chance of hematoma formation. Decreased pedal
pulses can indicate the artery is obstructed and distal perfusion is
impaired.
The nurse is caring for a client in the emergency department who is
complaining of chest pain with pain radiating down the left arm. He
states "It feels like an elephant is sitting on my chest." What is the
priority nursing action(s)? (Select all that apply)
Initiate MONA
Wait until after lab draw for EKG Do an EKG immediately
Draw CBC, Chemistry, Troponins
Place the client on all monitors - ANSWER-Initiate MONA Place the
client on all monitors
Draw CBC, Chemistry, Troponins Do an EKG immediately.
This client has classic symptoms of an MI and should have labs
drawn, hooked up to all monitors and have MONA initiated
immediately. The EKG has to be done prior to labs as you only
have 10 minutes from time of presentation to the emergency
department to get the EKG done or you have fallen out of
compliance with national standards and risk a lower reimbursement
rate. Also, the time from door to dilatation is 90 minutes. This
means that if the client needs an artery stented or dilated with
angioplasty, the time from must be under 90 minutes from when
they came to the ED to the point of dilation by the cath lab.