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PN ATI Capstone Pharmacology 1 Quiz
1. While caring for a client receiving patient-controlled analgesia (PCA), which of the following interventions should the nurse take?
- A. Encourage the client to use the PCA before dressing changes.
- B. Monitor the client's respiratory status.
- C. Provide oxygen therapy to the client as needed.
- D. Ensure the PCA pump is functioning properly.
Correct answer: A
Rationale: Corrected Rationale: The nurse should encourage the client to use the PCA pump before activities like dressing changes, which are likely to cause pain, to ensure effective pain management. Monitoring the client's respiratory status (Choice B) is important but not the priority in this scenario. Providing oxygen therapy (Choice C) is not a routine intervention for all clients on PCA unless specifically indicated. Ensuring the PCA pump is functioning properly (Choice D) is essential, but encouraging the client to use the PCA before painful activities takes precedence to manage pain effectively.
2. A healthcare professional is assessing a client for signs of fluid overload. Which of the following findings should the healthcare professional look for?
- A. Weight loss
- B. Decreased blood pressure
- C. Edema
- D. Increased urine output
Correct answer: C
Rationale: Edema is a common sign of fluid overload. When the body retains more fluid than it excretes, it can lead to edema, which is swelling caused by excess fluid trapped in body tissues. Weight gain, not weight loss, is typically associated with fluid overload due to the retained fluids. Decreased blood pressure is more commonly associated with dehydration rather than fluid overload. Increased urine output is a sign of the body trying to eliminate excess fluids, which is contrary to the signs of fluid overload.
3. A nurse is caring for a patient whose family member requests to view the patient’s medical record. What response should the nurse make?
- A. “The patient should provide permission to share the records with you.”
- B. “You can view the records if the provider approves it.”
- C. “I will allow you to see the chart if the patient is unable to give consent.”
- D. “You need to fill out a request form.”
Correct answer: A
Rationale: In this scenario, the nurse should respond by indicating that the patient needs to provide permission to share their medical records with the family member. Patient confidentiality is a fundamental principle in healthcare, and sharing medical records without the patient's consent is a violation of privacy. Choice B is incorrect because the provider's approval alone is not sufficient to share medical records, as patient consent is crucial. Choice C is incorrect because viewing the patient's chart without the patient's consent is not appropriate. Choice D is incorrect as filling out a request form does not address the issue of patient consent, which is essential for sharing medical information.
4. A client is being taught about the use of nitroglycerin. Which of the following should be included?
- A. Take it with food
- B. Place the tablet under the tongue
- C. It can be stored in the refrigerator
- D. It has no side effects
Correct answer: B
Rationale: The correct answer is to place the nitroglycerin tablet under the tongue. Nitroglycerin tablets are meant for sublingual absorption during angina episodes to provide quick relief. Option A is incorrect because nitroglycerin should not be taken with food. Option C is incorrect as nitroglycerin should be stored in a cool, dark place, not in the refrigerator. Option D is incorrect because nitroglycerin can have side effects, including headaches, dizziness, and low blood pressure.
5. A nurse is assessing a client for signs of hypokalemia. Which of the following findings should the nurse look for?
- A. Muscle weakness
- B. Weight gain
- C. Elevated blood pressure
- D. Increased thirst
Correct answer: A
Rationale: Muscle weakness is a classic sign of hypokalemia. Potassium plays a crucial role in muscle function, and low potassium levels can lead to muscle weakness. Weight gain, elevated blood pressure, and increased thirst are not typically associated with hypokalemia. Weight gain can be seen in conditions like fluid retention, elevated blood pressure can result from various causes, and increased thirst may be a symptom of conditions like diabetes.
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