RN ATI PHARMACOLOGY PROCTORED EXAM NEWEST 2023 2 VERSIONS EACH VERSION WITH 70 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following actions should the nurse plan to take?
a. administer the medication outside the 5 cm (2 in) radius of the
umbilicus
b. aspirate for blood return before injecting
c. rub vigorously after the injection to promote absorption
d. place a pressure dressing on the injection site to prevent bleeding -
....ANSWER...a. administer the medication outside the 5 cm (2 in)
radius of the umbilicus
RATIONALE: -the nurse should administer the heparin by
subcutaneous injection to the abdomen in an area that is above the
iliac crest and at least 5 cm (2 in) away from the umbilicus
-the nurse should not aspirate by pulling back on the plunger of the
heparin syringe to check for a blood return, because this will cause the
injection site to bruise
-the nurse should apply firm pressure to the injection site for 1-2 min
after the administration of the heparin to prevent bruising
A nurse at an urgent care clinic is collecting a history from a female
client who has a urinary tract infection. The nurse anticipates a
prescription for ciprofloxacin. The nurse should identify that which of
the following client statements indicates a contraindication for
administering this medication?
a. "I have tendonitis, so I haven't been able to exercise."
b. "I take a stool softener for chronic constipation."
c. "I take medicine for my thyroid."
d. "I am allergic to sulfa." - ....ANSWER...a. "I have tendonitis, so I
haven't been able to exercise."
RATIONALE: -the nurse should identify tendonitis as a
contraindication for taking ciprofloxacin due to the risk of tendon
rupture
-diarrhea is an adverse effect of this medication
-ciprofloxacin is a quinolone antibiotic
A nurse is reviewing the laboratory results for a client who is
receiving heparin via continuous IV infusion for deep-vein
thrombosis. The nurse should discontinue the medication infusion for
which of the following client findings?
a. potassium 5.0 mEq/L
b. aPTT 2 times the control
c. hemoglobin 15 g/dL
d. platelets 96,000 mm3 - ....ANSWER...d. platelets 96,000 mm3
RATIONALE: -a platelet count of 96,000 mm3 is below the
expected range of 150,000-400,000 mm3. A platelet countless than
100,000 mm3 while receiving heparin can indicate heparin-induced
thrombocytopenia, a potentially fatal condition that requires stopping
the infusion
-an Hgb of 15 g/dL is within the expected range or 14-18 g/dL for a
male and 12-16 g/dL for a female and is not an indication to stop the
heparin infusion
A nurse is caring for a client who i