ATI Pharmacology Proctored Exam 2023

Correct Answer: B

Rationale: When the client presses on the nasolacrimal duct while instilling eye drops, it temporarily blocks the lacrimal punctum. This obstruction helps prevent the systemic absorption of the medication by minimizing drainage into the nasolacrimal duct and subsequent systemic circulation. By following this technique, the client can enhance the localized effect of the eye drops and reduce the risk of systemic side effects.

Correct Answer: C

Rationale: The correct answer is C: Delirium. When IV nitroprusside is administered at high dosages, it can lead to thiocyanate toxicity, resulting in mental status changes such as delirium. Monitoring thiocyanate levels during therapy is crucial to ensure they remain below 10 mg/dL to prevent this adverse reaction.

Correct Answer: C

Rationale: Omeprazole or another proton pump inhibitor is commonly prescribed for clients taking dabigatran who experience abdominal pain and other gastrointestinal adverse effects associated with dabigatran use. Proton pump inhibitors help alleviate these symptoms by reducing gastric acid secretion, which can contribute to gastrointestinal discomfort.

Correct Answer: B

Rationale: Pamidronate is administered through intravenous (IV) infusion. As this medication can be irritating to veins, the healthcare professional should carefully assess the IV site for thrombophlebitis during administration to prevent potential complications.

Correct Answer: C

Rationale: The nurse should instruct the client to report a sore throat because it can indicate an infection due to the immunosuppressive effects of topotecan. Monitoring for signs of infection is crucial to prevent complications during therapy.