ATI Pharmacology Proctored Exam 2019

Correct Answer: B

Rationale: Diltiazem is a calcium channel blocker that can cause bradycardia as an adverse effect due to its negative chronotropic properties, slowing down the heart rate. Therefore, the nurse should monitor the client for signs of bradycardia by regularly assessing the heart rate to prevent potential complications.

Correct Answer: B

Rationale: Verapamil, a calcium-channel blocker, can increase digoxin levels, leading to Digoxin toxicity. When these medications are used together, the client is at an increased risk. The healthcare professional should consider adjusting the digoxin dosage and closely monitor the client's digoxin levels to prevent toxicity.

Correct Answer: A

Rationale: To calculate the volume to administer, divide the desired dose by the available concentration. In this case, (80 mg / 10 mg/mL) = 8 mL.

Correct Answer: B

Rationale: Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia (elevated potassium levels). A potassium level of 5.2 mEq/L is elevated and should be reported to the provider for further evaluation and management to prevent potential complications.

Correct Answer: C

Rationale: The correct action for the provider is to withhold morphine if the client's respiratory rate is 12/min or less. Respiratory depression is a serious side effect of morphine and other opioids. Withholding the medication and informing the healthcare provider is essential to prevent further respiratory compromise in the client.