ATI Pharmacology Proctored Exam 2019

Correct Answer: C

Rationale: It is crucial to withhold all opioids, including Morphine, if the client's respiratory rate is 12/min or less, and promptly inform the healthcare provider. Respiratory depression is a significant adverse effect of opioids, and administering them when the respiratory rate is already compromised can further suppress breathing, leading to potentially life-threatening complications.

Correct Answer: B

Rationale: Ciprofloxacin should not be taken with dairy products because calcium can interfere with the absorption of the medication. The client should be instructed to take it 1 hour before or 2 hours after consuming dairy products to ensure optimal effectiveness of the medication.

Correct Answer: D

Rationale: When administering Filgrastim, only one dose should be withdrawn from the vial, and the vial should then be discarded. This medication should not be shaken but gently inverted to mix it before withdrawing the appropriate dose. It is important to follow these guidelines to ensure the medication's efficacy and prevent contamination or errors in dosing. Refrigeration is not required for Filgrastim; it should be stored at room temperature until just before administration.

Correct Answer: A

Rationale: Propranolol is a nonselective beta-adrenergic blocker that blocks both beta1 and beta2 receptors. Blocking beta2 receptors in the lungs can lead to bronchoconstriction, making it unsuitable for clients with asthma. Therefore, asthma is a contraindication for taking Propranolol.

Correct Answer: C

Rationale: Severe pain around the eyes that radiates over the face is a characteristic symptom of acute angle-closure glaucoma. This intense pain is typically accompanied by other symptoms such as blurred vision, halos around lights, redness in the eye, and sometimes nausea and vomiting. The acute rise in intraocular pressure leads to these symptoms, indicating a medical emergency that requires immediate attention to prevent vision loss.