ATI Pharmacology Proctored Exam 2019

Correct Answer: C

Rationale: The client's symptoms indicate circulatory overload, which can occur during blood transfusions. Furosemide, a loop diuretic, is commonly prescribed in such cases to help relieve manifestations of circulatory overload by promoting diuresis and reducing fluid volume. Epinephrine is used for severe allergic reactions, lorazepam for anxiety or seizures, and diphenhydramine for mild allergic reactions or as a sedative.

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: B

Rationale: The nurse should instruct the client to report dyspnea because it can indicate pulmonary toxicity, a serious adverse effect of docetaxel. Dyspnea may be a sign of a potentially life-threatening condition that the healthcare provider needs to address promptly.

Correct Answer: A

Rationale: To calculate the flow rate, divide the total volume by the total time: 750 mL / 6 hr = 125 mL/hr. Therefore, the IV pump should be set to deliver 125 mL/hr to infuse D5W 750 mL over 6 hours.

Correct Answer: B

Rationale: Acetylcysteine contains sulfur, which gives it a characteristic rotten-egg odor. This smell is normal and expected when using this medication.