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A nurse is reinforcing teaching about fluticasone topical lotion with the parent of a 9-month-old infant who has atopic dermatitis on the wrist. Which of the following instructions should the nurse include?

A. Place a thick layer of the medication on open areas.'
B. Rub the medication until it disappears.'
C. Cover the area with an occlusive dressing.'
D. Apply the medication to your infant's entire arm.'

Correct Answer: B

Rationale: The correct answer is B: Rub the medication until it disappears. This instruction is appropriate because it ensures proper absorption of the medication into the skin, maximizing its effectiveness. Rubbing the lotion helps distribute it evenly and facilitates absorption, which is crucial for treating atopic dermatitis.

Choice A is incorrect because applying a thick layer can lead to overuse of the medication and potential side effects. Choice C is incorrect as using an occlusive dressing can increase the risk of skin irritation and worsen the condition. Choice D is incorrect because applying the medication to the entire arm may not be necessary and could lead to unnecessary exposure. It is essential to focus on the affected area only.

A nurse in a clinic receives a telephone call from a client who has tuberculosis and was prescribed rifampin 3 days ago. The client reports, 'My saliva and tears are red. What should I do?' Which of the following responses by the nurse is appropriate?

A. This is an expected adverse effect of the medication.'
B. Stop taking the medication. You are having an allergic reaction.'
C. This condition will only last a couple of days.'
D. Taking the medication with red meat will cause this adverse effect.'

Correct Answer: A

Rationale: The correct response is A: "This is an expected adverse effect of the medication." Red discoloration of bodily fluids is a known side effect of rifampin. The medication can cause harmless discoloration of saliva, tears, sweat, and urine. It does not indicate an allergic reaction or a serious issue that requires stopping the medication. Choice B is incorrect as stopping the medication abruptly is not necessary. Choice C is incorrect as the duration of this side effect varies. Choice D is incorrect as the discoloration is not related to the consumption of red meat.

A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?

A. The nurse monitors the client for oversedation
B. The nurse reassures the client that the PCA device will not cause an overdose
C. The nurse asks the client to demonstrate dose delivery.
D. The nurse administers a PCA dose for the client.

Correct Answer: D

Rationale: Correct Answer: D. The nurse administering a PCA dose for the client requires intervention. This is because only the client should be allowed to self-administer medication via a PCA device to ensure safety and prevent medication errors. Allowing the nurse to administer the dose goes against the principles of PCA therapy, which empowers the client to manage their pain relief within safe limits.

Choice A: Monitoring the client for oversedation is a standard nursing practice and does not require intervention.
Choice B: Reassuring the client about the PCA device is important for patient education but does not require immediate intervention.
Choice C: Asking the client to demonstrate dose delivery is a proactive approach to ensure the client understands how to use the device correctly and does not require intervention unless the client is unable to demonstrate understanding.

A nurse is preparing to administer phenobarbital 3 mg/kg/day PO in two divided doses to a client who weighs 145 lb. The amount available is phenobarbital 100 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 1

Rationale: To determine the total daily dose, convert the client's weight from lb to kg (145 lb / 2.2 = 65.91 kg). Then calculate the total daily dose in mg (3 mg/kg/day * 65.91 kg = 197.73 mg/day). Since it is divided into two doses, the nurse should administer approximately 99 mg per dose. Since each tablet is 100 mg, the nurse should administer 1 tablet per dose. This is the correct answer, as it ensures the client receives the prescribed dose. Other choices are incorrect as they do not align with the calculated dose needed, leading to potential under or overdosing.

A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which of the following herbal supplements should the nurse include as a contraindication for this medication?

A. Glucosamine
B. Garlic
C. St. John's wort
D. Ginkgo biloba

Correct Answer: C

Rationale: The correct answer is C: St. John's wort. St. John's wort can decrease the effectiveness of digoxin, leading to reduced therapeutic effects. This is due to St. John's wort inducing the enzymes that metabolize digoxin, resulting in lower drug levels in the body. Glucosamine (A), garlic (B), and ginkgo biloba (D) do not have significant interactions with digoxin. It is important to educate the client about potential herb-drug interactions to ensure the safety and effectiveness of their treatment.

ATI LPN Pharmacology 2023 retake 1 Related

Correct Answer: A,B,C,D,E,F,G