ATI Adult Medical Surgical - Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Relieve neuropathic pain. Gabapentin is commonly used to treat neuropathic pain by stabilizing electrical activity in the brain and nervous system. It is effective in conditions such as diabetic neuropathy and postherpetic neuralgia.
Choice B is incorrect because gabapentin does not have anti-inflammatory properties.
Choice C is incorrect as gabapentin does not enhance opioid analgesia, but it can be used in conjunction with opioids for pain management.
Choice D is incorrect as gabapentin is not indicated for cough suppression.

Correct Answer: B

Rationale: The correct answer is B: Diminished cough effort. In myasthenia gravis, muscle weakness can affect the respiratory muscles, leading to ineffective coughing and clearance of airways. Diminished cough effort can result in ineffective airway clearance, putting the client at high risk for respiratory complications.

A: Pain when coughing is not the primary etiology for ineffective airway clearance in myasthenia gravis.
C: Thick, dry secretions may contribute to airway clearance issues but are not the most likely etiology compared to diminished cough effort.
D: Excessive inflammation is not typically associated with ineffective airway clearance in myasthenia gravis.

Correct Answer: A

Rationale:
Correct Answer: A


Rationale:
1. Digoxin is a medication that can cause bradycardia as a side effect.
2. Instructing the client to take their pulse before each dose is crucial to monitor for bradycardia.
3. Holding the medication if the pulse is below 60 beats per minute helps prevent potential adverse effects.
4. This instruction ensures the client's safety and adherence to the prescribed regimen.

Summary:
-
Choice B is incorrect because increasing potassium intake can lead to hyperkalemia when taking digoxin.
-
Choice C is incorrect as taking digoxin with a high-fiber meal may affect absorption negatively.
-
Choice D is incorrect because skipping a dose based on dizziness or lightheadedness may lead to suboptimal treatment outcomes.

Correct Answer: B

Rationale: The correct answer is B: Weight gain. Olanzapine is known to cause metabolic side effects, including weight gain. This is important to monitor as it can lead to various health issues such as diabetes and cardiovascular problems. Hypertension (
A), hypoglycemia (
C), and bradycardia (
D) are not commonly associated with olanzapine use, making them less likely side effects to monitor in this case.

Correct Answer: C

Rationale: Desmopressin is a synthetic form of vasopressin used to replace the hormone in diabetes insipidus. The primary purpose is to decrease urine output by increasing water reabsorption in the kidneys, thereby reducing excessive urination and preventing dehydration.
Choice A is incorrect as desmopressin actually decreases urine output.
Choice B is incorrect as desmopressin does not directly affect blood sugar levels.
Choice D is incorrect as desmopressin does not primarily lower blood pressure.