ATI RN
ATI Capstone Pharmacology Assessment 2 Questions
Question 1 of 5
A client with bell's palsy tells the nurse that acetaminophen (Tylenol) is taken daily as prescribed by the physician. Which laboratory value would indicate a toxicity of the medication?
Correct Answer: A
Rationale: Acetaminophen (Tylenol) toxicity primarily affects the liver and can result in hepatic injury. When the liver is damaged, it can lead to the elevation of liver enzymes and other markers of liver function. Blood urea nitrogen (BUN) is a measure of kidney function, not liver function.
Therefore, an elevated BUN level would not indicate acetaminophen toxicity. In cases of acetaminophen overdose, the liver enzymes, such as alanine aminotransferase (ALT) and aspartate aminotransferase (AST), would typically be elevated, indicating liver damage.
Question 2 of 5
A patient with a new prescription for a HMG-CoA (statin) drug is instructed to take the
Correct Answer: D
Rationale: The nurse's best response is D: "This timeframe correlates better with the natural diurnal rhythm of cholesterol production." This explanation is accurate and helps the patient understand the rationale behind the timing of taking the HMG-CoA (statin) drug. Cholesterol production in the body typically follows a natural diurnal rhythm, with cholesterol synthesis peaking during the night. By taking the statin medication in the evening, it aligns with the body's cholesterol production pattern, making it more effective in reducing cholesterol levels. This explanation supports the patient's understanding of the importance of timing in maximizing the medication's effectiveness.
Question 3 of 5
When administering heparin subcutaneously, the nurse will follow which procedure?
Correct Answer: D
Rationale: When administering heparin subcutaneously, the nurse should use a - to -inch needle. This needle length is appropriate for subcutaneous injections as it ensures the medication is being injected into the fatty tissue layer beneath the skin. Using a longer needle can result in the medication being injected too deeply, potentially causing complications. Additionally, the nurse should not aspirate the syringe before injecting the medication, massage the site after injection, or apply heat to the injection site when administering heparin subcutaneously.
Question 4 of 5
The nurse is caring for a patient receiving IV heparin therapy for treatment of a pulmonary embolus. The patient is being converted to warfarin (Coumadin) therapy. The following questions relate nursing considerations when caring for this patient. Nursing considerations for conversion of IV heparin to oral warfarin (Coumadin) therapy will include
Correct Answer: B
Rationale: When converting a patient from IV heparin to oral warfarin (Coumadin) therapy, overlapping therapy of both medications for at least 5 days is typically recommended. This overlap ensures that the patient's blood remains appropriately anticoagulated during the transition period. The effectiveness of warfarin is delayed and it takes time for the INR to reach the therapeutic range; therefore, it is important to continue the IV heparin until the INR is within the desired range. Monitoring the INR is essential to adjust the dosages of warfarin accordingly and to ensure that the patient is receiving adequate anticoagulation therapy.
Question 5 of 5
The nurse is monitoring for adverse effects in a patient who is receiving an amiodarone
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.