ATI RN
ATI Pharmacology Made Easy 4.0 The Hematologic System Questions
Question 1 of 5
The home care nurse is caring for a patient newly prescribed a nonselective beta-blocking agent. What would the nurse include in the teaching plan related to this drug? (Select all that apply.)
Correct Answer: A
Rationale: Patients should be taught to change position slowly, avoid driving or operating hazardous machinery, and to pace activities as a result of potential dizziness from orthostatic hypotension in order to avoid injury. Patients should take medicine with meals when possible. Drug is more likely to decrease libido than increase it. Activity levels should be paced and care should be taken not to overdo. The nurse should provide comprehensive patient education to ensure safe and effective use of the medication.
Question 2 of 5
The client comes to the emergency department with a myocardial infarction. The client's husband tells the nurse that his wife has been taking calcium carbonate (Tums) for years for what she thought was indigestion. What is the best response by the nurse?
Correct Answer: D
Rationale: Self-diagnosing with Tums masked a myocardial infarction as indigestion, a common misstep, and noting this educates without blame. Blaming the wife or husband is judgmental and unhelpful. Gladness she's there misses teaching opportunity. Stating self-diagnosis's risks highlights the need for medical evaluation, especially in older adults where cardiac symptoms mimic gastrointestinal issues, fostering awareness gently.
Question 3 of 5
The patient receives aspirin. The nurse assesses an adverse effect to this drug when the patient makes which response?
Correct Answer: A
Rationale: Aspirin, an NSAID, inhibits platelet aggregation and can cause gastrointestinal bleeding, leading to dark, tarry stools (melena) from upper GI hemorrhage . This adverse effect requires urgent assessment, as it signals potential internal bleeding, a serious complication. Nasal stuffiness isn't linked to aspirin unless related to an allergic reaction (rare). Headaches from lights suggest photophobia, unrelated to aspirin's effects. Frequent urination isn't a typical side effect. The nurse identifies dark stools as a critical sign of aspirin's impact on gastric mucosa and coagulation, necessitating intervention, making choice A the correct adverse effect to assess.
Question 4 of 5
Which of the following are common side effects when taking the drug Phenytoin. Select all that apply.
Correct Answer: A
Rationale: Phenytoin is an antiepileptic drug that can commonly cause drowsiness, ataxia (loss of full control of bodily movements), and dry mouth as side effects. These side effects are important to monitor in patients taking Phenytoin to ensure their safety and well-being. Increased suicidal thoughts are not a common side effect associated with Phenytoin.
Question 5 of 5
A 17-year-old client is taking phenytoin (Dilantin) for the treatment of seizures. Phenytoin blood level reveals to be 25 mcg/ml. Which of the following symptoms would be expected as a result of the laboratory result?
Correct Answer: D
Rationale: A phenytoin level of 25 mcg/ml is above the therapeutic range (10-20 mcg/ml) and can cause toxicity symptoms such as nystagmus, ataxia, and confusion. Hyperactivity and tremors are not typical signs of phenytoin toxicity.
Therefore, nystagmus is the expected symptom.