ATI RN
ATI Pharmacology Made Easy 4.0 The Hematologic System Questions
Question 1 of 5
Which statement about ARBs does the nurse identify as being true?
Correct Answer: A
Rationale: Angiotensin II Receptor Blockers (ARBs) are less likely to cause cough compared to ACE inhibitors. However, one of the notable adverse effects associated with ARBs is hyperkalemia. ARBs can lead to an increase in potassium levels in the blood more so than ACE inhibitors.
Therefore, the nurse should recognize that hyperkalemia is more likely to occur with ARBs than when using ACE inhibitors.
Question 2 of 5
The nurse is providing education about the use of sublingual nitroglycerin tablets. She asks the patient, What would you do if you experienced chest pain while mowing your yard? You have your bottle of sublingual nitroglycerin with you. Which actions by the patient are appropriate in this situation? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A patient who is severely anemic also has acute heart failure with severe edema due to fluid
Correct Answer: D
Rationale: Packed red blood cells (PRBCs) are the most appropriate blood product for a severely anemic patient who needs an increase in hemoglobin and hematocrit levels. PRBC transfusions provide a concentrated dose of red blood cells to improve oxygen-carrying capacity in the blood. This can help address the anemia and improve symptoms related to decreased oxygen delivery to tissues, such as fatigue and weakness. Fresh frozen plasma, albumin, and whole blood do not specifically target the anemia in this scenario and are not the primary choice for raising hemoglobin and hematocrit levels in a patient with severe anemia and acute heart failure.
Question 4 of 5
A patient has been taking a beta blocker for 4 weeks as part of his antianginal therapy. He also has type II diabetes and hyperthyroidism. When discussing possible adverse effects, the nurse will include which information?
Correct Answer: A
Rationale: Option E is the correct answer. When a patient with type II diabetes is taking a beta blocker, it's important to monitor blood glucose levels regularly for possible changes in glucose levels. Beta blockers can mask the symptoms of hypoglycemia, such as tremors and rapid heartbeat, which can make it harder for patients to recognize when their blood sugar is too low. On the other hand, beta blockers can also potentially lead to hyperglycemia as they can blunt the body's response to hypoglycemia by inhibiting the release of counter-regulatory hormones like epinephrine.
Therefore, monitoring blood glucose levels is crucial in such patients to prevent complications related to blood sugar fluctuations.
Question 5 of 5
During an infusion of albumin, the nurse monitors the patient closely for the development of which adverse effect?
Correct Answer: C
Rationale: When administering an infusion of albumin (a colloid solution), the nurse must closely monitor the patient for signs and symptoms of fluid volume overload. This is because albumin infusion can lead to an excessive accumulation of fluid in the intravascular compartment, potentially causing volume overload. Symptoms of fluid volume overload may include dyspnea, crackles in the lungs, peripheral edema, increased blood pressure, and increased heart rate. Prompt recognition and intervention are essential to prevent complications such as pulmonary edema and heart failure. Monitoring for signs of fluid volume overload enables the nurse to adjust the infusion rate or take other appropriate actions to ensure the patient's safety.