ATI LPN
LPN Pharmacology Assessment A Questions
Question 1 of 5
The client is receiving enalapril (Vasotec). The nurse should monitor the client for which potential adverse effect?
Correct Answer: B
Rationale: Enalapril is an ACE inhibitor that works by dilating blood vessels and reducing blood pressure.
Therefore, monitoring for hypotension is crucial as it can be a potential adverse effect of this medication. Hypertension, tachycardia, and hyperglycemia are not typically associated with enalapril use.
Question 2 of 5
A client who had a myocardial infarction (MI) two days ago reports chest pain radiating to the left arm. What should the nurse do immediately?
Correct Answer: B
Rationale: Obtaining an ECG is crucial in this situation because it helps in assessing for potential complications, such as a recurrent MI or ongoing ischemia. This diagnostic test provides valuable information to guide further interventions and treatment. Administering morphine, oxygen, or nitroglycerin may be necessary but obtaining an ECG takes precedence to evaluate the cardiac status and determine the appropriate course of action.
Question 3 of 5
The client has angina pectoris and is prescribed nitroglycerin patches. What instruction should the nurse provide to the client?
Correct Answer: B
Rationale: It is essential to rotate the application site of the nitroglycerin patch to prevent skin irritation and ensure consistent absorption of the medication. Applying it to the same site can lead to skin irritation and decreased effectiveness.
Question 4 of 5
The healthcare provider is teaching a client about the use of nitroglycerin patches for angina pectoris. Which instruction should the healthcare provider include?
Correct Answer: D
Rationale: Rotating the application site every 24 hours is essential to prevent skin irritation and ensure consistent absorption of the medication. This practice helps to maintain the effectiveness of the nitroglycerin patch and reduce the risk of local skin reactions.
Question 5 of 5
A client is receiving intravenous heparin therapy for the treatment of deep vein thrombosis (DVT). Which laboratory test result should the LPN/LVN monitor to ensure the client is receiving a therapeutic dose?
Correct Answer: B
Rationale: The correct laboratory test result that the LPN/LVN should monitor to ensure the client is receiving a therapeutic dose of heparin therapy is the activated partial thromboplastin time (aPTT). The aPTT test is specifically used to monitor heparin therapy, ensuring that the dose administered is within the therapeutic range. Monitoring aPTT helps to prevent complications such as bleeding or clot formation by maintaining the appropriate anticoagulant effect of heparin.