ATI RN
Pharmacology Assessment 1 ATI Capstone Questions
Question 1 of 5
Which of the following is the priority nursing diagnosis for a client undergoing chemotherapy?
Correct Answer: C
Rationale: When a client is undergoing chemotherapy, the priority nursing diagnosis would be related to potential complications from the treatment. Decreased cardiac output is a critical concern because certain chemotherapy drugs can have cardiotoxic effects, leading to reduced heart function. Monitoring and addressing any changes in cardiac output are vital for the overall well-being of the client during chemotherapy. While the other options may also be relevant, such as managing fear, anxiety, and altered nutrition, decreased cardiac output takes precedence due to its immediate impact on the client's cardiovascular health.
Question 2 of 5
When teaching a patient about antihypertensive drug therapy, which statements by the nurse are correct? (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 on diuretic therapy calls the clinic because he™s had the flu, with terrible vomiting and
Correct Answer: A
Rationale: The correct statement by the nurse is to instruct the patient to "stop taking the diuretic for a few days, and then restart it when you feel better." This is because the patient has been experiencing vomiting due to influenza, which can cause dehydration. Continuing the diuretic while experiencing such significant fluid loss can lead to further dehydration and electrolyte imbalances. It is important for the patient to pause the diuretic temporarily to allow the body to recover and then resume once the vomiting has subsided and hydration has improved. It's always best for patients to follow specific instructions given by healthcare providers in such situations.
Question 4 of 5
A patient who has been taking antihypertensive drugs for a few months complains of having a persistent dry cough. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?
Correct Answer: B
Rationale: A persistent dry cough is a well-known adverse effect associated with the use of angiotensin-converting enzyme (ACE) inhibitors. ACE inhibitors work by inhibiting the conversion of angiotensin I to angiotensin II, thereby causing vasodilation and reducing blood pressure. However, they can also inhibit the breakdown of bradykinin, leading to the accumulation of bradykinin in the lungs. This accumulation can irritate the airways, resulting in a dry, persistent cough in some patients. It is important for healthcare providers to be aware of this side effect, as it can significantly impact a patient's quality of life and may require alternative antihypertensive medication.
Question 5 of 5
When monitoring a patient who is taking hydrochlorothiazide (HydroDIURIL), the nurse notes that which drug is most likely to cause a severe interaction with the diuretic?
Correct Answer: A
Rationale: Hydrochlorothiazide (HydroDIURIL) is a diuretic that can cause electrolyte imbalances, particularly hypokalemia (low potassium levels). Digitalis (digoxin) is a medication commonly used to treat heart conditions, and its therapeutic effect is dependent on adequate potassium levels. If a patient taking hydrochlorothiazide becomes hypokalemic and then takes digitalis, it can lead to an increased risk of digitalis toxicity. This severe interaction highlights the importance of monitoring potassium levels and potential drug interactions when patients are taking hydrochlorothiazide. Potassium supplements would help counteract the potassium loss caused by hydrochlorothiazide and minimize the risk of interactions with digitalis.