Questions 56

ATI LPN

ATI LPN Test Bank

Pharmacology for LPN Questions

Question 1 of 5

A client with hypertension is prescribed a thiazide diuretic. What instruction should the nurse reinforce to the client?

Correct Answer: C

Rationale: The correct answer is to weigh oneself daily. This instruction is important as daily weights help monitor fluid loss and are crucial for detecting early signs of fluid imbalance when taking a diuretic. Weighing daily allows for timely adjustments in treatment and helps prevent complications associated with fluid imbalance.
Choice A is not directly related to the client's need for monitoring fluid balance.
Choice B, although important for some diuretics, is not specific to thiazide diuretics.
Choice D is not appropriate as limiting fluid intake without proper monitoring can lead to dehydration, especially when taking diuretics.

Question 2 of 5

A client with atrial fibrillation is prescribed warfarin (Coumadin). The nurse should reinforce which dietary instruction?

Correct Answer: A

Rationale: The correct answer is to avoid foods high in vitamin K. Clients taking warfarin (Coumadin) should maintain a consistent intake of vitamin K to keep the medication's effectiveness stable. Foods high in vitamin K, such as leafy greens, can interfere with the anticoagulant effects of warfarin.
Therefore, it is crucial for clients to avoid these foods to ensure the therapeutic effects of warfarin.

Choices B, C, and D are incorrect because increasing dairy products, limiting fiber intake, or increasing protein intake do not directly impact the effectiveness of warfarin therapy and are not necessary dietary modifications for clients on this medication.

Question 3 of 5

A client with a history of hypertension is being discharged on a low-sodium diet. Which statement by the client indicates a need for further teaching?

Correct Answer: C

Rationale:
Choice C is the correct answer because bacon and sausage are high in sodium, which contradicts the low-sodium diet requirement. Consuming them freely would contribute to increased sodium intake, which is not suitable for managing hypertension.

Choices A, B, and D demonstrate appropriate understanding and actions for a low-sodium diet, such as using alternatives to salt, avoiding processed foods, and checking food labels for sodium content.

Question 4 of 5

The nurse is assisting with the care of a client diagnosed with heart failure. Which finding should the nurse report to the healthcare provider immediately?

Correct Answer: A

Rationale: A weight gain of 2 pounds in 2 days is concerning in a client with heart failure as it can indicate fluid retention and worsening of the condition. This finding requires immediate medical attention to prevent further complications. Increased urination at night (choice
B) may be due to various reasons like diuretic use and is not an immediate concern. Mild shortness of breath on exertion (choice
C) is expected in clients with heart failure and may not require immediate reporting. Decreased appetite and fatigue (choice
D) are common symptoms in heart failure but are not as urgent as sudden weight gain.

Question 5 of 5

The nurse is reinforcing instructions to a client with coronary artery disease who is prescribed a low-cholesterol diet. The nurse should advise the client to choose which food item?

Correct Answer: B

Rationale: Oatmeal with fresh fruit is a suitable choice for a client with coronary artery disease on a low-cholesterol diet as it is low in cholesterol and provides heart-healthy benefits. Eggs and bacon, cream of chicken soup, and grilled cheese sandwich are higher in cholesterol and may not be as heart-healthy for this client. Eggs and bacon are high in cholesterol, cream of chicken soup may contain saturated fats, and a grilled cheese sandwich typically contains high amounts of fat and cholesterol, making them less suitable choices for a client with coronary artery disease on a low-cholesterol diet.

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