ATI RN
Quizlet Pharmacology ATI Questions
Question 1 of 5
How can central venous access devices (CVADs) be of value in a patient receiving chemotherapy who has stomatitis and severe diarrhea?
Correct Answer: D
Rationale: Central venous access devices (CVADs) can be of value in a patient receiving chemotherapy who has stomatitis and severe diarrhea by allowing concentrated hyperalimentation fluid to be administered through the CVAD. Stomatitis and severe diarrhea can significantly affect oral intake and absorption of nutrients, leading to malnutrition and dehydration. By administering concentrated hyperalimentation fluid through a CVAD, the patient can receive the necessary nutrition and hydration directly into the bloodstream, bypassing the gastrointestinal tract. This can help maintain the patient's nutritional status and manage dehydration effectively during chemotherapy treatment.
Question 2 of 5
Which condition does the nurse identify as a late manifestation of hypokalemia?
Correct Answer: C
Rationale: Palpitations are a late manifestation of hypokalemia. Hypokalemia is a condition characterized by low levels of potassium in the blood, which can affect the heart's ability to function properly. Palpitations, or irregular heartbeat, can occur as a result of the heart's increased sensitivity to adrenaline due to low potassium levels. Other early manifestations of hypokalemia include muscle weakness, which is a result of potassium's role in muscle contraction, hypotension (low blood pressure), and lethargy.
Question 3 of 5
The nurse will monitor for myopathy (muscle pain) when a patient is taking which class of antilipemic drugs?
Correct Answer: B
Rationale: Myopathy, characterized by muscle pain or weakness, is a potential side effect associated with the use of HMG-CoA reductase inhibitors, also known as statins. Common examples of statins include atorvastatin, simvastatin, and rosuvastatin. Patients taking statins should be monitored for any signs or symptoms of myopathy, as it can progress to a more serious condition called rhabdomyolysis, where muscle breakdown products can lead to kidney damage. Monitoring for muscle pain, weakness, and elevated creatine kinase levels is essential to detect and manage myopathy promptly in patients on statin therapy.
Question 4 of 5
The patient is being discharged home with furosemide (Lasix). When providing discharge teaching, which instruction will the nurse include?
Correct Answer: D
Rationale: It is important for the nurse to include instructions for monitoring weight as a part of discharge teaching for a patient receiving furosemide (Lasix) because this medication is a diuretic that helps the body get rid of extra water and salt. Monitoring weight can provide important information about fluid status. A weight gain of more than 1 lb in a day or 2-3 lbs in a week should be reported to the healthcare provider as it may indicate fluid retention or worsening heart failure. This can help prevent complications and ensure appropriate management of the patient's condition.
Question 5 of 5
While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?
Correct Answer: D
Rationale: Antilipemic therapy is used to lower cholesterol levels in the blood. This type of therapy often places a strain on the liver as it metabolizes and processes the cholesterol-lowering medications.
Therefore, patients receiving antilipemic therapy are at an increased risk of developing liver dysfunction. The nurse should monitor the patient closely for signs and symptoms of liver dysfunction, such as jaundice, abdominal pain, nausea, vomiting, and changes in liver function tests. Early detection and intervention can help prevent serious complications associated with liver dysfunction.