ATI RN
Quizlet Pharmacology ATI Questions
Question 1 of 5
A patient is taking aspirin for secondary prevention of myocardial infarction and is experiencing moderate gastrointestinal upset. The nurse will contact the patient's provider to discuss changing from aspirin to which of the following?
Correct Answer: C
Rationale: The patient is experiencing gastrointestinal upset from taking aspirin. Enteric-coated aspirin would be a suitable alternative in this case because the special coating on the aspirin helps protect the stomach lining and reduces the risk of gastrointestinal irritation. Switching to an enteric-coated aspirin can still provide the antiplatelet benefits needed for secondary prevention of myocardial infarction while minimizing the gastrointestinal side effects. It is important to address the patient's symptoms while ensuring that they continue to receive appropriate treatment for their medical condition.
Question 2 of 5
The client receives alendronate (Fosamax) as treatment for osteoporosis. Which symptoms, caused by an adverse effect of the medication, does the nurse teach should be reported to the physician?
Correct Answer: C
Rationale: Alendronate's rare eye effects-vision changes, photophobia-signal inflammation, needing report, per safety. Ringing ears, hot skin, or spasms aren't linked-GI/esophageal issues dominate. Eye symptoms prompt action, per teaching.
Question 3 of 5
What is an expected outcome for Lithium
Correct Answer: D
Rationale: Lithium is commonly used to treat bipolar disorder, where it is effective in reducing the frequency and severity of acute manic episodes. By stabilizing mood, lithium helps in preventing or decreasing the occurrence of manic episodes, which are characterized by elevated, irritable moods, increased energy, and impulsivity. However, it is important to note that lithium does not typically have direct effects on reducing the risk of myocardial infarction, GI ulcers, or respiratory distress.
Question 4 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 5 of 5
A client is prescribed propranolol (Inderal) for migraines. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Propranolol, a beta-blocker, prevents migraines but requires consistent use'stopping if migraines cease risks rebound, showing a teaching gap. Pulse checking monitors bradycardia. Tiredness and orthostasis are expected. Abrupt cessation can worsen migraines, critical in prophylaxis where steady-state matters, making B the statement needing correction.