Questions 57

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ATI LPN Pharmacology 2023 retake 1 Questions

Question 1 of 5

A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which of the following herbal supplements should the nurse include as a contraindication for this medication?

Correct Answer: C

Rationale: St. John's wort increases digoxin metabolism, reducing efficacy. Glucosamine, garlic, and ginkgo don't significantly interact.

Question 2 of 5

A nurse is reinforcing discharge teaching with a client who has tuberculosis and a prescription for rifampin. Which of the following client statements indicates an understanding of the teaching?

Correct Answer: B

Rationale: I should take this medication on an empty stomach.' enhances rifampin absorption. Stopping early risks resistance, tinnitus isn't expected, and joint pain isn't typical.

Question 3 of 5

A nurse is caring for a client who has prescriptions for spironolactone and lisinopril. The nurse should monitor for which of the following adverse effects?

Correct Answer: B

Rationale: Hyperkalemia risks increase as both spironolactone and lisinopril retain potassium. Hypoglycemia, hyperglycemia, and hypokalemia aren't expected.

Question 4 of 5

A nurse is caring for a client who has chronic liver disease. Which of the following medications should the nurse recognize as appropriate for this client?

Correct Answer: D

Rationale: Hepatitis A vaccine protects liver health in chronic liver disease. Alprazolam risks accumulation, rotavirus vaccine is for infants, and niacin may worsen liver function.

Extract:

Vital Signs
History and Physical
Assessment
Laboratory Results
Provider Prescriptions
Yesterday:
Temperature 37.4° C (99.3° F)
Heart rate 92/min
Respiratory rate 18/min
Blood pressure 130/82 mm Hg
Oxygen saturation 97% on room air
Today:
Temperature 38.9° C (102° F) Heart rate 110/min
Respiratory rate 18/min
Blood pressure 138/88 mm Hg
Oxygen saturation 96% on room air


Question 5 of 5

The nurse has reviewed the client's electronic medical record (EMR). Which of the following findings should the nurse recommend withholding the ceftriaxone? Select all that apply.

Correct Answer: B,C

Rationale: Client allergy risks cross-reactivity with penicillin; gentamicin increases nephrotoxicity risk with ceftriaxone. Breastfeeding, hematocrit, and hemoglobin aren't contraindications.

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