ATI LPN
ATI LPN Pharmacology N113 Exam Questions
Question 1 of 5
A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Wait up to 3 weeks to see the full effects of the medication. This is because lithium carbonate, commonly used to treat bipolar disorder, takes time to reach therapeutic levels in the blood and for the client to experience the full benefits of the medication. It is important for the nurse to educate the client about this delayed onset of action to manage expectations and encourage adherence to the treatment plan.
A: Taking the medication on an empty stomach is not necessary for lithium carbonate.
C: Following a low-sodium diet is important to monitor for potential side effects, but it is not the most crucial instruction to include.
D: Limiting fluid intake to 800 ounces per day is excessive and could lead to dehydration, so this instruction is incorrect.
E, F, G: No additional options provided.
Question 2 of 5
A nurse is caring for a client who is taking oral erythromycin. Which of the following statements by the nurse indicates the client is experiencing a common adverse effect of this medication?
Correct Answer: C
Rationale: The correct answer is C. Yellow emesis is a common adverse effect of oral erythromycin due to its irritation of the gastrointestinal tract, leading to nausea and vomiting. This occurs because erythromycin stimulates gastrointestinal motility. A: Ringing in the ears is not a common adverse effect of erythromycin. B: Constipation with abdominal cramping is not a common adverse effect of erythromycin; rather, it can cause gastrointestinal upset. D: Swollen lips are not a common adverse effect of erythromycin; this may indicate an allergic reaction.
Question 3 of 5
A nurse is reviewing a client's medication administration record. Which of the following medications should the nurse recognize as potentially interacting with the client's prescribed lithium?
Correct Answer: A
Rationale: The correct answer is A: Furosemide. Furosemide can increase lithium levels and potentially lead to lithium toxicity by reducing its excretion. Furosemide is a diuretic that affects renal function, which can impact lithium clearance. Gentamicin (
B) primarily affects the kidneys but does not significantly interact with lithium. Alprazolam (
C) and Warfarin (
D) do not have direct interactions with lithium.
Question 4 of 5
A nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?
Correct Answer: A
Rationale: The correct answer is A: 1 cup (8oz) of applesauce. Applesauce is recommended to be taken with levodopa/carbidopa because it helps to decrease nausea that can be caused by the medication. The pectin in applesauce can help alleviate gastrointestinal side effects. Plain low-fat yogurt (choice
B), cheddar cheese (choice
C), and cooked spinach (choice
D) do not have the same anti-nausea properties as applesauce and may not be as effective in reducing nausea associated with levodopa/carbidopa.
Therefore, choices B, C, and D are incorrect in this context.
Question 5 of 5
A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: Calcium gluconate. In magnesium sulfate toxicity, respiratory depression is a common adverse effect. Calcium gluconate is the antidote for magnesium sulfate toxicity as it antagonizes the effects of magnesium on neuromuscular transmission and can help reverse respiratory depression. Flumazenil (
B) is a benzodiazepine receptor antagonist and is used for benzodiazepine overdose, not magnesium toxicity. Protamine sulfate (
C) is used for heparin overdose. Naloxone (
D) is used for opioid overdose.