ATI RN
ATI Pharmacology Assessment 1 II Questions
Question 1 of 5
A nurse is providing teaching to a client who has a duodenal ulcer and is starting to take sucralfate. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Increase fluid intake while taking the medication. Sucralfate forms a protective barrier over the ulcer, and adequate fluid intake helps the medication dissolve and coat the ulcer effectively. This promotes healing and reduces symptoms. Taking the medication with meals (choice
A) is generally recommended, but increasing fluid intake is more crucial for its effectiveness. Reducing dietary fiber (choice
B) is not necessary and may even be counterproductive as fiber helps with digestion. Administering an antacid (choice
C) with sucralfate is not recommended as it can decrease the medication's effectiveness.
Question 2 of 5
A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm. Which of the following client statements should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: "I am allergic to atropine." This statement should be reported to the provider because ipratropium is in the same class of medication as atropine, and there is a high likelihood of cross-reactivity in individuals allergic to atropine. This allergic reaction can result in serious adverse effects for the client. Reporting this information to the provider allows for a review of the client's allergy history and the consideration of alternative treatment options to ensure the client's safety.
Choice A is incorrect because ipratropium inhaler is not known to worsen high blood pressure.
Choice B is incorrect because it is important for the client to continue using albuterol as needed for quick relief of bronchospasm.
Choice D is incorrect as drinking red wine with dinner does not directly impact the use of ipratropium inhaler for exercise-induced bronchospasm.
Question 3 of 5
A nurse is teaching a client who has a new prescription for benzonatate. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should not drive while taking this medication." Benzonatate is a cough suppressant that can cause drowsiness and dizziness. Driving while taking this medication can impair the client's ability to operate a vehicle safely. This statement demonstrates an understanding of the potential side effects of benzonatate.
Choice B is incorrect because benzonatate is not an expectorant that helps with mucus clearance.
Choice C is incorrect as there is no need to decrease dietary fiber intake while taking benzonatate.
Choice D is incorrect because benzonatate should not be chewed as it may cause numbing of the mouth and throat.
Question 4 of 5
A nurse is caring for a client who is taking a glucocorticoid. Which of the following findings should indicate to the nurse the client is experiencing hypokalemia?
Correct Answer: A,C,E
Rationale: The correct answers are A, C, and E. Hypokalemia is a common side effect of glucocorticoid use. Muscle weakness is a key indicator due to potassium's role in muscle contraction. Tingling of fingers can occur due to decreased potassium affecting nerve function. Fatigue is another symptom of hypokalemia as potassium is essential for energy production. Hyperactive bowel sounds and peaked T waves are typically associated with hyperkalemia, not hypokalemia.
Question 5 of 5
A nurse is completing an admission assessment for a client who has been taking St. John's wort. The nurse should identify that which of the following medications can interact with St. John's wort?
Correct Answer: C
Rationale: The correct answer is C: Citalopram. St. John's Wort is known to interact with many medications, including Citalopram, a selective serotonin reuptake inhibitor (SSRI). St. John's Wort can increase serotonin levels, leading to serotonin syndrome when taken with SSRIs like Citalopram. This interaction can cause symptoms such as confusion, fever, tremors, and high blood pressure. The other choices, Rifampin, Furosemide, and Allopurinol, do not have significant interactions with St. John's Wort. Rifampin is an antibiotic, Furosemide is a diuretic, and Allopurinol is used to treat gout and does not typically interact with St. John's Wort.