ATI RN
ATI Pharmacology Final Exam 1 Questions
Question 1 of 5
Since 1400, your client has had medication given through her NG tube at 1800. The Ampicillin was 20mL, the Pepcid was 10mL, and the Reglan was 15mL. Between each medication and after the last medication, there was a 30 mL flush of water. At 2000, she was given 240mL of water by mouth. Her IV was infusing @ 150ml/hour for 8 hours since the last 1&0 was done. What is her intake for 2200? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A (1575 mL).
To calculate the intake for 2200, we add up the total fluids received.
Total NG tube medications (20 + 10 + 15) + flushes (30 * 4) + oral intake (240) + IV fluids (150 * 8) = 1575 mL. Other choices are incorrect because they do not account for all the fluids administered within the given time frame.
Question 2 of 5
Which problem may occur in a client who has started aminoglycoside therapy?
Correct Answer: D
Rationale: The correct answer is D: Renal damage. Aminoglycosides are known to be nephrotoxic, causing damage to the kidneys. This can manifest as acute tubular necrosis or renal failure. The other choices are incorrect because gynecomastia is associated with hormonal imbalances, leukocytosis is an increase in white blood cells, and constipation is a gastrointestinal issue, none of which are directly related to aminoglycoside therapy.
Question 3 of 5
When a client is taking an anticholinergic such as benztropine as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?
Correct Answer: A
Rationale: The correct answer is A because anticholinergics like benztropine commonly cause dry mouth due to decreased saliva production. By using artificial saliva, sugarless gum, or hard candy, the client can alleviate dry mouth symptoms. This helps in maintaining oral health and overall comfort. It is crucial for the nurse to include this information in the teaching plan to promote client adherence to the medication regimen.
Option B is incorrect as increasing fluid intake is recommended to prevent dehydration and maintain overall hydration. Option C is incorrect as discontinuing the medication abruptly can lead to withdrawal symptoms and exacerbate Parkinson's symptoms. Option D is incorrect as taking anticholinergics on an empty stomach may increase the risk of gastrointestinal side effects.
Question 4 of 5
A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?
Correct Answer: A
Rationale: The correct answer is A because alcohol can increase the risk of phenytoin toxicity by altering the metabolism of the medication in the liver. Providing this information is crucial to prevent adverse effects and ensure the safe and effective use of phenytoin.
Choice B is incorrect because antacids can interfere with the absorption of phenytoin, leading to reduced effectiveness of the medication.
Choice C is incorrect as flossing is important for oral hygiene and should not be avoided unless specifically advised by a dentist for individual reasons unrelated to phenytoin.
Choice D is incorrect as phenytoin does not turn urine blue, so this information is not relevant to the client's medication regimen.
Question 5 of 5
A client newly diagnosed with tuberculosis (TB) has been taking antitubercular drugs for 1 week calls the clinic and is very upset. He says, 'My urine is dark orange! What's wrong with me?' Which response by the nurse is correct?
Correct Answer: B
Rationale: The correct response is B: "This is an expected side effect of the medicine. Let's review what to expect." Dark orange urine is a known side effect of antitubercular drugs, specifically rifampin. It is important for the nurse to reassure the client that this is a common side effect and not a sign of worsening TB. By educating the client about what to expect, the nurse can alleviate the client's anxiety and promote adherence to the medication regimen.
Choices A, C, and D are incorrect because they either suggest a worsening of TB, do not acknowledge the side effect, or recommend stopping the medication without proper assessment.