ATI RN
ATI Pharmacology Quiz 3 e25 Questions
Question 1 of 5
A client has been diagnosed with allergic rhinitis. Which symptoms would the nurse expect to observe? Select all that apply
Correct Answer: C,D,E
Rationale: The correct symptoms for allergic rhinitis are sneezing (
Choice
C), nasal congestion (
Choice
D), and watery eyes (
Choice E). Sneezing is a common symptom due to the irritation of the nasal passages. Nasal congestion occurs as the nasal passages become inflamed and swollen. Watery eyes are a result of the body's response to allergens. Urticaria (
Choice
A) is hives, not typically associated with allergic rhinitis. Wheezing (
Choice
B) is more indicative of asthma or other respiratory conditions, not usually seen in allergic rhinitis.
Question 2 of 5
A patient, newly diagnosed with a peptic ulcer, needs more education when he states:
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale: Aspirin is a non-steroidal anti-inflammatory drug (NSAI
D) that can irritate the stomach lining and worsen peptic ulcers. It can increase the risk of bleeding and inhibit the healing process. Patients with peptic ulcers should avoid aspirin and opt for alternative pain relievers like acetaminophen.
Summary of other choices:
A: Correct - Alcohol can irritate the stomach lining and increase stomach acid production, worsening peptic ulcers.
B: Incorrect - Raw foods, especially acidic or spicy foods, can exacerbate peptic ulcers. Cooked, bland foods are recommended.
C: Incorrect - Antiemetics may help with nausea but do not address the underlying cause of peptic ulcers. Proper treatment and lifestyle modifications are necessary.
E, F, G: Not applicable as they are not provided in the question.
Question 3 of 5
A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?
Correct Answer: C
Rationale: The correct answer is C: Expiratory wheeze. During an acute asthma exacerbation, the airways become narrowed and inflamed, leading to difficulty breathing. Expiratory wheezes are high-pitched, continuous, musical sounds heard during expiration due to the turbulent airflow through narrowed airways. This sound is characteristic of asthma exacerbations.
A: Fine rales are crackling sounds heard on inspiration and are associated with conditions like pneumonia, not asthma exacerbations.
B: Pleural friction rub is a grating sound heard during inspiration and expiration, caused by inflammation of the pleura, not common in asthma exacerbations.
D: Rhonchi are low-pitched, snoring sounds heard on inspiration and expiration, typically due to secretions in the larger airways, not specific to asthma exacerbations.
Question 4 of 5
Which instruction is most appropriate for a client who is prescribed pancrelipase (Cotazym)?
Correct Answer: B
Rationale:
Correct
Answer: B. Take the medication with meals.
Rationale: Pancrelipase aids in digestion of fats, proteins, and carbohydrates. Taking it with meals ensures optimal enzyme activity during the digestion process, leading to better absorption of nutrients. Taking it before meals (
A) may lead to inadequate enzyme availability, decreasing its effectiveness. Decreasing fluid intake (
C) is not necessary and may even be harmful as adequate hydration is important for digestion. Increasing dosing with a large meal (
D) may lead to enzyme overload and potential side effects.
Question 5 of 5
The nurse understands that it is important that the teaching plan for a patient on omeprazole (Prilosec) should include which of the following?
Correct Answer: B
Rationale: The correct answer is B: This drug should not be taken for a prolonged period of time. This is important because omeprazole is a proton pump inhibitor that can increase the risk of certain side effects like osteoporosis and nutrient deficiencies with long-term use.
Choice A is incorrect as therapeutic effects are usually seen within a few days.
Choice C is incorrect as omeprazole is usually taken on an empty stomach for best results.
Choice D is incorrect as long-term use can lead to potential risks.