ATI RN
ATI Pharmacology Quiz 3 e25 Questions
Question 1 of 5
A nurse is preparing to administer ondansetron (Zofran) to a client. For which of the following adverse effects of ondansetron should the nurse monitor? (Select All that Apply)
Correct Answer: A,C,D,E
Rationale: The correct answer is A, C, D, and E. A nurse should monitor the client for headache, constipation, prolonged QT interval, and diarrhea when administering ondansetron. Headache is a common adverse effect of ondansetron. Constipation can occur due to its effect on gut motility. Prolonged QT interval is a serious adverse effect that can lead to arrhythmias. Diarrhea is another potential gastrointestinal side effect. Hyperglycemia is not a common adverse effect associated with ondansetron, so choice B is incorrect.
Question 2 of 5
The nurse is caring for a client who is being treated for peptic ulcer disease. Which medication should the client be taught to avoid?
Correct Answer: B
Rationale: The correct answer is B: NSAIDs. NSAIDs can worsen peptic ulcer disease by irritating the stomach lining and increasing the risk of gastrointestinal bleeding. Antacids (
A), PPIs (
C), and H2-receptor blockers (
D) are actually used to treat peptic ulcers by reducing stomach acid and promoting healing.
Therefore, they should not be avoided.
Question 3 of 5
An adult patient presents to the emergency department with complaints of shortness of breath and increased work of breathing. The physician orders an albuterol nebulizer. What assessments should the nurse plan to complete after administering the albuterol? (Select All that Apply.)
Correct Answer: A,C,E
Rationale: The correct assessments to complete after administering albuterol nebulizer are respiratory rate, pulse oximetry, and lung sounds.
1. Respiratory rate: Albuterol can impact the respiratory rate, so monitoring it helps assess the patient's response to the medication.
2. Pulse oximetry: Albuterol can improve oxygenation, so monitoring the oxygen saturation levels is crucial to evaluate the effectiveness of the treatment.
3. Lung sounds: Albuterol helps to open up the airways, so listening to lung sounds can help determine if there is any improvement in air entry and if the medication is working.
Glucose monitoring (choice
B) and capillary refill (choice
D) are not directly related to albuterol administration in this scenario and can be assessed based on the patient's condition.
Question 4 of 5
A nurse is caring for a client who has been taking oxymetazoline (Afrin) nasal spray for the past 10 days for allergic rhinitis. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Nasal congestion. Oxymetazoline is a nasal decongestant that works by constricting blood vessels in the nasal passages to relieve congestion. Prolonged use can lead to rebound congestion, where the nasal passages become more congested when the medication wears off. This is why the nurse should monitor the client for worsening nasal congestion as an adverse effect.
Incorrect choices:
A: Constipation - Not a common adverse effect of oxymetazoline nasal spray.
C: Productive cough - Unlikely to be caused by oxymetazoline nasal spray.
D: Sedation - Oxymetazoline is a decongestant and does not typically cause sedation.
Question 5 of 5
A client has prescriptions for albuterol (Proventil HFA) and salmeterol (Serevent). Which instruction should the nurse provide for this client?
Correct Answer: A
Rationale: The correct answer is A: Take albuterol first. Albuterol is a short-acting beta-agonist used for quick relief of asthma symptoms, while salmeterol is a long-acting beta-agonist for maintenance treatment. Albuterol should be taken first to provide immediate relief of symptoms, followed by salmeterol for long-term control. Taking them together may reduce the effectiveness of both medications. Option B is incorrect because the order of administration does matter in this case. Option C is incorrect as they can be taken together, but albuterol should be taken first. Option D is incorrect as salmeterol should be taken after albuterol.