A 13-year-old female complains of an itchy, runny nose during the fall season. She says she experienced similar symptoms around the same time last year. Her family history is significant for hay fever in her mother. Which of the following would be the best choice to treat this patient?

Questions 32

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ATI Pharmacology Made Easy 4.0 Questions

Question 1 of 5

A 13-year-old female complains of an itchy, runny nose during the fall season. She says she experienced similar symptoms around the same time last year. Her family history is significant for hay fever in her mother. Which of the following would be the best choice to treat this patient?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A 28-year-old woman with schizoaffective disorder (combination of mood and psychotic symptoms) reports difficulty falling asleep. Which of the following would be most beneficial in this patient?

Correct Answer: D

Rationale: Paliperidone, a second-generation antipsychotic, treats schizoaffective disorder's psychotic and mood symptoms via D2 and 5HT2 antagonism. Its moderate sedative effect, less than chlorpromazine's, can aid sleep onset without excessive drowsiness, fitting her insomnia complaint. Lithium stabilizes mood but doesn't sedate or address psychosis directly. Chlorpromazine, a sedating first-generation antipsychotic, risks oversedation and EPS. Haloperidol, non-sedating, controls psychosis but not mood or sleep. Ziprasidone lacks strong sedation. Paliperidone's balanced profile manages her condition holistically, improving sleep while targeting core symptoms, per evidence.

Question 3 of 5

The nurse completes medication education for the client receiving antihistamines. The nurse evaluates that learning has occurred when the client makes which statement?

Correct Answer: D

Rationale: Antihistamines, particularly first-generation ones (e.g., diphenhydramine), block H1 receptors but cross the blood-brain barrier, causing sedation. The statement 'This medication could make me very sleepy' shows the client understands this key side effect, indicating effective education. Alcohol exacerbates sedation, so that's incorrect. Increased fluids aren't specifically required unless addressing dry mouth, a secondary issue. OTC status doesn't guarantee safety, a common misconception. The nurse evaluates learning by the client's recognition of drowsiness, critical for safety (e.g., avoiding driving), making choice D the best evidence of comprehension.

Question 4 of 5

The client receives albuterol (Proventil) via inhaler. He asks the nurse why he can't just take a pill. What is the best response by the nurse?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The nurse administers IV potassium chloride to a client with hypokalemia. Which precaution should the nurse take?

Correct Answer: C

Rationale: Potassium chloride corrects hypokalemia but is caustic IV, risking phlebitis or tissue damage if it infiltrates. Monitoring the IV site prevents complications, a key precaution. Undiluted or rapid infusion causes burns or arrhythmias'standard is diluted, <10 mEq/hour. A syringe pump isn't required'IV pumps suffice. Site monitoring aligns with potassium's administration risks, critical in hypokalemia where cardiac effects (e.g., arrhythmias) are at stake, making C the nurse's priority to ensure safe delivery.

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