ATI RN
Effects of Pharmacological Treatments on Clients Across a Lifespan Questions
Question 1 of 5
A 19-year-old man cuts his hand while slicing a bagel. He sustains a 4-cm laceration of the palmar aspect of his hand. The wound will be sutured with absorbable sutures. Prior to beginning the procedure, the wound is injected with lidocaine containing 1:100,000 parts epinephrine. The rationale behind the use of epinephrine is which of the following?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A 74-year-old man with bladder cancer and refractory depression is tried on a new agent to help his depression. Tranylcypromine is begun by his primary care physician. Which of the following adverse reactions may be expected in this patient?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 34-year-old man with a seizure disorder presents to the emergency department with severe left-sided flank pain. The pain began suddenly this morning and has not improved. His urinalysis shows microscopic hematuria, and a KUB confirms a kidney stone. Which pain medication should be avoided in this patient?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A 44-year-old man with multiple medical problems is placed on a carbonic anhydrase inhibitor which inhibits bicarbonate reabsorption and acts as a weak diuretic. This agent works at which of the following areas in the nephron?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
An 83-year-old man has a 2-month history of akinesia, rigidity, and tremor. He has been taking a drug for the past 7 years to control severe behavioral and psychiatric symptoms associated with dementia, Alzheimer type. This adverse effect is most likely mediated through which of the following?
Correct Answer: B
Rationale: The symptoms (akinesia, rigidity, tremor) suggest drug-induced parkinsonism, a common side effect of antipsychotics used for behavioral symptoms in Alzheimer’s dementiThese drugs (e.g., haloperidol) exert antidopaminergic effects by blocking D2 receptors in the nigrostriatal pathway, mimicking Parkinson’s disease. Anticholinergic effects typically relieve parkinsonism, not cause it. GABA downregulation or upregulation (F) relates to sedation or seizures, not these motor symptoms. Norepinephrine or serotonin (E) reuptake inhibition is unrelated to parkinsonism.