ATI RN
Pharmacology Across the Lifespan ATI Questions
Question 1 of 5
A 38-year old female is seen in your office complaining of cold intolerance, fatigue, dry skin, weight gain, and heavy menstrual periods. Her physical exam showed a HR 58 bpm and a waxy sallow complexion and a firm goiter. Her TSH level is 34 Mu/L. What is the recommended treatment for this patient?
Correct Answer: C
Rationale: The correct answer is C: Initiate levothyroxine dose 0.1mg PO every morning and recheck her TSH in 6 weeks. Rationale: 1. The patient presents with symptoms of hypothyroidism (cold intolerance, fatigue, weight gain, heavy menstrual periods) and has elevated TSH levels, indicating primary hypothyroidism. 2. The recommended initial levothyroxine dose for adults with hypothyroidism is 1.6 mcg/kg/day, which translates to approximately 100 mcg (0.1mg) for a 60kg person. 3. Starting with a dose of 0.1mg PO every morning is appropriate to avoid rapid correction and potential adverse effects. 4. Rechecking TSH levels in 6 weeks allows for assessment of treatment response and adjustment of the levothyroxine dose if needed. Summary: A: Starting with 0.025 mg of levothyroxine is too low
Question 2 of 5
Which of the following is an important consideration when taking glyburide or glipizide?
Correct Answer: C
Rationale: The correct answer is C: Beta blockers reduce effects. Beta blockers can mask the symptoms of hypoglycemia caused by glyburide or glipizide, leading to delayed recognition and treatment. This interaction is important for patients with diabetes as it can increase the risk of severe hypoglycemia. A: NSAIDs do not have a significant impact on the effectiveness of glyburide or glipizide. B: Statins do not interfere with the action of these medications. D: ACE inhibitors do not reduce the effects of glyburide or glipizide. In summary, beta blockers are a crucial consideration when taking glyburide or glipizide due to their potential to mask hypoglycemic symptoms, while NSAIDs, statins, and ACE inhibitors do not significantly affect the effectiveness of these medications.
Question 3 of 5
Which statements are true about Modafinil?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A physician's order indicates to administer a medication to the patient via the percutaneous route. Which route will the nurse anticipate the patient will receive this medication?
Correct Answer: C
Rationale: The correct answer is C, Topically. Percutaneous route involves applying the medication on the skin surface for absorption. Intramuscular (A) and subcutaneous (B) routes involve injections into muscle or tissue. Rectal route (D) involves inserting medication into the rectum. Topical route is the only option that aligns with percutaneous administration.
Question 5 of 5
The nurse administers an initial dose of a steroid to a patient with asthma. Thirty minutes after administration, the nurse finds the patient agitated and stating that 'everyone is out to get me.' Which term is used for this unusual reaction?
Correct Answer: C
Rationale: The correct term for the patient's unusual reaction is "C: Idiosyncratic reaction." This is because an idiosyncratic reaction is an unexpected and individual response to a medication that is not related to the known pharmacological actions of the drug. In this case, the patient's agitated behavior and paranoia are not typical side effects of steroids but rather a unique reaction specific to this individual. A: Desired action is incorrect because the patient's symptoms are not the intended therapeutic effect of the steroid. B: Adverse effect is incorrect because adverse effects are known and expected side effects of a medication, not unusual or unexpected reactions like in this scenario. D: Allergic reaction is incorrect because the patient's symptoms are not consistent with an allergic response, which typically involves rash, itching, or difficulty breathing.