ATI RN
ATI Capstone Pharmacology Assessment 2 Quizlet Questions
Question 1 of 5
A 74-year-old professional golfer has chest pain that occurs toward the end of his golfing games. He says the pain usually goes away after one or two sublingual nitroglycerin tablets and rest. What type of angina is he experiencing?
Correct Answer: D
Rationale: The 74-year-old professional golfer is likely experiencing Prinzmetal™s angina, also known as variant angina. This type of angina is characterized by episodes of chest pain that occur at rest or during minimal physical exertion. It is caused by a spasm in the coronary arteries, leading to a temporary reduction or cessation of blood flow to the heart muscle. The chest pain associated with Prinzmetal™s angina can be severe and is often relieved by sublingual nitroglycerin, as described by the golfer. Additionally, the fact that the pain occurs towards the end of his golfing games suggests that it may be triggered by stress or exertion, common triggers for coronary artery spasm in Prinzmetal's angina.
Question 2 of 5
When administering the opioid Morphine to a patient, it is given in doses of
Correct Answer: A
Rationale: The correct dosing regimen for Morphine typically ranges from 2-5 mg every 3-4 hours as needed for pain. This dosing schedule allows for effective management of pain while monitoring for potential side effects and adjusting the dosage according to the patient's response. Options B, C, and D have dosing regimens that are not within the typical range for Morphine administration and could lead to inappropriate dosing and potential harm to the patient.
Question 3 of 5
What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy?
Correct Answer: D
Rationale: To help reduce tolerance to transdermal nitroglycerin therapy, it is often recommended to remove the patch at bedtime and then apply a new one in the morning. This drug-free period during sleep helps prevent the development of tolerance to nitroglycerin. By allowing the body to have a break from continuous exposure to the drug, the effectiveness of nitroglycerin can be maintained over time.
Question 4 of 5
As you are preparing morning medications, the patient says, 'I have had loose stools all night long.' Your patient has scheduled docusate at 0900. What is the priority action?
Correct Answer: A
Rationale: Docusate is a stool softener used to prevent constipation. If the patient is already experiencing loose stools, administering docusate could exacerbate the condition, leading to diarrhea or dehydration. The nurse should hold the medication and inform the healthcare provider to reassess the need for docusate. Increasing the IV flow rate (C) or the dose (D) is inappropriate in this situation.
Question 5 of 5
What is the administration route of Ondansetron?
Correct Answer: D
Rationale: Ondansetron is typically administered orally, commonly in the form of tablets, orally disintegrating tablets, or liquid solution. The medication is absorbed through the gastrointestinal tract when taken orally, making it an effective route of administration for managing nausea and vomiting. SubQ (subcutaneous), sublingual, and buccal routes are not typical routes of administration for ondansetron.