ATI RN
Introduction to Pharmacology ATI Quizlet Questions
Question 1 of 5
A 79-year-old patient is taking a diuretic for treatment of hypertension. This patient is very
Correct Answer: A
Rationale: For a 79-year-old patient taking a diuretic for hypertension, the nurse should know that extra precautions are necessary for preventing orthostatic hypotension and potential falls. Orthostatic hypotension refers to a drop in blood pressure that occurs when standing up from a sitting or lying down position. This can lead to dizziness and an increased risk of falls, particularly in elderly individuals. Therefore, the teaching point about taking extra precautions when standing up is critical to emphasize for this patient to ensure their safety and well-being. Option A is the correct choice as it highlights the importance of this teaching point for the patient's care.
Question 2 of 5
If a patient is taking an ACE inhibitor, the nurse should monitor for signs of angioedema which include?
Correct Answer: B
Rationale: Angioedema is a potentially serious side effect of ACE inhibitors. It involves swelling of the deeper layers of the skin and submucosal tissues and can affect areas such as the face, lips, tongue, throat, and extremities. One of the key signs of angioedema is difficulty breathing, or dyspnea. Other signs may include swelling, itching, and hives. It is crucial for nurses to monitor patients taking ACE inhibitors for any signs of angioedema as it can rapidly progress and lead to airway compromise and respiratory distress. Prompt recognition and intervention are essential to prevent any serious complications.
Question 3 of 5
A 48-year-old man with a known history of asthma takes daily theophylline. He is found unconscious in his bathroom with an open bottle of theophylline that is now empty nearby. He is found by EMS to be apneic and pulseless. What is the most likely cause of death in this patient?
Correct Answer: B
Rationale: Theophylline overdose (empty bottle) causes cardiac arrhythmias . Toxicity leads to tachyarrhythmias, often fatal. Apnea is secondary. Pulmonary embolism lacks context. Seizures occur but aren't primary. Tetany (E) is unrelated. Arrhythmias align with theophylline's narrow therapeutic index.
Question 4 of 5
A patient who is taking clopidogrel (Plavix) and aspirin is preparing for orthopedic surgery. The nurse will consult with the surgeon and provide which instruction to the patient?
Correct Answer: A
Rationale: The correct instruction to the patient who is taking clopidogrel (Plavix) and aspirin and is preparing for orthopedic surgery is to continue taking aspirin and stop taking clopidogrel 2 weeks prior to surgery. Clopidogrel is an antiplatelet medication that irreversibly inhibits platelet activation and aggregation, which can increase the risk of bleeding during surgery. However, aspirin has a different mechanism of action and does not have as profound an effect on platelet function as clopidogrel. By continuing aspirin and stopping clopidogrel, the patient can still receive some antiplatelet protection while minimizing the bleeding risk associated with clopidogrel. It is important for the nurse to consult with the surgeon to ensure the best course of action for the patient's specific situation.
Question 5 of 5
When reviewing the mechanisms of action of diuretics, the nurse knows that which statement is true about loop diuretics?
Correct Answer: D
Rationale: Loop diuretics, such as furosemide and bumetanide, work by inhibiting the sodium-potassium-chloride co-transporter in the thick ascending loop of Henle in the kidney. This mechanism of action leads to a significant diuretic effect. Loop diuretics have a rapid onset of action, typically within 30 minutes of administration, and they cause rapid diuresis. This rapid onset and potent diuretic effect make loop diuretics effective in situations requiring rapid removal of excess fluid, such as heart failure exacerbation or acute pulmonary edema.