ATI LPN
LPN Pharmacology Questions
Question 1 of 5
A client has a new prescription for captopril. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Monitoring for a dry cough is crucial when taking captopril as it can be a common side effect. If a dry cough develops, it should be reported to the healthcare provider promptly, as it may necessitate discontinuation of the medication.
Question 2 of 5
The nurse is planning measures to decrease the incidence of chest pain for a client with angina pectoris. The nurse should do which intervention to effectively accomplish this goal?
Correct Answer: A
Rationale: A calm and quiet environment helps reduce stress and prevents the occurrence of chest pain in clients with angina.
Question 3 of 5
A client with a history of angina pectoris complains of substernal chest pain. The nurse checks the client's blood pressure and administers nitroglycerin 0.4 mg sublingually. Five minutes later, the client is still experiencing chest pain. What is the next appropriate nursing action?
Correct Answer: A
Rationale: If chest pain persists after the first dose of nitroglycerin, it is appropriate to administer a second dose while continuing to monitor the client's response. Nitroglycerin is a vasodilator commonly used to relieve angina symptoms by dilating blood vessels and increasing blood flow to the heart. Reassessing the client's response and providing a second dose may be necessary to achieve adequate pain relief and improve blood flow to the heart.
Question 4 of 5
The healthcare provider is preparing to assist in the care of a client who has just returned from coronary artery bypass graft (CABG) surgery. Which is the priority action?
Correct Answer: D
Rationale: Assessing the client's level of consciousness is the priority action post-CABG surgery to monitor for signs of cerebral hypoxia or other complications that require immediate intervention. Changes in the client's level of consciousness can indicate neurological deterioration, which is critical to address promptly in this postoperative period.
Question 5 of 5
A client with peripheral arterial disease complains of leg pain while walking. The nurse should reinforce which teaching point with the client?
Correct Answer: B
Rationale: For clients with peripheral arterial disease experiencing leg pain while walking, gradually increasing daily walking distance is beneficial. This approach helps improve circulation, build tolerance, and reduce symptoms over time. Compression stockings can also be recommended for some clients to assist with circulation, but the priority teaching point in this scenario is to promote gradual increases in walking distance to enhance vascular health and symptom management.
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