ATI RN
Quizlet Pharmacology ATI Questions
Question 1 of 5
A client is prescribed propranolol (Inderal) for migraines. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Propranolol, a beta-blocker, prevents migraines but requires consistent use'stopping if migraines cease risks rebound, showing a teaching gap. Pulse checking monitors bradycardia. Tiredness and orthostasis are expected. Abrupt cessation can worsen migraines, critical in prophylaxis where steady-state matters, making B the statement needing correction.
Question 2 of 5
A client is prescribed propranolol (Inderal) for migraines. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Propranolol, a beta-blocker, prevents migraines but requires consistent use'stopping if migraines cease risks rebound, showing a teaching gap. Pulse checking monitors bradycardia. Tiredness and orthostasis are expected. Abrupt cessation can worsen migraines, critical in prophylaxis where steady-state matters, making B the statement needing correction.
Question 3 of 5
Which organ is the most responsible for the first-pass effect?
Correct Answer: C
Rationale: The liver, via portal vein metabolism, drives the first-pass effect, reducing oral drug bioavailability (e.g., morphine) before systemic circulation. Bladder and kidneys excrete, not metabolize first. Stomach degrades some, but liver's enzyme activity dominates. First-pass is liver-centric, shaping dosing.
Question 4 of 5
A patient is taking aspirin for secondary prevention of myocardial infarction and is experiencing moderate gastrointestinal upset. The nurse will contact the patient's provider to discuss changing from aspirin to which of the following?
Correct Answer: C
Rationale: The patient is experiencing gastrointestinal upset from taking aspirin. Enteric-coated aspirin would be a suitable alternative in this case because the special coating on the aspirin helps protect the stomach lining and reduces the risk of gastrointestinal irritation. Switching to an enteric-coated aspirin can still provide the antiplatelet benefits needed for secondary prevention of myocardial infarction while minimizing the gastrointestinal side effects. It is important to address the patient's symptoms while ensuring that they continue to receive appropriate treatment for their medical condition.
Question 5 of 5
The nurse will monitor for myopathy (muscle pain) when a patient is taking which class of antilipemic drugs?
Correct Answer: B
Rationale: Myopathy, characterized by muscle pain or weakness, is a potential side effect associated with the use of HMG-CoA reductase inhibitors, also known as statins. Common examples of statins include atorvastatin, simvastatin, and rosuvastatin. Patients taking statins should be monitored for any signs or symptoms of myopathy, as it can progress to a more serious condition called rhabdomyolysis, where muscle breakdown products can lead to kidney damage. Monitoring for muscle pain, weakness, and elevated creatine kinase levels is essential to detect and manage myopathy promptly in patients on statin therapy.