ATI RN
ATI Pharmacology Questions
Question 1 of 5
A client is receiving daily doses of Oprelvekin. Which of the following laboratory values should the nurse monitor to determine the effectiveness of this medication?
Correct Answer: C
Rationale: The nurse should monitor the platelet count to determine the effectiveness of Oprelvekin. The expected outcome for this medication is a platelet count greater than 50,000/mm^3. Oprelvekin is a medication used to stimulate platelet production, making platelet count a crucial parameter to assess its effectiveness.
Question 2 of 5
When a client is starting long-term oral prednisone for chronic asthma, what adverse effect should the nurse instruct the client to monitor for?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Weight gain. When a client starts long-term oral prednisone for chronic asthma, weight gain is a common adverse effect due to prednisone's potential to cause fluid retention and increased appetite. It is crucial for the nurse to educate the client on monitoring their weight regularly to detect any significant changes that may require medical attention. Option B) Nervousness is incorrect because prednisone is more likely to cause mood changes such as mood swings or anxiety rather than nervousness. Option C) Bradycardia is incorrect as prednisone is not associated with slowing down the heart rate. Instead, it can lead to an increased heart rate or palpitations. Option D) Constipation is also incorrect as prednisone is more likely to cause gastrointestinal issues such as stomach upset, indigestion, or even peptic ulcers rather than constipation. It is important for nurses to provide comprehensive education to clients starting on prednisone to empower them to recognize and report potential adverse effects promptly. Understanding the common side effects of medications helps clients manage their health effectively and seek timely medical intervention if needed.
Question 3 of 5
When educating a client with a new prescription for Enalapril, which manifestation should the nurse instruct the client to report as an adverse effect of this medication?
Correct Answer: B
Rationale: A persistent dry cough is a well-known adverse effect of ACE inhibitors, such as enalapril. This cough can be bothersome and may indicate the need for a medication adjustment. It is crucial for the client to report this symptom to their healthcare provider to explore potential alternatives or adjustments to the treatment plan.
Question 4 of 5
A client has a prescription for gentamicin for the treatment of an infection. Which finding indicates a potential adverse reaction to the medication?
Correct Answer: B
Rationale: The presence of red blood cells in the urine can indicate nephrotoxicity, which is a potential adverse effect of gentamicin. Gentamicin can cause damage to the kidneys, leading to the presence of red blood cells in the urine as a sign of renal impairment. Monitoring for this finding is crucial to detect and manage adverse reactions promptly.
Question 5 of 5
A client is receiving heparin therapy. Which laboratory value should be monitored by the nurse to evaluate the effectiveness of the therapy?
Correct Answer: B
Rationale: The activated partial thromboplastin time (aPTT) is specifically used to monitor the effectiveness of heparin therapy. It should be maintained at 1.5 to 2 times the normal level. Monitoring aPTT helps ensure that the therapeutic range of heparin is achieved to prevent clot formation while minimizing the risk of bleeding complications.