ATI LPN
LPN Pharmacology Assessment A Questions
Question 1 of 9
A client is scheduled for a coronary artery bypass graft (CABG) surgery. The nurse should prepare the client by reinforcing information about which post-operative care measure?
Correct Answer: B
Rationale: Encouraging the client to cough and deep breathe frequently is essential post-operative care to prevent respiratory complications such as atelectasis and pneumonia after CABG surgery.
Question 2 of 9
The nurse is caring for a client receiving anticoagulant therapy. Which instruction should the nurse reinforce with the client to prevent bleeding complications?
Correct Answer: A
Rationale: The correct instruction to prevent bleeding complications in a client on anticoagulant therapy is to use a soft-bristle toothbrush and electric razor. These implements help reduce the risk of bleeding by being gentle on the skin and reducing the chances of cuts or abrasions that could lead to bleeding in individuals on anticoagulants.
Question 3 of 9
A client with heart failure is prescribed furosemide (Lasix). The nurse should monitor the client for which potential electrolyte imbalance?
Correct Answer: C
Rationale: When a client with heart failure is prescribed furosemide, the nurse should monitor for hypokalemia. Furosemide is a loop diuretic that can lead to potassium loss, which increases the risk of hypokalemia. Hypokalemia can have serious implications such as cardiac dysrhythmias. Therefore, it is essential to closely monitor the client's serum potassium levels while on furosemide to prevent complications.
Question 4 of 9
The nurse is teaching a client with coronary artery disease (CAD) about the risk factors for the disease. Which modifiable risk factor should the nurse emphasize?
Correct Answer: C
Rationale: Cigarette smoking is a modifiable risk factor for coronary artery disease (CAD) because it can be changed or controlled to reduce the risk of developing CAD. Family history, age, and gender are non-modifiable risk factors, meaning they cannot be changed. By emphasizing the importance of quitting smoking, the nurse can help the client reduce their risk of CAD and improve their overall cardiovascular health.
Question 5 of 9
A client with atrial fibrillation is receiving warfarin (Coumadin). The nurse should monitor which laboratory test to determine the effectiveness of the therapy?
Correct Answer: A
Rationale: To monitor the effectiveness of warfarin therapy in a client with atrial fibrillation, the nurse should assess the Prothrombin time (PT) and international normalized ratio (INR) levels. These tests help determine the clotting ability of the blood and ensure that the client's anticoagulation levels are within the therapeutic range, reducing the risk of bleeding or clotting complications.
Question 6 of 9
The client has angina pectoris and is prescribed nitroglycerin patches. What instruction should the nurse provide to the client?
Correct Answer: B
Rationale: It is essential to rotate the application site of the nitroglycerin patch to prevent skin irritation and ensure consistent absorption of the medication. Applying it to the same site can lead to skin irritation and decreased effectiveness.
Question 7 of 9
A nurse is assessing a client who has a new prescription for albuterol. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Tachycardia can be a side effect of albuterol and should be reported.
Question 8 of 9
A client with hypertension is prescribed metoprolol (Lopressor). The nurse should monitor the client for which side effect?
Correct Answer: B
Rationale: Metoprolol is a beta-blocker that works by slowing the heart rate. Therefore, the nurse should monitor the client for bradycardia, which is a potential side effect of metoprolol. Bradycardia refers to a heart rate that is slower than normal, and it can be a concern when administering medications like metoprolol that affect heart rate.
Question 9 of 9
A client who had a myocardial infarction (MI) two days ago reports chest pain radiating to the left arm. What should the nurse do immediately?
Correct Answer: B
Rationale: Obtaining an ECG is crucial in this situation because it helps in assessing for potential complications, such as a recurrent MI or ongoing ischemia. This diagnostic test provides valuable information to guide further interventions and treatment. Administering morphine, oxygen, or nitroglycerin may be necessary but obtaining an ECG takes precedence to evaluate the cardiac status and determine the appropriate course of action.