ATI RN
ATI Pharmacology Made Easy 4.0 The Hematologic System Questions
Question 1 of 5
A client taking probenecid is complaining of gout pain. Which of the following medication should the nurse expect to be administered?
Correct Answer: A
Rationale: Acetaminophen is often used to manage pain in patients with gout, as it does not interfere with uric acid levels. Aspirin is contraindicated because it can reduce the effectiveness of probenecid. Orphenadrine and tizanidine are muscle relaxants and are not indicated for gout pain. Acetaminophen is a safe and effective option for pain relief in this context.
Question 2 of 5
A patient presents fully conscious with acute falciparum malaria following a visit to Nigeria. Which of the following treatments is most appropriate?
Correct Answer: B
Rationale: Acute falciparum malaria from Nigeria, a chloroquine-resistant area, requires effective therapy. Chloroquine is ineffective due to resistance. Proguanil/atovaquone (Malarone) treats uncomplicated falciparum malaria, rapid-acting and well-tolerated, most appropriate here. Primaquine targets liver stages, not acute blood infection. Pyrimethamine and hydroxychloroquine are less effective. Malarone's efficacy ensures rapid parasite clearance, vital in this potentially severe disease.
Question 3 of 5
The following are side effects of SSRI's EXCEPT:
Correct Answer: B
Rationale: SSRIs (e.g., fluoxetine) can cause rash as a hypersensitivity reaction, true. Weight gain isn't a hallmark side effect (unlike TCAs); some cause weight loss or neutrality, making this the exception, though key says B is true (possible typo). Sexual dysfunction (e.g., delayed ejaculation) is common, true. Anxiety can occur initially, true. GI symptoms like nausea are frequent. Per the key, weight gain isn't typical, distinguishing SSRIs from other antidepressants in side effect profiles.
Question 4 of 5
The client comes to the emergency department with a myocardial infarction. The client's husband tells the nurse that his wife has been taking calcium carbonate (Tums) for years for what she thought was indigestion. What is the best response by the nurse?
Correct Answer: D
Rationale: Self-diagnosing with Tums masked a myocardial infarction as indigestion, a common misstep, and noting this educates without blame. Blaming the wife or husband is judgmental and unhelpful. Gladness she's there misses teaching opportunity. Stating self-diagnosis's risks highlights the need for medical evaluation, especially in older adults where cardiac symptoms mimic gastrointestinal issues, fostering awareness gently.
Question 5 of 5
Pharmacogenetics is a relatively new area within pharmacology. Which statement best describes the potential of this new area?
Correct Answer: A
Rationale: Pharmacogenetics tailors drugs to genetic profiles (e.g., CYP2C19 for clopidogrel), minimizing unpredictable idiosyncratic responses like rashes. Reducing drug numbers or errors isn't genetics-driven. Cost and efficacy improve indirectly. Customization prevents adverse reactions, its core potential.