ATI RN
ATI Pharmacology Quizlet Questions
Question 1 of 5
A client with angina is seeking a prescription for sildenafil to manage erectile dysfunction. Which of the following medications is contraindicated with Sildenafil?
Correct Answer: B
Rationale: Isosorbide, an organic nitrate used for angina, is contraindicated with sildenafil due to the risk of fatal hypotension. Concurrent use of these medications can lead to severe hypotension. Patients are advised to avoid taking nitrate medications for 24 hours after using isosorbide to prevent this dangerous interaction.
Question 2 of 5
A client's serum Calcium is 8.8 mg/dL. Which of the following medications should the nurse anticipate administering to this client?
Correct Answer: B
Rationale: In this scenario, with a serum calcium level of 8.8 mg/dL, the nurse should anticipate administering Calcium carbonate (option B). Calcium carbonate is a medication used to increase calcium levels in the body, making it the appropriate choice for a client with low serum calcium levels. Calcitonin-salmon (option A) is used to lower high levels of calcium in conditions such as hypercalcemia, which is the opposite of what the client in this case needs. Zoledronic acid (option C) and Ibandronate (option D) are both bisphosphonates used to treat conditions like osteoporosis by inhibiting bone resorption, but they do not directly address low serum calcium levels. From an educational perspective, understanding the specific indications of medications is crucial in pharmacology practice. Nurses need to be able to differentiate between medications that increase or decrease calcium levels based on the client's condition. This question highlights the importance of medication knowledge and its application in clinical scenarios to provide safe and effective patient care.
Question 3 of 5
During an admission assessment for a client with severe Aspirin toxicity, what finding should the nurse expect?
Correct Answer: D
Rationale: In severe Aspirin toxicity, respiratory depression can occur due to increasing respiratory acidosis. Aspirin toxicity leads to metabolic acidosis, stimulating the respiratory center in the brain to increase the respiratory rate initially. However, as the toxicity worsens, respiratory muscle fatigue and depression can occur, resulting in respiratory depression. This can lead to hypoxia, respiratory failure, and ultimately, respiratory arrest.
Question 4 of 5
A healthcare professional is reviewing the medication administration record for a client who is receiving transdermal Fentanyl for severe pain. Which of the following medications should the healthcare professional expect to cause an adverse effect when administered concurrently with Fentanyl?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Diazepam. The rationale behind this is that both Fentanyl and Diazepam are central nervous system depressants, which means they can cause additive effects when taken together. This combination can lead to increased sedation, respiratory depression, and even coma in severe cases. It is crucial for healthcare professionals to be aware of this potential interaction to prevent harm to the patient. Regarding the other options: A) Ampicillin is an antibiotic and does not typically interact significantly with Fentanyl. C) Furosemide is a diuretic and is unlikely to cause adverse effects when administered with Fentanyl. D) Prednisone is a corticosteroid and does not have a significant interaction with Fentanyl in terms of adverse effects. Educational context: Understanding drug interactions is vital in pharmacology to ensure safe and effective patient care. Healthcare professionals must be knowledgeable about potential interactions between medications to prevent adverse outcomes. This case highlights the importance of considering the pharmacological properties of drugs when administering them concurrently to a patient.
Question 5 of 5
A client receives a local anesthetic of Lidocaine during the repair of a skin laceration. For which of the following adverse reactions should the nurse monitor the client?
Correct Answer: A
Rationale: Seizures are a potential adverse reaction to local anesthetics like Lidocaine. Lidocaine can affect the central nervous system and, in some cases, lead to seizure activity. Therefore, it is important for the nurse to monitor the client for any signs of seizures during and after the administration of Lidocaine.