ATI RN
ATI Pharmacology Quizlet Questions
Question 1 of 5
A client with chronic Neutropenia is receiving Filgrastim. What action should the nurse take to assess for an adverse effect of filgrastim?
Correct Answer: A
Rationale: Bone pain is a known adverse effect of Filgrastim, which is dose-related. By assessing for bone pain, the nurse can monitor for this common side effect. Acetaminophen and, if necessary, an opioid analgesic can be used to manage the bone pain associated with Filgrastim. Assessing for right lower quadrant pain, crackles in the bases of the lungs, or heart murmurs would not directly relate to the adverse effects of Filgrastim in a client with chronic Neutropenia.
Question 2 of 5
A nurse is teaching a client who has a new prescription for Etanercept for Rheumatoid Arthritis. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: In this scenario, option A, "I will need to get my blood drawn periodically while on this medication," is the correct answer. Etanercept is a biologic disease-modifying antirheumatic drug (DMARD) used in the treatment of rheumatoid arthritis. Regular monitoring of blood parameters, including complete blood count and liver function tests, is crucial to assess for potential adverse effects such as cytopenias and hepatotoxicity. This statement indicates the client understands the importance of monitoring while on this medication. Option B, "I should stop taking this medication if I develop a rash," is incorrect. While it is essential to report any adverse reactions to healthcare providers, a rash alone may not necessarily warrant discontinuation of Etanercept. It is crucial for the client to consult their healthcare provider before making any decisions regarding medication cessation. Option C, "I will need to limit my alcohol intake to no more than one drink per week," is also incorrect. While alcohol moderation is generally advisable, there is no specific restriction on alcohol intake associated with Etanercept use. The focus should be on adherence to the prescribed treatment regimen and regular follow-up with healthcare providers. Option D, "I should self-administer this medication subcutaneously into the muscle," is incorrect. Etanercept is typically administered subcutaneously into fatty tissue, not into the muscle. Proper injection technique, site rotation, and disposal of needles should be taught to the client to ensure safe and effective medication administration. In an educational context, it is crucial for nurses to provide clear and accurate information to clients about their medications to promote medication adherence and safety. Understanding the rationale behind various aspects of medication administration and monitoring empowers clients to take an active role in their healthcare management. Regular reinforcement of medication teaching and monitoring requirements can help clients manage their condition effectively and minimize potential risks.
Question 3 of 5
A nurse is reviewing the health history of a client who has a prescription for Propranolol. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) History of bronchial asthma. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, particularly in patients with a history of asthma. This adverse effect can exacerbate respiratory issues and potentially lead to serious complications in individuals with asthma. Option A) Previous history of thromboembolism is not directly contraindicated with Propranolol use. Propranolol may actually be used in some cases to prevent recurrent thromboembolic events. Option B) Concurrent use of an antacid is not a significant concern when taking Propranolol. There are no known interactions between antacids and Propranolol that would require immediate reporting. Option D) Recent weight gain is a common side effect of Propranolol but is not typically a serious issue that requires immediate reporting to the provider unless it is severe or accompanied by other concerning symptoms. Educationally, this question highlights the importance of recognizing contraindications and potential adverse effects of medications to ensure safe and effective patient care. Nurses need to be vigilant in assessing patient histories and understanding how specific medications may interact or impact individual patients based on their unique health conditions.
Question 4 of 5
A client has a new prescription for allopurinol. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct instruction for a client prescribed allopurinol is to drink 2 liters of water daily. This recommendation aims to reduce the risk of kidney stones, a potential side effect associated with allopurinol use. Adequate hydration helps prevent the formation of uric acid crystals in the kidneys, which can lead to kidney stones. Therefore, encouraging increased water intake is essential in the management of clients taking allopurinol.
Question 5 of 5
A client has a new prescription for spironolactone. The nurse should instruct the client to avoid which of the following foods?
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic. The client should avoid salt substitutes because they often contain potassium, which could lead to hyperkalemia. Hyperkalemia, or high levels of potassium in the blood, is a potential side effect of spironolactone, and ingesting additional potassium from salt substitutes can exacerbate this risk.