A healthcare provider is providing teaching to a client who has a new prescription for metronidazole. The healthcare provider should instruct the client to avoid which of the following?

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ATI Pharmacology Proctored Exam 2019 Questions

Question 1 of 5

A healthcare provider is providing teaching to a client who has a new prescription for metronidazole. The healthcare provider should instruct the client to avoid which of the following?

Correct Answer: B

Rationale: The correct answer is B: Alcohol. Clients should avoid alcohol while taking metronidazole due to the risk of a disulfiram-like reaction. This reaction can cause symptoms like flushing, headache, nausea, and vomiting when alcohol is consumed while on metronidazole. Dairy products, leafy green vegetables, and grapefruit juice do not have significant interactions with metronidazole.

Question 2 of 5

When starting Alfuzosin for the treatment of Benign Prostatic Hyperplasia, a nurse is providing teaching to a client. The nurse should instruct the client that which of the following is an adverse effect of this medication?

Correct Answer: C

Rationale: In the context of starting Alfuzosin for Benign Prostatic Hyperplasia, it is crucial for the nurse to educate the client about the potential adverse effects of this medication. The correct answer is C) Hypotension. Alfuzosin is an alpha-1 adrenergic blocker, which works by relaxing the smooth muscles in the prostate and bladder neck, improving urine flow and reducing symptoms of BPH. However, a common side effect of alpha-1 blockers like Alfuzosin is orthostatic hypotension, where a sudden drop in blood pressure occurs when moving from sitting to standing, leading to symptoms like dizziness or lightheadedness. Option A) Bradycardia is not typically associated with Alfuzosin use, as it does not have a significant effect on heart rate. Option B) Edema is also not a common adverse effect of Alfuzosin. Option D) Tremor is not a typical side effect of this medication as well. Educationally, understanding the potential adverse effects of medications is essential for both clients and healthcare providers to ensure safe and effective treatment. Nurses play a key role in medication education, empowering clients to recognize and manage possible side effects, thereby promoting adherence and optimal therapeutic outcomes.

Question 3 of 5

A client is reviewing a new prescription for Terbutaline with a history of preterm labor. Which of the following client statements indicates understanding of the teaching?

Correct Answer: C

Rationale: In this scenario, option C "I will report increasing intensity of contractions to my doctor" is the correct answer. This statement demonstrates the client's understanding of the importance of monitoring their contractions while taking Terbutaline, a medication used to prevent preterm labor. By reporting any increase in contraction intensity, the client can help their healthcare provider assess the effectiveness of the medication and take appropriate action to prevent preterm labor complications. Option A "I can increase my activity now that I've started on this medication" is incorrect as increased activity can potentially exacerbate preterm labor. Option B "I will increase my daily fluid intake to 3 quarts" is also incorrect as excessive fluid intake may not be necessary and could lead to other complications. Option D "I am glad this will prevent preterm labor" is incorrect as Terbutaline helps manage preterm labor but does not guarantee prevention. In an educational context, it is crucial for clients to understand the significance of medication instructions and monitoring while managing conditions like preterm labor. Empowering clients with knowledge about their condition and medication can lead to better outcomes and informed decision-making in their healthcare journey.

Question 4 of 5

A client has a new prescription for Calcitonin-salmon for Osteoporosis. Which of the following tests should the client expect before beginning this medication?

Correct Answer: A

Rationale: Before initiating Calcitonin-salmon, a skin test for allergy to the medication may be performed to prevent anaphylactic reactions. Allergic reactions can occur due to sensitivities to the drug, particularly in individuals with fish allergies. Therefore, it is essential for healthcare providers to assess the client's potential allergic response to Calcitonin-salmon through a skin test.

Question 5 of 5

A client reports taking Aspirin four times daily for a sprained wrist. Which of the following prescribed medications taken by the client is contraindicated with aspirin?

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Warfarin. Warfarin is contraindicated with Aspirin because both medications have anticoagulant properties, which can increase the risk of bleeding when taken together. Combining these two drugs can potentiate the effects of each other, leading to an elevated risk of bleeding complications for the client. Option A) Digoxin is not contraindicated with Aspirin. Digoxin is a cardiac glycoside used to treat heart conditions, and it does not have significant interactions with Aspirin. Option B) Metformin is also not contraindicated with Aspirin. Metformin is an oral antidiabetic medication, and it is safe to use in combination with Aspirin. Option D) Nitroglycerin is not contraindicated with Aspirin either. Nitroglycerin is a vasodilator commonly used to treat angina, and it does not interact adversely with Aspirin. In an educational context, it is crucial for healthcare professionals to understand drug interactions and contraindications to ensure safe and effective patient care. Knowledge of these interactions helps prevent adverse reactions and enhances the quality of pharmacological interventions. Patients should be educated on the importance of informing healthcare providers about all medications they are taking to avoid potentially harmful drug interactions.

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