ATI RN
ATI Pharmacology Proctored Exam 2024 Quizlet Questions
Question 1 of 5
A nurse is doing an assessment data while completing an admission for a patient with a history of liver
Correct Answer: D
Rationale: Grade 1+ pitting edema in the feet is the information that should receive the most attention from the nurse when assessing a patient with a history of liver, prednisone, and azathioprine. Pitting edema in the feet may indicate fluid retention, which can be a sign of liver dysfunction or medication side effects. Therefore, it is crucial for the nurse to further investigate the edema, monitor the patient's fluid status closely, and possibly consult with the healthcare team for appropriate interventions. Swollen and pinkish gums may also be important to note, but pitting edema in the feet is more directly concerning in the context of the patient's history and medications.
Question 2 of 5
While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?
Correct Answer: D
Rationale: Antilipemic agents are medications used to lower lipid levels in the blood, particularly cholesterol. These medications can have hepatotoxic effects, meaning they can potentially cause liver damage. Therefore, patients on antilipemic therapy need to be closely monitored for signs of liver dysfunction, such as elevated liver enzymes, jaundice, abdominal pain, or unexplained fatigue. Regular liver function tests are often conducted to ensure the liver is functioning properly while the patient is on this therapy. Monitoring for liver dysfunction is crucial to prevent complications and ensure the safety of the patient.
Question 3 of 5
While preparing an infusion of mannitol (Osmitrol), the nurse notices small crystals in the IV tubing. What is the most appropriate action by the nurse?
Correct Answer: B
Rationale: The presence of small crystals in the IV tubing indicates that the mannitol solution is not suitable for administration due to the risk of causing adverse effects to the patient. Discarding the solution and obtaining a new bag of medication is the most appropriate action to ensure the safety and effectiveness of the infusion. Infusing a solution with crystals can lead to complications such as embolism or tissue damage. It is important to always verify the integrity and clarity of IV solutions before administration to prevent potential harm to the patient.
Question 4 of 5
A patient with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the patient that which adverse effects may occur with this medication?
Correct Answer: A
Rationale: Nicotinic acid, also known as niacin, is commonly associated with adverse effects of pruritus (itching) and cutaneous flushing (reddening of the skin). These effects are often dose-related and can be minimized if the medication is taken with food or slowly titrated up. Tinnitus and urine with a burnt odor are not typically associated with nicotinic acid. Myalgia (muscle pain) and fatigue are more commonly seen with statin medications rather than niacin. Blurred vision and headaches are not commonly reported side effects of nicotinic acid either.
Question 5 of 5
What is the Therapeutic Effects of Lithium?
Correct Answer: A
Rationale: Lithium is commonly used as a mood stabilizer in the treatment of bipolar disorder. One of its main therapeutic effects is its ability to prevent or decrease the incidence of acute manic episodes in individuals with bipolar disorder. Lithium can help stabilize mood swings and reduce the severity and frequency of manic episodes. By regulating neurotransmitter levels in the brain, lithium helps to balance mood and prevent the extreme highs associated with mania. It is an essential medication for managing bipolar disorder and is particularly effective in treating manic symptoms.