ATI RN
Test Bank For Pharmacology Questions
Question 1 of 5
A patient is taking infliximab and asks the nurse what side effects/adverse reactions to expect from this drug. The nurse lists which side effects? (Select all that apply.)
Correct Answer: D
Rationale: Infliximab is a biologic medication used to treat autoimmune conditions like rheumatoid arthritis and Crohn's disease. Common side effects include fatigue and headache, which are generally mild but can affect the patient's quality of life. Chest pain is a less common but serious side effect that may indicate cardiovascular complications or infusion reactions. Nausea is not typically associated with infliximab. Nurses should educate patients about these potential side effects and advise them to report any severe or persistent symptoms, such as chest pain, immediately.
Question 2 of 5
A patient has received an IV dose of adenosine, and almost immediately the heart monitor shows
Correct Answer: D
Rationale: Adenosine is a medication commonly used to treat certain types of irregular heartbeats, such as supraventricular tachycardia. One of the common side effects of adenosine administration is transient asystole or a brief pause in the electrical activity of the heart. This can cause the heart to stop beating momentarily, leading to a drop in blood pressure and a feeling of lightheadedness in the patient. Therefore, in this scenario where the heart monitor shows an immediate abnormality after adenosine administration, the nurse should prepare to administer cardiopulmonary resuscitation and be ready to intervene if the patient's heart rhythm deteriorates further. It is crucial to be proactive and prepared to respond quickly to any adverse effects of the medication to prevent potential harm to the patient. Regular monitoring should also continue to assess the patient's condition and response to treatment.
Question 3 of 5
When starting a patient on antidysrhythmic therapy, the nurse will remember that which problem is a potential adverse effect of any antidysrhythmic drug?
Correct Answer: D
Rationale: While it may seem counterintuitive that starting a patient on antidysrhythmic therapy could potentially cause dysrhythmias, it is important to remember that antidysrhythmic drugs can have proarrhythmic effects. Proarrhythmia refers to the development of new or more severe dysrhythmias as a result of the medication intended to treat dysrhythmias. This can occur due to various mechanisms, such as altering the electrical conduction system of the heart or disrupting the normal rhythm. Therefore, dysrhythmias are a potential adverse effect that the nurse should monitor for when initiating antidysrhythmic therapy in a patient. It is crucial for the healthcare team to closely monitor the patient's cardiac rhythm and adjust the medication regimen as needed to minimize the risk of proarrhythmia.
Question 4 of 5
A patient is receiving digoxin 0.25 mg/day as part of treatment for HF. The nurse assesses the patient before medication administration. Which assessment finding would be of most concern?
Correct Answer: C
Rationale: The most concerning assessment finding for a patient receiving digoxin is a low serum potassium level (Option C). Hypokalemia increases the risk of digoxin toxicity, as low potassium levels enhance the effect of digoxin on the myocardium, leading to an increased risk of serious dysrhythmias. It is important to address and correct hypokalemia promptly to prevent potential adverse effects of digoxin. An apical heart rate of 58 beats/min (Option A) could be an expected finding for a patient on digoxin, and ankle edema +1 bilaterally (Option B) is a common symptom of heart failure. A serum digoxin level of 0.8 ng/mL (Option D) is within the therapeutic range for digoxin and is not concerning in the absence of other symptoms. Therefore, managing the low serum potassium level is of utmost
Question 5 of 5
Which drug classes are considered first-line treatment for heart failure? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.