ATI RN
Quiz Endocrine Reproductive System & Respiratory Drugs Questions
Question 1 of 5
A patient is to have an emergency cesarean delivery due to late fetal decelerations. Before surgery, the nurse administers an antacid, citric
Correct Answer: C
Rationale: The correct patient response that indicates effective teaching regarding the antacid citric acid/sodium citrate is "The drug will neutralize the contents in my stomach." Citric acid/sodium citrate is commonly used as an antacid to help neutralize excess stomach acid and provide relief from conditions such as indigestion or heartburn. By understanding that the drug helps neutralize stomach contents, the patient shows understanding of its purpose and how it can alleviate symptoms related to excess acidity in the stomach. This response demonstrates that the patient has comprehended the intended therapeutic effect of the antacid medication.
Question 2 of 5
A neonate whose mother is positive for the hepatitis B surface antigen (HBsAg) is admitted to the nursery. Which immunizations are appropriate for this neonate? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A) Hepatitis B immune globulin (HBIG) for the neonate born to a mother positive for hepatitis B surface antigen (HBsAg). This is because the neonate is at risk of perinatal transmission of hepatitis B virus from the infected mother. HBIG provides passive immunity by giving the neonate ready-made antibodies to fight against the hepatitis B virus. Option B) Recombinant hepatitis B vaccine is also appropriate for the neonate to confer active immunity against hepatitis B virus. However, in this specific scenario, where the mother is HBsAg positive, HBIG is given first for immediate protection, followed by the hepatitis B vaccine series for long-term immunity. Options C) and D) are incorrect as they are not relevant to the immediate need for protection against hepatitis B virus in this neonate. Haemophilus influenzae type B vaccine is not indicated in this case as the question specifically mentions the mother's HBsAg positivity. In an educational context, understanding the rationale behind the selection of specific immunizations based on the clinical scenario is crucial for healthcare providers to make informed decisions to protect vulnerable populations such as neonates. This question highlights the importance of following the recommended immunization schedule and adapting it based on individual patient factors to optimize protection against infectious diseases.
Question 3 of 5
per day asks about a contraception method that is best for her. She is normotensive and has used combined hormonal contraceptives in the past. She is in a monogamous relationship and has had two children with no complications during pregnancy. She is not planning any more pregnancies. The nurse determines that which method would be best for this patient?
Correct Answer: B
Rationale: For the patient described, a levonorgestrel intrauterine system (LNG-IUS) would be the best contraceptive method. This is because the patient has used combined hormonal contraceptives in the past without any complications and is not planning any more pregnancies. The LNG-IUS is a highly effective long-acting reversible contraceptive method that releases a progestin hormone (levonorgestrel) directly into the uterus. It is safe for use in women who are normotensive and have a history of uncomplicated pregnancies. Additionally, the LNG-IUS has contraceptive benefits such as reducing menstrual bleeding and cramping, making it an attractive option for women looking for a low-maintenance contraception method.
Question 4 of 5
A patient has been prescribed clomiphene citrate therapy by her doctor. The patient asks the nurse, How does my new medicine work?†What can the nurse say to convey the mechanism of action of clomiphene citrate therapy to this patient? (Select all that apply.)
Correct Answer: A
Rationale: In this scenario, the correct answer is option A: "This drug stimulates the ovaries, increasing the chance of ovulation." Clomiphene citrate is a medication commonly used to treat infertility in women by inducing ovulation. By stimulating the ovaries to release an egg, it increases the likelihood of conception in women who have ovulatory issues. Option B, "This drug increases circulating progesterone levels," is incorrect because clomiphene citrate does not directly affect progesterone levels. Its primary mechanism of action is on the ovaries to stimulate ovulation, rather than impacting progesterone levels. Option C, "This drug usually does not work on the first cycle," is also incorrect as the effectiveness of clomiphene citrate can vary from person to person. While some women may respond to the treatment quickly, others may require multiple cycles before achieving ovulation. Educationally, it is essential for nurses to understand the mechanism of action of medications they administer to effectively educate patients. By explaining how clomiphene citrate works in stimulating ovulation, nurses can empower patients to better understand their treatment and increase adherence. This knowledge also allows nurses to provide appropriate guidance and support to patients undergoing fertility treatments.
Question 5 of 5
The nurse is administering prednisone to a newly admitted patient who is taking multiple other drugs. The nurse would consider which drug interactions with prednisone? (Select all that apply.)
Correct Answer: A
Rationale: In this scenario, option A is correct because prednisone, a corticosteroid, can potentiate the effects of adrenergic agents, leading to increased cardiac and central nervous system actions. This interaction can result in elevated blood pressure, heart rate, and potential arrhythmias. Option B is incorrect because potassium-wasting diuretics actually decrease potassium levels, which can lead to hypokalemia when taken with prednisone. This can be dangerous as corticosteroids like prednisone can also cause potassium loss. Option D is incorrect because while prednisone can increase the risk of gastrointestinal bleeding and ulceration, it is primarily associated with NSAIDs rather than aspirin. Educationally, understanding drug interactions is crucial for nurses to ensure patient safety and optimal treatment outcomes. It is important for healthcare professionals to be aware of potential interactions to prevent adverse effects and provide effective care to their patients.