ATI RN
Pharmacology ATI Quizlet Questions
Question 1 of 5
A patient who takes high-dose aspirin to treat arthritis will need to take prednisone to treat an acute flare of symptoms. What action will the nurse perform?
Correct Answer: A
Rationale: When a patient taking high-dose aspirin for arthritis requires prednisone for an acute flare, the nurse should be aware that prednisone can increase blood glucose levels. As such, the nurse should monitor the patient for signs and symptoms of hyperglycemia, not hypoglycemia. It is essential to closely monitor the patient's blood glucose levels to prevent complications associated with high blood sugar levels, such as hyperglycemia. It is also crucial to educate the patient about the potential side effects of prednisone and instruct the patient on how to manage blood glucose levels while taking the medication.
Question 2 of 5
Which is appropriate nursing care for a patient receiving total parenteral nutrition (TPN) in an acute care setting? (Select all that apply.)
Correct Answer: A
Rationale: Monitoring blood glucose (A) is critical because TPN can cause hyperglycemia. Measuring intake and output (B) helps assess fluid balance. Monitoring the insertion site (D) is essential to detect infection or infiltration. Blood should never be administered through the TPN line (C) due to risk of contamination.
Question 3 of 5
An adult patient has been taking a drug (Drug A) that is highly metabolized by the cytochrome p-450 system. He has been on this medication for 6 months. At this time, he is started on a second medication (Drug B) that is an inducer of the cytochrome p-450 system. You should monitor this patient for:
Correct Answer: C
Rationale: Drug B, as an inducer of the cytochrome p-450 system, increases the metabolism of Drug A, leading to lower plasma concentrations and reduced therapeutic effects of Drug A. This interaction is a common concern in polypharmacy, where one drug affects the metabolism of another. Monitoring for decreased efficacy of Drug A is essential to ensure the patient receives adequate treatment. Increased adverse effects of Drug B or decreased effects of Drug B are less likely in this scenario.
Question 4 of 5
A pregnant woman who is having labor pains is receiving an opioid analgesic. Which of the following medications should be ready in case a respiratory depression occurs?
Correct Answer: B
Rationale: Naloxone (Narcan) is the antidote for opioid-induced respiratory depression and should be readily available when administering opioid analgesics during labor. It works by reversing the effects of opioids on the respiratory system, restoring normal breathing. Oxycodone, meperidine, and morphine are opioids and would exacerbate respiratory depression. Therefore, naloxone is the correct medication to have on hand.
Question 5 of 5
Which of the following is suitable for immediate treatment of an 18-year-old woman presenting with weight loss, tachycardia and a goitre?
Correct Answer: D
Rationale: Weight loss, tachycardia, and goitre suggest hyperthyroidism (e.g., Graves'). Verapamil controls rate but not thyroid function. Radioactive iodine (131I) treats long-term, not immediately. Carbamazepine is for seizures, L-thyroxine worsens hyperthyroidism. Atenolol, a beta-blocker, immediately reduces tachycardia and symptoms by blocking adrenergic effects, suitable for acute management while awaiting antithyroid drugs (e.g., propylthiouracil). Its symptomatic relief is critical in hyperthyroid crises.