During an infusion of albumin, the nurse monitors the patient closely for the development of which adverse effect?

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RN ATI Capstone Pharmacology 2 Quiz Questions

Question 1 of 5

During an infusion of albumin, the nurse monitors the patient closely for the development of which adverse effect?

Correct Answer: C

Rationale: Albumin is a plasma protein that helps maintain the oncotic pressure in the blood vessels and prevents fluid from leaking out into the tissues. During an infusion of albumin, there is a risk of fluid volume overload, especially in patients with existing heart failure or kidney disease. The nurse must monitor the patient closely for signs and symptoms of fluid volume overload, such as edema, shortness of breath, crackles in the lungs, and increased blood pressure. Prompt recognition and management of fluid volume overload are essential to prevent complications such as pulmonary edema and worsening heart failure. Hypernatremia and fluid volume deficit are unlikely to occur during an albumin infusion, and a transfusion reaction is not associated with albumin administration.

Question 2 of 5

The patient has been depressed, and the physician plans to begin treatment with an antidepressant medication. In performing the initial assessment, what is the most important question for the nurse to ask?

Correct Answer: D

Rationale: Before antidepressants, assessing suicidal ideation is vital due to depression's suicide risk and SSRIs' potential to increase it initially. This ensures safety and guides monitoring. Alcohol use , allergies , and duration matter but are secondary to immediate risk. D prioritizes life-saving assessment, making it the most important question.

Question 3 of 5

When reading about a drug, the nurse learns it has a median toxic dose of 50 mg. The patient has been receiving 60 mg of the drug. What analysis does the nurse make?

Correct Answer: C

Rationale: Median toxic dose (TD50) is where 50% show toxicity-60 mg exceeds this, raising adverse effect risk (e.g., toxicity signs), not lethality for all. Effect may persist, not fail. Efficacy/potency are defined, just exceeded. Lethal dose (LD50) differs-60 mg isn't half lethal. Excess drives risk, per pharmacodynamics.

Question 4 of 5

A 38-year-old man who is a chronic coffee drinker for 20 years drinks approximately seven cups of coffee per day. He suddenly decides to stop drinking coffee. Which of the following effects may he exhibit?

Correct Answer: A

Rationale: Chronic high-dose caffeine cessation causes withdrawal. Lethargy -reflects reduced adenosine blockade, leading to fatigue. Migraine , nausea , and vomiting (E) may occur, but lethargy is most common. Tinnitus isn't typical. His 20-year habit predicts this CNS depression.

Question 5 of 5

Your patient is on the medication Lithium for bipolar I disorder. What major side effect should you monitor the patient for? ATI PHARMACOLOGY LATEST UPDATE 2022/2023 PROCTORED EXAM -STUDY GUIDE QUESTIONS & ANS 100% CORRECTLY VERIFIED GRADED A+ ATI PHARMACOLOGY LATEST UPDATE 2022/2023 PROCTORED EXAM -STUDY GUIDE QUESTIONS & ANS 100% CORRECTLY VERIFIED GRADED A+

Correct Answer: C

Rationale: One major side effect to monitor in a patient taking Lithium for bipolar I disorder is the risk of seizures. Lithium is known to lower the seizure threshold, increasing the likelihood of seizures occurring, especially if the patient has any pre-existing risk factors for seizures. Therefore, it is critical to closely monitor patients on Lithium for any signs or symptoms of seizures and promptly address them if they occur to prevent any complications. Monitoring lithium levels and maintaining them within the therapeutic range can also help reduce the risk of seizures.

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