ATI RN
Safety Pharmacology Across the Lifespan Questions
Question 1 of 5
For his asthma, a patient is prescribed albuterol in the form of an inhalant. The patient tells you the medication causes shakes and hand tremors. What is the best response?
Correct Answer: B
Rationale: Rationale: Choice B is correct because tremors are a known common side effect of albuterol inhalant, usually temporary. This response reassures the patient and provides accurate information. Choice A is unnecessary as tremors are a common side effect, not requiring immediate intervention. Choice C is incorrect as the tremors are likely related to the medication. Choice D is not the best response as the patient's concern can be addressed by explaining the common side effect and its temporary nature.
Question 2 of 5
A patient is infected with a virus. What type of immunity will be engaged to stop the virus from reproducing?
Correct Answer: D
Rationale: The correct answer is D: Cell-mediated immunity. This type of immunity involves the activation of T cells, which directly attack and destroy infected cells to stop the virus from reproducing. T cells play a crucial role in controlling intracellular pathogens like viruses. A and B are incorrect because they refer to aspects of humoral immunity, which involve B cells producing antibodies to target pathogens in the bloodstream, not infected cells. C, hapten immunity, is not a valid term in immunology and does not relate to the immune response against viruses.
Question 3 of 5
Which of the following hormones is primarily released by the thyroid gland?
Correct Answer: C
Rationale: The correct answer is C: Free T4 (FT4). The thyroid gland primarily releases thyroid hormones T4 and T3, with FT4 being the active form. Calcitonin is released by the thyroid but is not a primary hormone. TRH is released by the hypothalamus to stimulate TSH release from the pituitary gland. TSH is released by the pituitary gland to stimulate the thyroid to produce and release T4 and T3. Therefore, C is the correct answer as FT4 is one of the primary hormones directly released by the thyroid gland.
Question 4 of 5
A patient who recently begun hormone replacement therapy with estrogen asks you how the hormone will affect her non-reproductive tissues. Which response(s) are appropriate?
Correct Answer: A
Rationale: The correct answer is A because estrogen affects various non-reproductive tissues in the body. Estrogen can reduce low-density lipoproteins (B), which are associated with cardiovascular risk. It also suppresses bone resorption (C), aiding in bone health. Additionally, estrogen can both promote and suppress coagulation (D), influencing blood clotting factors. Therefore, all the answers are correct as estrogen has a wide-ranging impact on non-reproductive tissues.
Question 5 of 5
A patient has been prescribed Citalopram (Celexa) to treat his depression. Education regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be:
Correct Answer: B
Rationale: Step-by-step rationale: 1. SSRI antidepressants like Citalopram typically take time to build up in the body and exert their full therapeutic effects. 2. It usually takes about 2 to 4 weeks to start noticing improvements in symptoms like mood, appetite, and concentration. 3. The full response to the SSRI may take 2 to 4 months after reaching the full therapeutic dose due to the gradual adjustment of serotonin levels. 4. Therefore, educating the patient that full response may take 2 to 4 months after reaching the full therapeutic dose is important for managing expectations and ensuring compliance with the treatment plan. Summary: - Option A is incorrect as improvements in symptoms do not occur immediately upon starting Citalopram. - Option C is incorrect as improvements in appetite and concentration typically take longer than 1 to 2 weeks. - Option D is incorrect as the improvement in dysphoric mood may take longer than 1 to 2 weeks.