ATI RN
ATI Capstone Pharmacology Assessment 2 Quizlet Questions
Question 1 of 5
For which serious adverse effect should the nurse closely monitor a patient who is taking lincosamides?
Correct Answer: D
Rationale: Lincosamides, such as clindamycin, are associated with a high risk of Clostridium difficile-associated diarrhea (CDAD), a potentially life-threatening condition. CDAD occurs due to the disruption of normal gut flora, allowing C. difficile to overgrow and produce toxins. Symptoms include severe diarrhea, abdominal pain, and fever. While lincosamides can rarely cause hepatotoxicity or ototoxicity, CDAD is the most common and serious adverse effect. Seizures are not typically associated with lincosamides. Early identification and treatment of CDAD are crucial to prevent complications like toxic megacolon or sepsis.
Question 2 of 5
As you are preparing morning medications, the patient says, 'I have had loose stools all night long.' Your patient has scheduled docusate at 0900. What is the priority action?
Correct Answer: A
Rationale: Docusate is a stool softener used to prevent constipation. If the patient is already experiencing loose stools, administering docusate could exacerbate the condition, leading to diarrhea or dehydration. The nurse should hold the medication and inform the healthcare provider to reassess the need for docusate. Increasing the IV flow rate (C) or the dose (D) is inappropriate in this situation.
Question 3 of 5
Allopurinol (Zyloprim) is prescribed for a client for the treatment of gout. And the nurse is providing medication instructions. The nurse tells the client to?
Correct Answer: B
Rationale: Allopurinol should be taken with food to reduce gastrointestinal irritation. Limiting vitamin C intake is advised because it can increase uric acid levels, counteracting the drug's effects. A rash is not a normal side effect and may indicate a hypersensitivity reaction, requiring immediate medical attention. The therapeutic effects of allopurinol are not immediate and may take weeks to become apparent. Proper patient education is essential to ensure adherence and safety.
Question 4 of 5
A nurse is giving dietary instructions to a client receiving levodopa. Which of the following food items should be avoided by the client?
Correct Answer: A
Rationale: Goat yogurt and other high-protein foods should be avoided when taking levodopa because protein can interfere with the absorption of the medication, reducing its effectiveness. Whole grain cereal, asparagus, and apples are not known to interact with levodopa. Therefore, goat yogurt is the food item to avoid.
Question 5 of 5
Which of the following is the systemic treatment of choice for female hirsutism?
Correct Answer: D
Rationale: Hirsutism involves excess androgen-driven hair growth. Tamoxifen, an estrogen modulator, treats breast cancer, not hirsutism. Ethinylestradiol reduces androgens via SHBG increase, but alone isn't optimal. Norethisterone, a progestin, may worsen hirsutism. Finasteride blocks 5-alpha-reductase, reducing DHT, but cyproterone, an anti-androgen, directly inhibits androgen receptors and gonadotropin release, the systemic choice for hirsutism (e.g., in PCOS). Its potency targets the root cause, offering effective hair reduction.