ATI RN
Quiz Endocrine Reproductive System & Respiratory Drugs Questions
Question 1 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 2 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: Failed to generate a rationale of 500+ characters after 3 retries using GPT-3.5.
Question 3 of 5
A patient is receiving a daily dose of NPH insulin
Correct Answer: D
Rationale: NPH insulin is an intermediate-acting insulin that typically peaks around 4-12 hours after administration. Since the patient is receiving a daily dose, the peak effect of NPH insulin would most likely occur around 10:30 a.m. This time frame aligns with the typical peak window for NPH insulin, making option D the correct answer.
Question 4 of 5
A patient is taking the urinary antiseptic methenamine for a urinary tract infection (UTI). The nurse understands that this drug should not be given concurrently with which other drug to avoid crystalluria?
Correct Answer: D
Rationale: Methenamine, which is a urinary antiseptic used to treat UTIs, can cause crystalluria when taken concurrently with drugs that have an acidic pH, such as trimethoprim-sulfamethoxazole. Trimethoprim-sulfamethoxazole can lower the pH of urine, leading to the formation of crystals in the urine which can potentially result in kidney damage. Therefore, it is important to avoid giving methenamine concurrently with trimethoprim-sulfamethoxazole to prevent this adverse effect.
Question 5 of 5
A patient with ulcerative colitis presents to your clinic with the classical signs of hyperglycemia. After doing all the necessary diagnostic workup, you diagnose the patient with type 2 Diabetes Mellitus. Which of the following antidiabetic drugs should NOT be given to this patient?
Correct Answer: D
Rationale: Miglitol is an alpha-glucosidase inhibitor, which is contraindicated in patients with inflammatory bowel disease (IBD) such as ulcerative colitis. This is because Miglitol causes undigested carbohydrates to accumulate in the intestines, which can exacerbate the inflammation and symptoms of IBD. Additionally, alpha-glucosidase inhibitors are also contraindicated in patients with renal failure. Therefore, Miglitol should not be prescribed to this patient, and alternative antidiabetic medications should be considered.