ATI RN
ATI Pharmacology Made Easy 4.0 The Hematologic System Questions
Question 1 of 5
The client comes to the emergency department with a myocardial infarction. The client's husband tells the nurse that his wife has been taking calcium carbonate (Tums) for years for what she thought was indigestion. What is the best response by the nurse?
Correct Answer: D
Rationale: Self-diagnosing with Tums masked a myocardial infarction as indigestion, a common misstep, and noting this educates without blame. Blaming the wife or husband is judgmental and unhelpful. Gladness she's there misses teaching opportunity. Stating self-diagnosis's risks highlights the need for medical evaluation, especially in older adults where cardiac symptoms mimic gastrointestinal issues, fostering awareness gently.
Question 2 of 5
A patient presents fully conscious with acute falciparum malaria following a visit to Nigeria. Which of the following treatments is most appropriate?
Correct Answer: B
Rationale: Acute falciparum malaria from Nigeria, a chloroquine-resistant area, requires effective therapy. Chloroquine is ineffective due to resistance. Proguanil/atovaquone (Malarone) treats uncomplicated falciparum malaria, rapid-acting and well-tolerated, most appropriate here. Primaquine targets liver stages, not acute blood infection. Pyrimethamine and hydroxychloroquine are less effective. Malarone's efficacy ensures rapid parasite clearance, vital in this potentially severe disease.
Question 3 of 5
The patient has bipolar disorder and is in a manic phase. The physician prescribes lithium (Eskalith). The patient's current lithium level is 0.4. What will the nurse expect to assess in this patient?
Correct Answer: B
Rationale: Lithium's therapeutic range is 0.6-1.2 mEq/L-0.4 is subtherapeutic, so mania (hyperactivity, pressured speech) persists, per pharmacokinetics. Baseline calm needs higher levels. Depression isn't current. Manic decrease requires therapeutic dosing. Low level predicts ongoing mania, per assessment.
Question 4 of 5
The nurse is providing education about the use of sublingual nitroglycerin tablets. She asks the patient, What would you do if you experienced chest pain while mowing your yard? You have your bottle of sublingual nitroglycerin with you. Which actions by the patient are appropriate in this situation? (Select all that apply.)
Correct Answer: A
Rationale: A. Stop the activity, and lie down or sit down: This is an appropriate action to take when experiencing chest pain to reduce the workload on the heart and decrease oxygen demand.
Question 5 of 5
A 53-year-old man spends his mornings outside gardening. He frequently develops tension headaches, and the only medication he keeps at home is aspirin. After taking two regular-sized aspirin tablets almost daily for a few weeks, which of the following side effects is he most at risk for?
Correct Answer: D
Rationale: Daily aspirin for weeks risks tinnitus , a COX-inhibition side effect from salicylate buildup. Angina , insomnia , and nephrolithiasis aren't typical. Hypercoagulability opposes its action. Tinnitus reflects ototoxicity, common with frequent use.