ATI RN
Test Bank Pharmacology Questions
Question 1 of 5
The client is about to start the treatment for juvenile rheumatoid arthritis. Before the administration of etanercept (Enbrel), it is important for the nurse to:
Correct Answer: A
Rationale: Etanercept is administered via injection, and some formulations may contain latex in the packaging or delivery system. Assessing for a latex allergy is crucial to prevent allergic reactions. While vaccinations and travel plans are important considerations, they are not as critical as ensuring the client's safety regarding potential allergens. Avoiding people who recently received etanercept is not a standard precaution.
Question 2 of 5
The nurse is aware that efficient absorption of calcium is assisted by
Correct Answer: D
Rationale: Calcium absorption in the small intestine relies heavily on vitamin D, which enhances the process by increasing the expression of calcium-binding proteins and improving gut uptake efficiency. Without adequate vitamin D, calcium absorption drops significantly, leading to potential bone health issues like osteoporosis or osteomalacia. Intrinsic factor, produced in the stomach, is critical for vitamin B12 absorption, not calcium, as it binds B12 for uptake in the ileum. Coenzymes, while involved in metabolic reactions, don't directly facilitate calcium absorption; their role is broader and unrelated to this specific process. Phosphorus, an abundant mineral, works with calcium in bone formation but doesn't enhance its absorption-in fact, excessive phosphorus can compete with calcium. Vitamin D's active form, calcitriol, regulates calcium levels by promoting its transport across intestinal cells, making it indispensable for maintaining skeletal integrity. This mechanism underscores why vitamin D deficiency impairs calcium utilization, distinguishing it from the other options, which lack a direct link to absorption efficiency.
Question 3 of 5
A client with chronic back pain informs the nurse he has been receiving therapeutic touch in addition to his medications. What is the nurse's best classification of this client's treatment?
Correct Answer: C
Rationale: Therapeutic touch alongside medications is complementary therapy, integrating non-drug methods with conventional treatment to enhance care. Pharmacotherapy is drug-only. Drug-absence therapy isn't a term. Biologic therapy uses biological agents, not touch. Complementary therapy fits, reflecting a holistic approach, common in pain management.
Question 4 of 5
The nurse will administer medication to a school-age child. What is the preferred action by the nurse?
Correct Answer: A
Rationale: School-age kids (6-12) can understand drug purpose and side effects-e.g., 'This fights infection, you might feel sleepy'-fostering cooperation via cognitive growth. Threats like no recess breed resentment, not trust. Beverage choice helps but lacks education. Play delays, not enhances, administration. Teaching leverages development, improving adherence.
Question 5 of 5
A patient was prescribed sertraline (Zoloft) for the treatment of depression and anxiety. The patient's spouse calls the clinic and reports the patient is increasingly moody and seems 'disconnected with life.' What is the best response by the nurse?
Correct Answer: B
Rationale: The correct response is option B: "Bring him to the clinic for assessment today." This option is the best choice because the patient's change in mood and feeling disconnected could be indicative of a serious reaction to the sertraline medication. It is crucial to assess the patient in person to evaluate their mental and emotional state, as well as any potential side effects or complications from the medication. Option A is incorrect because diphenhydramine is not a recommended treatment for mood changes associated with sertraline. It is essential to address the underlying issue rather than attempting to mask symptoms with another medication. Option C is incorrect because abruptly stopping sertraline can lead to withdrawal symptoms and may not address the root cause of the patient's mood changes. It is important to consult with a healthcare provider before making any changes to the medication regimen. Option D is incorrect because doubling the dose of sertraline without proper evaluation can be dangerous and may exacerbate the patient's symptoms. Adjusting medication dosages should only be done under the guidance of a healthcare professional. In an educational context, this question highlights the importance of vigilant monitoring of patients on psychotropic medications for mental health conditions. It emphasizes the need for healthcare providers to respond promptly to reports of concerning symptoms and to prioritize patient safety and well-being in medication management. Regular assessment and communication with patients and their families are vital aspects of providing quality care in pharmacology and mental health practice.