ATI LPN
LPN Pharmacology Assessment A Questions
Question 1 of 5
The client with a history of left-sided heart failure is exhibiting increasing shortness of breath and frothy sputum. What is the priority nursing action?
Correct Answer: A
Rationale: Shortness of breath and frothy sputum are indicative of pulmonary edema, a serious condition that requires immediate intervention to improve oxygenation. Administering oxygen is the priority action to support the client's respiratory function and prevent further deterioration. Oxygen therapy helps increase the oxygen levels in the blood, alleviate respiratory distress, and support vital organ function. Prompt intervention with oxygen can help stabilize the client while further assessments and treatments are initiated.
Question 2 of 5
The client with a history of coronary artery disease (CAD) is scheduled for a stress test. What instruction should the nurse provide to the client before the test?
Correct Answer: C
Rationale: The correct instruction for the client before a stress test is to wear loose, comfortable clothing, and walking shoes. This is crucial as the stress test involves physical exercise, and the client should be prepared for the activity involved. Beta-blockers may need to be adjusted or held before the test as per healthcare provider's instructions. Fasting before the test is not typically required, and avoiding physical activity for 24 hours beforehand is not necessary and may interfere with the accuracy of the test results.
Question 3 of 5
A client with a diagnosis of heart failure is being discharged. What information should the nurse emphasize to the client regarding the use of a daily weight log?
Correct Answer: A
Rationale: The correct answer is A: 'Report any weight gain of more than 2 pounds in a day.' Sudden weight gain of more than 2 pounds in a day may indicate fluid retention and worsening heart failure. This information is crucial for early intervention and monitoring of the client's condition. Weighing after eating breakfast (choice B) may not provide consistent results due to varying food and fluid intake. Using the same scale each day (choice C) ensures accuracy and consistency in weight measurements. Recording weight daily (choice D) is more frequent than necessary and may not be practical for all clients, making it important to focus on significant weight changes instead.
Question 4 of 5
The healthcare provider is reviewing the medication orders for a client with angina pectoris. Which medication is typically prescribed to prevent angina attacks?
Correct Answer: B
Rationale: Nitroglycerin is the medication typically prescribed to prevent angina attacks. It works by dilating blood vessels, increasing blood flow, and reducing the heart's workload, hence relieving angina symptoms. Aspirin is often used to prevent blood clots, Atenolol is a beta-blocker used to manage high blood pressure and chest pain, and Simvastatin is a statin medication primarily used to lower cholesterol levels.
Question 5 of 5
A client with a diagnosis of acute myocardial infarction (MI) is receiving thrombolytic therapy. The nurse monitors the client for which potential complication associated with this therapy?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.