ATI RN
ATI Intro to Pharmacology Quizlet Questions
Question 1 of 5
The following drugs commonly cause hepatotoxicity:
Correct Answer: A
Rationale: Paracetamol overdose can cause severe hepatotoxicity due to the accumulation of toxic metabolites.
Question 2 of 5
This describes the relationship of the blood concentration attained with initial dosing and the dose of drug given:
Correct Answer: D
Rationale: The volume of distribution (Vd) is a pharmacokinetic parameter that describes the relationship of the blood concentration attained with initial dosing and the dose of drug given. It is a theoretical volume that indicates the extent of drug distribution in the body relative to its concentration in the bloodstream. A high volume of distribution suggests that the drug is extensively distributed throughout the tissues of the body, while a low volume of distribution indicates that the drug is largely confined to the bloodstream. Therefore, Vd is the correct answer in this scenario.
Question 3 of 5
The nurse enters a patient’s room to find that his heart rate is 120, his blood pressure is 70/50, and he has red blotching of his face and neck. Vancomycin is running intravenous piggyback. The nurse believes that this patient is experiencing a severe adverse effect called red man syndrome. What action will the nurse take?
Correct Answer: A
Rationale: Red man syndrome is a hypersensitivity reaction to vancomycin, characterized by flushing, rash, hypotension, and tachycardia. The nurse should immediately stop the infusion to prevent further reaction and call the health care provider for further instructions. Reducing the infusion rate may help in mild cases, but in this severe case, stopping the infusion is the priority. Encouraging fluids is not appropriate for managing this acute reaction. Stevens-Johnson syndrome is a different, more severe condition and is not indicated by these symptoms.
Question 4 of 5
Clearance:
Correct Answer: A
Rationale: Clearance (CL = rate of elimination / plasma concentration) is the amount of drug removed per unit time relative to concentration, a true statement defining its calculation. It's constant for first-order kinetics drugs at therapeutic levels, true. Lithium's clearance is moderate, not very high, handled by kidneys, so that's false. Phenytoin's clearance decreases with concentration (zero-order at high doses), not independent, making that false. Clearance isn't inversely proportional to Vd but related via half-life. This definition is essential for dosing regimens, ensuring steady-state maintenance.
Question 5 of 5
A patient taking SMZ/TMP asks the nurse what the name means. The nurse replies sulfamethoxazole is combined with trimethoprim in SMZ/TMP to help the drug effectiveness. How does this work?
Correct Answer: D
Rationale: SMZ/TMP (sulfamethoxazole/trimethoprim) works synergistically to inhibit bacterial folate synthesis at two different steps, making it effective against a broad spectrum of gram-positive and gram-negative organisms. It does not act as an anesthetic (A), displace trimethoprim (B), or increase excretion in the bladder (C). The combination enhances antibacterial activity and reduces the risk of resistance.