ATI RN
ATI Pharmacology Made Easy 4.0 The Hematologic System Questions
Question 1 of 5
The nurse is monitoring a patient taking furosemide for heart failure. Which electrolyte imbalance must the nurse be alert for?
Correct Answer: C
Rationale: Furosemide, a loop diuretic, promotes the excretion of potassium, sodium, and water. Hypokalemia (low potassium) is a common side effect and can lead to muscle weakness, arrhythmias, and other complications. Hyperkalemia (A) is unlikely with furosemide. Hypernatremia (B) and hyponatremia (D) are less common but should still be monitored.
Question 2 of 5
A 17-year-old client is taking phenytoin (Dilantin) for the treatment of seizures. Phenytoin blood level reveals to be 25 mcg/ml. Which of the following symptoms would be expected as a result of the laboratory result?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 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 4 of 5
The following are side effects of SSRI's EXCEPT:
Correct Answer: B
Rationale: SSRIs (e.g., fluoxetine) can cause rash as a hypersensitivity reaction, true. Weight gain isn't a hallmark side effect (unlike TCAs); some cause weight loss or neutrality, making this the exception, though key says B is true (possible typo). Sexual dysfunction (e.g., delayed ejaculation) is common, true. Anxiety can occur initially, true. GI symptoms like nausea are frequent. Per the key, weight gain isn't typical, distinguishing SSRIs from other antidepressants in side effect profiles.
Question 5 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.