ATI RN
RN ATI Capstone Pharmacology 2 Quiz Questions
Question 1 of 5
The patient has been depressed, and the physician plans to begin treatment with an antidepressant medication. In performing the initial assessment, what is the most important question for the nurse to ask?
Correct Answer: D
Rationale: Before antidepressants, assessing suicidal ideation is vital due to depression's suicide risk and SSRIs' potential to increase it initially. This ensures safety and guides monitoring. Alcohol use , allergies , and duration matter but are secondary to immediate risk. D prioritizes life-saving assessment, making it the most important question.
Question 2 of 5
The following drugs produce a prolonged action due to enterohepatic recirculation:
Correct Answer: A
Rationale: Diazepam undergoes enterohepatic recirculation, contributing to its prolonged duration of action.
Question 3 of 5
A female client who has a history of seizures went to a healthcare facility to ask the nurse regarding the use of birth control pills while on phenytoin therapy. The nurse correctly states to the client that:
Correct Answer: A
Rationale: Phenytoin is an antiepileptic medication that can induce hepatic enzymes, which can lead to a decrease in the effectiveness of hormonal contraceptives, including birth control pills. This interaction can increase the risk of unintended pregnancy. Therefore, it is important for the client to be advised about the decreased effectiveness of birth control pills while on phenytoin therapy and discuss alternative contraceptive options with her healthcare provider.
Question 4 of 5
A patient has been taking a beta blocker for 4 weeks as part of his antianginal therapy. He also has type II diabetes and hyperthyroidism. When discussing possible adverse effects, the nurse will include which information?
Correct Answer: D
Rationale: The correct information to include when discussing possible adverse effects of beta blockers with a patient who has type II diabetes and hyperthyroidism is to "Monitor your blood glucose levels for possible hypoglycemia or hyperglycemia." Beta blockers can mask the signs of hypoglycemia (low blood sugar) in patients with diabetes by suppressing the sympathetic nervous system response to low blood sugar. This can lead to a delay in recognizing and treating hypoglycemia, which can be dangerous for diabetic patients. Additionally, beta blockers can also affect glucose metabolism and potentially worsen hyperglycemia in patients with diabetes. Therefore, close monitoring of blood glucose levels is essential to manage these potential adverse effects and adjust the treatment regimen as needed.
Question 5 of 5
During an infusion of albumin, the nurse monitors the patient closely for the development of which adverse effect?
Correct Answer: C
Rationale: Albumin is a plasma protein that helps maintain the oncotic pressure in the blood vessels and prevents fluid from leaking out into the tissues. During an infusion of albumin, there is a risk of fluid volume overload, especially in patients with existing heart failure or kidney disease. The nurse must monitor the patient closely for signs and symptoms of fluid volume overload, such as edema, shortness of breath, crackles in the lungs, and increased blood pressure. Prompt recognition and management of fluid volume overload are essential to prevent complications such as pulmonary edema and worsening heart failure. Hypernatremia and fluid volume deficit are unlikely to occur during an albumin infusion, and a transfusion reaction is not associated with albumin administration.