ATI RN
ATI Pharmacology Proctored Exam 2024 Quizlet Questions
Question 1 of 5
The patient is being discharged home with furosemide (Lasix). When providing discharge teaching, which instruction will the nurse include?
Correct Answer: D
Rationale: When providing discharge teaching for a patient being discharged with furosemide (Lasix), it is essential to include instructions for monitoring weight. Weight changes can indicate fluid retention or loss, which is crucial in managing heart failure or other conditions where furosemide is prescribed. Instructing the patient to weigh themselves once a week and report a gain or loss of more than 1 lb (or as directed by their healthcare provider) helps to assess the effectiveness of the medication and detect any potential issues early on. This proactive approach can assist in preventing complications and optimizing the therapeutic benefits of furosemide.
Question 2 of 5
The nurse is caring for a client receiving IV nitroglycerin for chest pain. Which assessment finding requires immediate action?
Correct Answer: A
Rationale: Nitroglycerin dilates vessels, relieving angina but risking hypotension. BP of 90/60 mmHg indicates excessive drop, requiring immediate action (e.g., stopping infusion) to prevent shock. Heart rate of 80 and respiratory rate of 16 are normal. Pain at 2/10 shows efficacy. Hypotension's threat to perfusion aligns with nitroglycerin's effect, critical in chest pain where stability is key, making A the finding needing swift response.
Question 3 of 5
The school nurse prepares a program for junior high school students on sun safety. Which information will the nurse include? (Select all that apply.)
Correct Answer: B
Rationale: Sunscreen should provide protection against both UVA and UVB radiation and include SPF information (A). UVB radiation is most intense between 10 a.m. and 2 p.m. (B). An SPF of at least 15 is recommended (D). Clouds do not block all radiation, so sunscreen is still needed on cloudy days (C is incorrect).
Question 4 of 5
While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?
Correct Answer: D
Rationale: Antilipemic agents are medications used to lower lipid levels in the blood, particularly cholesterol. These medications can have hepatotoxic effects, meaning they can potentially cause liver damage. Therefore, patients on antilipemic therapy need to be closely monitored for signs of liver dysfunction, such as elevated liver enzymes, jaundice, abdominal pain, or unexplained fatigue. Regular liver function tests are often conducted to ensure the liver is functioning properly while the patient is on this therapy. Monitoring for liver dysfunction is crucial to prevent complications and ensure the safety of the patient.
Question 5 of 5
A male patient with blood type AB, Rh factor positive needs a blood transfusion. The Transfusion Service (blood bank) sends type O, Rh factor negative blood to the unit for the nurse to infuse into this patient. The nurse knows that:
Correct Answer: A
Rationale: In this case, the blood type of the donor (type O, Rh-negative) is not compatible with the blood type of the patient (type AB, Rh-positive). Blood type AB individuals can receive blood from all blood types (universal recipient), but they can only donate to individuals with the same blood type. Therefore, if a patient with blood type AB receives a transfusion of type O blood, it will lead to a major incompatibility reaction, possibly resulting in serious complications such as hemolysis (destruction of red blood cells), renal failure, and even death. It is crucial for the nurse to verify the blood type of the patient and ensure that the correct blood type is provided to prevent such adverse reactions.