ATI RN
Quizlet Pharmacology ATI 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: It is important for the nurse to include instructions for monitoring weight as a part of discharge teaching for a patient receiving furosemide (Lasix) because this medication is a diuretic that helps the body get rid of extra water and salt. Monitoring weight can provide important information about fluid status. A weight gain of more than 1 lb in a day or 2-3 lbs in a week should be reported to the healthcare provider as it may indicate fluid retention or worsening heart failure. This can help prevent complications and ensure appropriate management of the patient's condition.
Question 2 of 5
A child was brought to the emergency room complaining of right upper quadrant abdominal pain, nausea, and vomiting. Upon the interview of the nurse to the mother, the client has been taking a long-
Correct Answer: D
Rationale: The symptoms described in the scenario, along with the patient's history of taking valproic acid, suggest a potential case of valproic acid toxicity. Acetylcysteine is the antidote for valproic acid overdose and should be readily available for treatment in case of toxicity. Acetylcysteine works by replenishing depleted glutathione levels caused by valproic acid toxicity. It helps to prevent further liver damage and can improve outcomes in cases of overdose. Administering acetylcysteine in a timely manner can be crucial in managing valproic acid toxicity.
Question 3 of 5
Which of the following drugs has a therapeutic effect that prevents thromboembolic event?
Correct Answer: D
Rationale: Clopidogrel is a medication that belongs to the antiplatelet class of drugs. It works by preventing platelets in the blood from sticking together and forming clots, thereby reducing the risk of thromboembolic events, such as heart attacks and strokes. Warfarin (Choice A) is an anticoagulant medication that also helps prevent blood clots, but it works by inhibiting the clotting factors in the blood rather than the platelets. Amlodipine (Choice B) and Nitroglycerine (Choice C) are medications used to treat high blood pressure and angina, respectively, and do not have a direct effect on preventing thromboembolic events.
Question 4 of 5
Which of the following drugs blocks reuptake of 5-hydroxytryptamine (serotonin)?
Correct Answer: D
Rationale: Serotonin reuptake blockade increases synaptic levels. Buspirone, a 5-HT1A agonist, treats anxiety without reuptake effects. Pizotifen, a serotonin antagonist, prevents migraines. Granisetron, a 5-HT3 antagonist, controls nausea. Paroxetine, an SSRI, potently inhibits serotonin reuptake, elevating mood in depression. Sumatriptan activates 5-HT1 receptors. Paroxetine's mechanism is central to its antidepressant efficacy, distinguishing it from receptor modulators.
Question 5 of 5
A 6-year-old boy from Connecticut presents to the emergency department with a bulls-eye-shaped rash on his upper left arm after he went hiking with his family a couple of days ago. He also has had intermittent fevers and muscle aches. The blood test for Lyme disease is positive. He has a history of hearing loss in his left ear from trauma. What side effect would prevent the physician from treating the boy with doxycycline?
Correct Answer: A
Rationale: Lyme disease (bulls-eye rash) in a 6-year-old is treated with doxycycline, but tooth discoloration in children under 8-contraindicates it. Tetracyclines bind calcium, staining developing teeth. Anemia , nephrotoxicity , and ototoxicity are rare. Myalgias (E) aren't relevant. Given his age, amoxicillin is preferred to avoid this permanent cosmetic effect, despite doxycycline's efficacy against Borrelia burgdorferi.