ATI RN
ATI Pharmacology Made Easy 4.0 The Hematologic System Questions
Question 1 of 5
The patient receives aspirin. The nurse assesses an adverse effect to this drug when the patient makes which response?
Correct Answer: A
Rationale: Aspirin, an NSAID, inhibits platelet aggregation and can cause gastrointestinal bleeding, leading to dark, tarry stools (melena) from upper GI hemorrhage . This adverse effect requires urgent assessment, as it signals potential internal bleeding, a serious complication. Nasal stuffiness isn't linked to aspirin unless related to an allergic reaction (rare). Headaches from lights suggest photophobia, unrelated to aspirin's effects. Frequent urination isn't a typical side effect. The nurse identifies dark stools as a critical sign of aspirin's impact on gastric mucosa and coagulation, necessitating intervention, making choice A the correct adverse effect to assess.
Question 2 of 5
The patient has bipolar disorder and is in a manic phase. The physician prescribes lithium (Eskalith). The patient's current lithium level is 0.4. What will the nurse expect to assess in this patient?
Correct Answer: B
Rationale: Lithium's therapeutic range is 0.6-1.2 mEq/L-0.4 is subtherapeutic, so mania (hyperactivity, pressured speech) persists, per pharmacokinetics. Baseline calm needs higher levels. Depression isn't current. Manic decrease requires therapeutic dosing. Low level predicts ongoing mania, per assessment.
Question 3 of 5
The physician has prescribed haloperidol (Haldol) for the patient with schizophrenia. What is the priority patient outcome?
Correct Answer: B
Rationale: Haloperidol treats schizophrenia's positive symptoms, but compliance is the priority outcome, as relapse follows non-adherence. Fluids/fiber manage side effects. Hallucination reduction depends on compliance. Restlessness signals issues, not a goal. B ensures treatment success, making it the priority.
Question 4 of 5
The nurse is providing education about the use of sublingual nitroglycerin tablets. She asks the patient, What would you do if you experienced chest pain while mowing your yard? You have your bottle of sublingual nitroglycerin with you. Which actions by the patient are appropriate in this situation? (Select all that apply.)
Correct Answer: A
Rationale: A. Stop the activity, and lie down or sit down: This is an appropriate action to take when experiencing chest pain to reduce the workload on the heart and decrease oxygen demand.
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.