ATI RN
Quizlet ATI Pharmacology Final Questions
Question 1 of 5
The physician has prescribed sertraline (Zoloft) for the patient who is anxious and depressed. The patient calls the nurse to report that he has experienced delayed ejaculation since being on this medication. What is the best response by the nurse?
Correct Answer: A
Rationale: Sertraline, an SSRI, often causes sexual dysfunction like delayed ejaculation due to serotonin elevation. Reporting this to the doctor allows dose adjustment or switching (e.g., to bupropion), addressing quality of life. Choice B minimizes the issue, risking noncompliance. Choice C assumes suicide risk without basis. Choice D falsely promises resolution. A advocates for the patient, ensuring tailored care, making it the best response.
Question 2 of 5
The following drugs must be avoided in severe renal failure (GFR ≤10 mL/min):
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 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: Phenytoin is an antiepileptic medication that is used to treat seizures. It has a narrow therapeutic range, and a blood level of 25 mcg/ml is considered to be high. At this level, patients are at risk for developing symptoms of phenytoin toxicity. Nystagmus, which is an involuntary rapid eye movement, is a common symptom of phenytoin toxicity. Other symptoms of phenytoin toxicity may include ataxia, diplopia, slurred speech, confusion, and drowsiness. It is important to monitor phenytoin blood levels regularly to avoid toxicity and adjust the dose accordingly.
Question 4 of 5
When applying transdermal nitroglycerin patches, which instruction by the nurse is correct?
Correct Answer: A
Rationale: The correct instruction by the nurse when applying transdermal nitroglycerin patches is to "Rotate application sites with each dose." This is important to prevent skin irritation and tolerance to the medication. It is recommended to apply the patch to a different, clean, hairless area of skin for each dose to ensure proper absorption and effectiveness of the medication. Additionally, rotating application sites helps reduce the risk of skin reactions such as redness, itching, or rash.
Question 5 of 5
When monitoring a patient for signs of hypokalemia, the nurse looks for what early sign?
Correct Answer: D
Rationale: One of the early signs of hypokalemia is muscle weakness. Potassium plays a crucial role in maintaining normal muscle function, including the contraction of skeletal and smooth muscles. A deficiency in potassium can lead to muscle weakness, cramping, and fatigue. It is important for the nurse to monitor any signs of muscle weakness in a patient at risk for hypokalemia as it can progress to more severe complications if left untreated. Seizures and cardiac dysrhythmias are more severe manifestations of hypokalemia that can occur if the condition is not promptly addressed. However, muscle weakness is often an early and noticeable sign that can alert healthcare providers to the need for intervention.