ATI RN
Quizlet Pharmacology ATI Questions
Question 1 of 5
What medication, if ordered for an 8-year-old patient, should the nurse question? (Select all that apply.)
Correct Answer: A
Rationale: Amiodarone, labetalol, and carvedilol are not indicated for pediatric use and do not have established pediatric dosages. Phentolamine and prazosin have established pediatric dosages and would not need to be questioned. The nurse should always verify the appropriateness of medications for pediatric patients, as their pharmacokinetics and pharmacodynamics differ from adults.
Question 2 of 5
A client is prescribed propranolol (Inderal) for migraines. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Propranolol, a beta-blocker, prevents migraines but requires consistent use'stopping if migraines cease risks rebound, showing a teaching gap. Pulse checking monitors bradycardia. Tiredness and orthostasis are expected. Abrupt cessation can worsen migraines, critical in prophylaxis where steady-state matters, making B the statement needing correction.
Question 3 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 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 therapy is used to lower cholesterol levels in the blood. This type of therapy often places a strain on the liver as it metabolizes and processes the cholesterol-lowering medications. Therefore, patients receiving antilipemic therapy are at an increased risk of developing liver dysfunction. The nurse should monitor the patient closely for signs and symptoms of liver dysfunction, such as jaundice, abdominal pain, nausea, vomiting, and changes in liver function tests. Early detection and intervention can help prevent serious complications associated with liver dysfunction.
Question 5 of 5
The health care provider orders a hypertonic crystalloid IV solution for a 70-year-old patient. Which solution will the nurse hang?
Correct Answer: D
Rationale: A hypertonic solution has a higher solute concentration than plasma, drawing fluid into the intravascular space. 5% dextrose in 0.9% sodium chloride (D) is hypertonic. Lactated Ringer's (A) and 0.45% sodium chloride (B) are hypotonic, while 0.9% sodium chloride (C) is isotonic. Hypertonic solutions are used to treat severe hyponatremia or cerebral edema but must be administered cautiously to avoid fluid overload.