ATI RN
ATI Pharmacology Questions
Question 1 of 5
When caring for a client receiving treatment with irinotecan, which of the following findings should the nurse monitor?
Correct Answer: A
Rationale: In caring for a client receiving irinotecan, monitoring for diarrhea is crucial due to its association with this medication. Irinotecan is known to cause severe diarrhea, which can lead to dehydration, electrolyte imbalances, and potentially life-threatening complications like sepsis. By closely monitoring for diarrhea, the nurse can intervene promptly to manage symptoms and prevent complications. Hypertension is not typically associated with irinotecan, making option B incorrect. Ototoxicity is a side effect more commonly seen with certain antibiotics and chemotherapeutic agents like cisplatin, not irinotecan, rendering option C incorrect. Neutropenia is a common adverse effect of many chemotherapy drugs, but it is not a primary concern with irinotecan, making option D incorrect in this context. Educationally, understanding the side effect profile of specific medications is essential for nurses to provide safe and effective care to patients. By knowing the expected side effects of irinotecan, nurses can anticipate, monitor, and manage these effects, improving patient outcomes and quality of care.
Question 2 of 5
A healthcare provider is caring for a client who has a new prescription for Digoxin. Which of the following findings should the healthcare provider identify as a potential sign of Digoxin toxicity?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Nausea as a potential sign of Digoxin toxicity. Digoxin is a cardiac glycoside commonly used to treat heart failure and certain arrhythmias. Digoxin toxicity can occur due to its narrow therapeutic index, where the drug's therapeutic and toxic doses are close. Nausea is a common early sign of Digoxin toxicity, indicating gastrointestinal disturbances. Option B) Dry mouth is not typically associated with Digoxin toxicity. Option C) Hypoglycemia is not a common sign of Digoxin toxicity; rather, it can cause hyperglycemia. Option D) Tinnitus is associated with toxicity of another medication class called aminoglycoside antibiotics, not Digoxin. From an educational perspective, understanding the signs and symptoms of Digoxin toxicity is crucial for healthcare providers to ensure safe medication administration and patient care. Recognizing early signs like nausea can prompt timely intervention and prevent serious complications associated with Digoxin toxicity. It reinforces the importance of comprehensive pharmacological knowledge and vigilant assessment in clinical practice.
Question 3 of 5
When providing discharge instructions to a client prescribed Prednisone, which of the following dietary instructions should the nurse include?
Correct Answer: A
Rationale: In the context of pharmacology and specifically Prednisone therapy, the correct dietary instruction for a client would be to increase their intake of potassium-rich foods. Prednisone is a corticosteroid that can lead to potassium depletion in the body, so it is important to replenish this electrolyte through diet. Option B, increasing intake of dairy products, is not the most appropriate choice as dairy products do not specifically address the issue of potassium depletion caused by Prednisone. Option C, avoiding foods high in vitamin K, is not directly related to the dietary considerations when taking Prednisone. Vitamin K is more commonly associated with anticoagulant therapy like warfarin. Option D, decreasing intake of protein, is not necessary in this case. Protein is important for overall health and there is no specific indication to decrease protein intake when taking Prednisone. In an educational context, it is important for nurses and healthcare providers to understand the specific dietary considerations that come with certain medications like Prednisone to ensure optimal patient outcomes and prevent potential complications. Providing clear and accurate dietary instructions is crucial in promoting patient adherence and well-being.
Question 4 of 5
When providing discharge instructions to a client prescribed Warfarin, which herbal supplement should the nurse instruct the client to avoid?
Correct Answer: A
Rationale: St. John's wort should be avoided by clients taking Warfarin as it can reduce the medication's effectiveness by interacting with its metabolism. While garlic and ginseng are also known to interact with Warfarin, the specific supplement the nurse should instruct the client to avoid in this scenario is St. John's wort.
Question 5 of 5
A client has a new prescription for Ferrous sulfate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: In pharmacology, understanding the administration instructions for medications is crucial to ensure optimal therapeutic outcomes for patients. In the case of Ferrous sulfate, the correct instruction is to take the medication on an empty stomach. This is because iron absorption is enhanced in an acidic environment, which is present in an empty stomach. Taking iron with food, especially calcium-rich foods like milk (Option A) or with antacids (Option D), can decrease its absorption due to the decreased acidity in the stomach. Taking the medication before bedtime (Option C) may not be ideal as it could lead to potential gastrointestinal side effects during the night. Educationally, it is important for nurses to understand the rationale behind specific medication instructions to provide safe and effective care to their patients. Teaching patients about the correct administration of medications like Ferrous sulfate can help prevent potential drug interactions or reduced therapeutic effects. Nurses play a vital role in medication education and adherence, which ultimately impacts patient outcomes.