ATI RN
ATI Pharmacology Questions
Question 1 of 5
When providing teaching to a client starting therapy with trastuzumab, which finding should the nurse instruct the client to report?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Dyspnea. Trastuzumab is a monoclonal antibody used in the treatment of breast cancer. Dyspnea can be a sign of a serious side effect called pulmonary toxicity, which is a rare but potentially life-threatening complication of trastuzumab therapy. Therefore, it is crucial for the client to report any new or worsening respiratory symptoms promptly to their healthcare provider. Option B) Constipation is incorrect because it is not typically associated with trastuzumab therapy. Option C) Tinnitus is also incorrect as it is not a common side effect of this medication. Option D) Dry mouth is not a priority finding to report when starting trastuzumab therapy. From an educational perspective, it is essential for nurses to understand the common side effects and potential serious adverse reactions associated with specific medications to provide safe and effective patient care. Teaching clients to recognize and report concerning symptoms promptly can help prevent complications and improve treatment outcomes.
Question 2 of 5
A client is starting therapy with cisplatin. Which of the following findings should the nurse instruct the client to report?
Correct Answer: A
Rationale: Tinnitus should be reported by the client as it can be indicative of ototoxicity, an adverse effect associated with cisplatin therapy. Ototoxicity can result in damage to the inner ear structures, leading to hearing problems. Therefore, prompt reporting of tinnitus is essential for early intervention and prevention of potential complications.
Question 3 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 4 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 5 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.