ATI RN
ATI Pharmacology Questions
Question 1 of 5
When starting therapy with trastuzumab, which finding should the nurse instruct the client to report?
Correct Answer: A
Rationale: In pharmacology, understanding the side effects and adverse reactions of medications is crucial for safe and effective patient care. When starting therapy with trastuzumab, a monoclonal antibody used to treat certain types of cancer, the nurse should instruct the client to report dyspnea immediately. Dyspnea can be a sign of a serious side effect called cardiomyopathy, which is a known risk associated with trastuzumab therapy. Cardiomyopathy can lead to potentially life-threatening complications if not addressed promptly. The other options (B) Constipation, (C) Tinnitus, and (D) Dry mouth are less concerning side effects compared to dyspnea when starting trastuzumab therapy. Constipation is a common gastrointestinal side effect, tinnitus is not typically associated with trastuzumab, and dry mouth is a minor side effect that does not pose immediate serious risks to the client's health. Educationally, this question highlights the importance of recognizing and prioritizing potential side effects of medications to ensure patient safety. Nurses need to be vigilant in educating clients about signs and symptoms that warrant immediate attention to prevent serious complications and promote positive treatment outcomes.
Question 2 of 5
A client is starting therapy with cisplatin, and a healthcare provider is providing education. Which of the following findings should the healthcare provider instruct the client to report?
Correct Answer: A
Rationale: The correct answer is A: Tinnitus. The healthcare provider should instruct the client to report tinnitus, as it can be an indication of ototoxicity, an adverse effect associated with cisplatin therapy. Ototoxicity is damage to the inner ear structures that can lead to hearing loss, making it crucial for the client to report any early signs such as tinnitus to prevent further complications.
Question 3 of 5
A client has a new prescription for Digoxin. Which of the following findings should the nurse 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 medication commonly used to treat heart conditions like heart failure and atrial fibrillation. It works by increasing the force of the heart's contractions. However, an overdose or toxicity of Digoxin can lead to various adverse effects, including gastrointestinal symptoms like nausea and vomiting. Option B) Dry mouth is not typically associated with Digoxin toxicity. Dry mouth is a common side effect of various medications, but it is not a specific indicator of Digoxin toxicity. Option C) Hypoglycemia is not a typical sign of Digoxin toxicity. While Digoxin toxicity can lead to changes in electrolyte levels, hypoglycemia is not a direct effect of Digoxin toxicity. Option D) Tinnitus is a classic sign of Digoxin toxicity. Tinnitus, along with visual disturbances like blurred or yellow vision, are common neurological manifestations of Digoxin toxicity. Educationally, understanding the signs and symptoms of Digoxin toxicity is crucial for nurses and healthcare professionals to provide safe and effective care to patients taking this medication. Recognition of these signs can prompt timely interventions to prevent serious complications associated with Digoxin toxicity.
Question 4 of 5
A healthcare provider is providing discharge instructions to a client who is prescribed Prednisone. Which of the following dietary instructions should the healthcare provider include?
Correct Answer: A
Rationale: Prednisone can cause potassium depletion, so clients should increase their intake of potassium-rich foods such as bananas, oranges, and spinach. Potassium-rich foods help maintain electrolyte balance and prevent complications associated with low potassium levels, such as muscle weakness and irregular heartbeats.
Question 5 of 5
A client prescribed Warfarin is receiving discharge instructions from a nurse. Which of the following herbal supplements should the nurse instruct the client to avoid?
Correct Answer: A
Rationale: St. John's wort can reduce the effectiveness of Warfarin by interacting with its metabolism pathways, potentially leading to decreased anticoagulant effects. Therefore, clients on Warfarin therapy should avoid St. John's wort. While echinacea, garlic, and ginseng are also herbal supplements that can interact with Warfarin, St. John's wort is particularly known for its significant impact on Warfarin metabolism.