ATI RN
Pharmacology Assessment 1 ATI Capstone Questions
Question 1 of 5
When teaching a patient about antihypertensive drug therapy, which statements by the nurse are correct? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient who has been taking antihypertensive drugs for a few months complains of having a persistent dry cough. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?
Correct Answer: B
Rationale: A persistent dry cough is a well-known adverse effect associated with the use of angiotensin-converting enzyme (ACE) inhibitors. ACE inhibitors work by inhibiting the conversion of angiotensin I to angiotensin II, thereby causing vasodilation and reducing blood pressure. However, they can also inhibit the breakdown of bradykinin, leading to the accumulation of bradykinin in the lungs. This accumulation can irritate the airways, resulting in a dry, persistent cough in some patients. It is important for healthcare providers to be aware of this side effect, as it can significantly impact a patient's quality of life and may require alternative antihypertensive medication.
Question 3 of 5
When monitoring a patient who is taking hydrochlorothiazide (HydroDIURIL), the nurse notes that which drug is most likely to cause a severe interaction with the diuretic?
Correct Answer: A
Rationale: Hydrochlorothiazide (HydroDIURIL) is a diuretic that can cause electrolyte imbalances, particularly hypokalemia (low potassium levels). Digitalis (digoxin) is a medication commonly used to treat heart conditions, and its therapeutic effect is dependent on adequate potassium levels. If a patient taking hydrochlorothiazide becomes hypokalemic and then takes digitalis, it can lead to an increased risk of digitalis toxicity. This severe interaction highlights the importance of monitoring potassium levels and potential drug interactions when patients are taking hydrochlorothiazide. Potassium supplements would help counteract the potassium loss caused by hydrochlorothiazide and minimize the risk of interactions with digitalis.
Question 4 of 5
What is the unlabeled use for
Correct Answer: A
Rationale: The unlabeled use for a medication refers to a use that is not approved by regulatory agencies but has shown effectiveness in clinical practice. In this case, the unlabeled use for a medication might be to treat PTSD (Post-Traumatic Stress Disorder). While the medication may not be specifically indicated for this condition, it may have shown benefits in managing the symptoms of PTSD based on clinical experience or research studies. It is important to note that using a medication for an unlabeled use should always be done under the supervision of a healthcare professional.
Question 5 of 5
While on pentamidine (Pentam) infusion therapy. The nurse must anticipate doing which of the following?
Correct Answer: B
Rationale: Pentamidine (Pentam) is a medication used for the treatment and prevention of Pneumocystis carinii pneumonia (PCP) in immunocompromised patients, such as those with HIV/AIDS. A known side effect of pentamidine therapy is ocular toxicity, including retinal damage. The nurse must closely monitor the client for signs and symptoms of retinal toxicity, such as changes in vision, eye pain, or sensitivity to light. Regular ophthalmologic evaluations may also be necessary to detect any ocular complications early and prevent permanent damage. Hence, observing for signs of retinal damage is crucial while the client is on pentamidine infusion therapy.