ATI RN
ATI Nurs 180 Pharmacology Quiz II Questions
Extract:
Question 1 of 5
A client diagnosed with trichomoniasis is prescribed metronidazole. The nurse should instruct the client to avoid which contraindication associated with this medication?
Correct Answer: A
Rationale: Metronidazole can cause a disulfiram-like reaction with alcohol, leading to severe nausea, vomiting, flushing, and tachycardia. Clients should avoid alcohol during and for 48 hours after therapy. Tyramine-based foods are relevant for MAOIs, not metronidazole. Apple juice and soybeans have no significant interactions with metronidazole.
Question 2 of 5
A nurse is caring for a client. After reviewing the information in the client's medical record, which of the following provider prescriptions should the nurse anticipate? The nurse should anticipate a provider prescription for
Correct Answer: A
Rationale: The client's painful vesicular sores on the perineum, muscle aches, chills, and history of unprotected sexual encounters suggest genital herpes, treated with acyclovir, an antiviral for herpes simplex virus. Ceftriaxone treats gonorrhea, azithromycin treats chlamydia, and fluconazole treats yeast infections, none of which align with the vesicular sores and systemic symptoms.
Question 3 of 5
A nurse is teaching a client who is beginning highly active antiretroviral therapy (HAART) for HIV which includes zidovudine. The nurse should include teaching regarding which black box warning associated with this medication?
Correct Answer: A
Rationale: Zidovudine carries a black box warning for lactic acidosis, a rare but serious complication. Clients should be educated on symptoms like muscle pain and weakness. It is not associated with uterine cancer, oral candidiasis (though common in HIV), or thromboembolic events.
Question 4 of 5
A client recently diagnosed with Iron deficiency Anemia is prescribed Ferrous Sulfate daily. Which of the following statements below is true regarding iron therapy?
Correct Answer: A
Rationale: Liquid ferrous sulfate can stain teeth, so using a straw prevents discoloration. Iron is better absorbed on an empty stomach or with vitamin C, not at night specifically. Antacids and milk (containing calcium) reduce iron absorption.
Question 5 of 5
A charge nurse is teaching a group of nurses about the differences amongst anemia treatments. For each medication listed below, click to specify the expected treatment option.
| Options | Cyanocobalamin | Folic Acid | Epogen | Ferrous Sulfate |
|---|---|---|---|---|
| Epogen for Anemia Due to CKD | ||||
| Ferrous Sulfate for Iron Deficiency Anemia | ||||
| Cyanocobalamin for Pernicious Anemia | ||||
| Folic Acid for Folate Deficiency Anemia |
Correct Answer: A,B,C,D
Rationale: Epogen (epoetin alfa) treats anemia due to chronic kidney disease by stimulating red blood cell production. Ferrous sulfate addresses iron deficiency anemia by replenishing iron stores. Cyanocobalamin (vitamin B12) treats pernicious anemia caused by B12 deficiency. Folic acid corrects folate deficiency anemia. Each medication is specific to the underlying cause of anemia.