ATI RN
RN VATI Pharmacology S 2019 Questions
Extract:
Question 1 of 5
A nurse discovers that a client has been administered a higher dose of oxybutynin than the prescription indicates. The nurse should assess the client for which of the following adverse effects?
Correct Answer: D
Rationale: Rationale for Correct Answer (D - Bradycardia): Excess oxybutynin can lead to anticholinergic effects, including decreased heart rate (bradycardia). This is due to the drug's action on muscarinic receptors in the heart. Assessing for bradycardia is crucial as it can indicate toxicity.
Summary of Incorrect
Choices:
A: Increased salivation - Oxybutynin is an anticholinergic drug that typically causes dry mouth, not increased salivation.
B: Hyperthermia - Oxybutynin toxicity does not commonly lead to hyperthermia.
C: Urinary incontinence - Oxybutynin is used to treat urinary incontinence, so excess dose would not cause this adverse effect.
E, F, G: No further choices provided.
Question 2 of 5
A nurse is reviewing the medical record of a client who has a new prescription for verapamil. Which of the following findings in the client's medical record should the nurse identify as a contraindication for the administration of verapamil?
Correct Answer: B
Rationale: The correct answer is B: History of heart failure. Verapamil is a calcium channel blocker that can worsen heart failure by causing negative inotropic effects, leading to decreased contractility of the heart muscle. It can also cause peripheral vasodilation, potentially exacerbating heart failure symptoms. A history of heart failure is a contraindication for verapamil due to the risk of worsening the condition.
Incorrect choices:
A: History of asthma - Asthma is not a contraindication for verapamil as it does not directly affect respiratory function.
C: Systolic BP 110 mm Hg - While low blood pressure may be a concern with verapamil, a systolic blood pressure of 110 mm Hg alone is not a contraindication.
D: Blood creatinine 1.0 mg/dl - A creatinine level of 1.0 mg/dl is within the normal range and does not impact the use of verapamil.
Question 3 of 5
A nurse is assessing a client who has ovarian cancer and is receiving paclitaxel. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Bradycardia. Bradycardia is a potentially serious side effect of paclitaxel that can lead to life-threatening complications like decreased perfusion. The nurse should report this immediately to the provider for prompt intervention. Alopecia, muscle pain, and nausea are common side effects of paclitaxel but are not immediate priorities compared to bradycardia. Reporting bradycardia promptly can help prevent further complications and ensure the client's safety.
Question 4 of 5
A nurse is assessing a client who is receiving IV ciprofloxacin to treat a urinary tract infection. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Tendon pain when walking. Tendon pain can be a sign of tendon rupture, a rare but serious side effect of ciprofloxacin. This requires immediate medical attention to prevent further complications. Nausea and vomiting, daytime drowsiness, and photosensitivity are common side effects of ciprofloxacin but are not considered as urgent as tendon pain. Reporting tendon pain promptly is crucial to prevent potential harm to the client.
Question 5 of 5
A nurse is providing teaching for a client who has a prescription for gentamicin. Which of the following should the nurse include as an adverse effect of this medication?
Correct Answer: D
Rationale: The correct answer is D: Tinnitus. Gentamicin is known to cause ototoxicity, including tinnitus, which is a ringing or buzzing sound in the ears. This adverse effect is important for the nurse to include in teaching to monitor for hearing changes. Urinary frequency (
A), constipation (
B), and hypertension (
C) are not commonly associated with gentamicin use, so they are incorrect choices.