ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is administering phenytoin to a client. The nurse should monitor for which of the following adverse effects?
Correct Answer: B
Rationale: The correct answer is B: Bleeding gums. Phenytoin is an antiepileptic medication known to cause gingival hyperplasia, leading to bleeding gums. Monitoring for this adverse effect is crucial to prevent further complications. Tinnitus (
A) is associated with aspirin overdose. Jaundice (
C) is a potential adverse effect of liver-damaging medications. Deep vein thrombosis (
D) is not directly related to phenytoin administration.
Question 2 of 5
A nurse is reinforcing teaching with a client who has COPD and has been taking long-term high doses of prednisone. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Measure your blood glucose levels periodically. Clients taking long-term high doses of prednisone are at risk for developing steroid-induced diabetes due to the drug's effect on blood glucose levels. Monitoring blood glucose levels will help detect any abnormalities early, allowing for timely intervention.
A: Limiting potassium-containing foods is not directly related to prednisone use in COPD.
B: Withholding prednisone for 48 hours prior to receiving contrast dye can lead to adrenal insufficiency in clients on long-term prednisone therapy.
D: Taking prednisone on an empty stomach is not a specific instruction related to managing COPD or prednisone therapy.
Question 3 of 5
A nurse is caring for a client who is receiving filgrastim. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: C
Rationale: The correct answer is C: Bone pain. Filgrastim is a medication that stimulates the production of white blood cells. Bone pain is a common adverse effect because it indicates the bone marrow is producing more cells. Monitoring for bone pain is crucial to assess the effectiveness of the medication. Hypertension (
A) and fluid retention (
B) are not typically associated with filgrastim. Hypokalemia (
D) is not a common adverse effect of filgrastim.
Question 4 of 5
A nurse is collecting data from a client who has gout and is taking allopurinol. Which of the following adverse effects should the nurse identify as the priority to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Rash. A rash could indicate a severe allergic reaction or Stevens-Johnson syndrome, a potentially life-threatening skin disorder associated with allopurinol. This adverse effect requires immediate medical attention to prevent serious complications.
B: Diarrhea, C: Nausea, and D: Metallic taste in mouth are common side effects of allopurinol but not typically considered urgent or life-threatening. Reporting them to the provider is important, but they do not require immediate attention like a rash.
Question 5 of 5
A nurse is caring for a client who has chronic liver disease. Which of the following medications should the nurse recognize as appropriate for this client?
Correct Answer: D
Rationale: The correct answer is D: Hepatitis A vaccine. Patients with chronic liver disease are at increased risk for complications from hepatitis A. Administering the hepatitis A vaccine can help prevent further liver damage in this population. Alprazolam (
A) is a benzodiazepine used for anxiety disorders, not directly related to liver disease. Rotavirus vaccine (
B) is used for preventing rotavirus infection in children, not relevant to chronic liver disease in adults. Niacin (
C) is a vitamin used for managing cholesterol levels and has no direct effect on liver disease.