ATI RN
ATI Pharmacology Assessment 1 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been taking captopril for one year. Which of the following laboratory values should the nurse review?
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. The nurse should review the potassium level because captopril can cause hyperkalemia. Reviewing the WBC with differential is important as captopril can rarely cause agranulocytosis. Checking the BUN level is necessary due to the potential for captopril to affect renal function. The other choices are incorrect because captopril does not directly impact hemoglobin or glucose levels, making reviewing these values unnecessary in this situation.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider?
Correct Answer: D
Rationale: The correct answer is D: Fludrocortisone. Adrenal insufficiency results in decreased production of cortisol and aldosterone by the adrenal glands. Fludrocortisone is a synthetic mineralocorticoid that helps replace aldosterone, which is essential for maintaining electrolyte balance and blood pressure. Phenytoin (
A) is an anticonvulsant, Calcitonin (
B) is used for treating osteoporosis, and Buspirone (
C) is an anxiolytic - none of which are indicated for adrenal insufficiency. In summary, Fludrocortisone is the appropriate prescription for adrenal insufficiency due to its ability to mimic aldosterone function.
Question 3 of 5
A nurse is caring for a client receiving an intermittent IV bolus of gentamicin twice daily. Which of the following laboratory values should the nurse monitor while the client is receiving this medication?
Correct Answer: C
Rationale: The correct answer is C: Serum creatinine. Gentamicin is known to be nephrotoxic, so monitoring serum creatinine levels is crucial to assess renal function and detect any potential kidney damage. Elevated serum creatinine levels may indicate renal impairment and prompt the need to adjust the dosage or discontinue the medication. Monitoring glucose levels (choice
A) is important for diabetic clients but not specifically related to gentamicin therapy. Prothrombin time (choice
B) assesses clotting factors, not directly affected by gentamicin. Cardiac enzymes (choice
D) are not relevant to gentamicin therapy. WBC count (choice E) is not typically affected by gentamicin.
Question 4 of 5
A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory tests should the nurse monitor to detect an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Creatinine. Gentamicin is known to cause kidney damage as an adverse effect. Creatinine is a waste product that the kidneys remove from the blood; elevated levels may indicate kidney dysfunction. Monitoring creatinine levels can help detect kidney damage early. BNP (
A) is used to diagnose heart failure, not related to gentamicin. Amylase (
C) is an enzyme related to pancreas function, not specific to gentamicin. ESR (
D) is a nonspecific marker of inflammation, not related to gentamicin.
Question 5 of 5
A nurse is providing teaching to a client who has a duodenal ulcer and is starting to take sucralfate. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Increase fluid intake while taking the medication. Sucralfate forms a protective barrier over the ulcer, and adequate fluid intake helps the medication dissolve and coat the ulcer effectively. This promotes healing and reduces symptoms. Taking the medication with meals (choice
A) is generally recommended, but increasing fluid intake is more crucial for its effectiveness. Reducing dietary fiber (choice
B) is not necessary and may even be counterproductive as fiber helps with digestion. Administering an antacid (choice
C) with sucralfate is not recommended as it can decrease the medication's effectiveness.