ATI RN
ATI RN Pharmacology 2023 V Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: B
Rationale: The correct answer is B: Tardive dyskinesia. High-dose metoclopramide can lead to this serious adverse effect, characterized by involuntary, repetitive movements. This is due to prolonged use of the medication affecting dopamine receptors in the brain. Dry cough (
A), black stools (
C), and oral candidiasis (
D) are not typically associated with metoclopramide use. Monitoring for tardive dyskinesia is crucial as it can be irreversible, making it the priority adverse effect to watch for in this scenario.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Blurred vision. Carbamazepine is known to cause visual disturbances, such as blurred vision, diplopia, and other vision changes. The nurse should instruct the client to monitor for these adverse effects as they may indicate a need to adjust the medication dosage. Insomnia (choice
A) is not a common adverse effect of carbamazepine. Tachypnea (choice
B) refers to rapid breathing and is not typically associated with this medication. Metallic taste (choice
C) is not a common side effect of carbamazepine. In summary, monitoring for blurred vision is crucial when taking carbamazepine to ensure early identification of potential side effects.
Question 3 of 5
A nurse is caring for a client who has a new prescription for mirtazapine. Which of the following medications should the nurse identify as a contraindication to the client's new prescription?
Correct Answer: C
Rationale: The correct answer is C: Linezolid. Linezolid is a monoamine oxidase inhibitor (MAOI), and concurrent use with mirtazapine, which is a serotonin modulator, can lead to serotonin syndrome due to excessive serotonin accumulation. Hydroxyzine (
A) is an antihistamine, Clozapine (
B) is an antipsychotic, and Nortriptyline (
D) is a tricyclic antidepressant, none of which are contraindicated with mirtazapine.
Question 4 of 5
A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: You will receive TPN through a central vein. This is correct because TPN is a form of nutrition that is delivered directly into the bloodstream through a central vein, typically the subclavian vein. This method allows for the nutrients to be quickly absorbed and utilized by the body.
Explanation of why the other choices are incorrect:
A: You require TPN because your glucose is too high - This is incorrect as TPN is not typically used to address high glucose levels.
B: You will receive TPN for the next 6 months - This is incorrect because the duration of TPN therapy varies based on the individual's condition and needs.
C: You require TPN because you have a low platelet count - This is incorrect as TPN is not specifically used to address a low platelet count.
In summary, choice D is the correct answer as it pertains to the essential method of administering TPN, while the other choices are incorrect as they do
Question 5 of 5
A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?
Correct Answer: C
Rationale: The correct answer is C: Pruritus. Pruritus, or itching, is a common symptom of an allergic reaction to medications like cefaclor. It is caused by the release of histamine in response to the allergen. Hematuria (
A) is blood in the urine, not typically associated with allergic reactions. Tremor (
B) and slurred speech (
D) are neurological symptoms, not typical of allergic reactions.