ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking alendronate to treat osteoporosis. The nurse should monitor for which of the following adverse effects?
Correct Answer: C
Rationale: The correct answer is C: Musculoskeletal pain. Alendronate is a bisphosphonate used to treat osteoporosis. It can cause musculoskeletal pain as a common adverse effect due to its impact on bone turnover. Monitoring for this adverse effect is essential to ensure patient safety. Drowsiness (
A), dyskinesia (
B), and weight gain (
D) are not typically associated with alendronate use, making them incorrect choices. It is important to focus on the specific pharmacological effects and common adverse reactions of medications to determine the correct answer.
Question 2 of 5
A nurse is reinforcing teaching with a client who has schizophrenia and a new prescription for haloperidol. The nurse should instruct the client to avoid taking which of the following medications?
Correct Answer: A
Rationale: The correct answer is A: Diphenhydramine. Haloperidol and diphenhydramine both have sedative effects and can cause additive central nervous system depression when taken together. This can lead to increased drowsiness, confusion, and impaired coordination. Docusate sodium (
B), ibuprofen (
C), and glucosamine (
D) do not have significant interactions with haloperidol. It is important for the client to avoid diphenhydramine to prevent potential adverse effects.
Question 3 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 4 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 5 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.