ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is taking lithium carbonate to treat bipolar disorder. For which of the following findings should the nurse monitor and report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Tremor. Lithium carbonate is known to cause tremors as a side effect. The nurse should monitor and report tremors promptly to prevent worsening or potential lithium toxicity. Bruising (
A) is not typically associated with lithium. Constipation (
C) is not a common side effect of lithium. Hypoglycemia (
D) is not directly related to lithium use.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of schizophrenia. Which of the following medications should the nurse expect to administer?
Correct Answer: D
Rationale: The correct answer is D: Risperidone. Risperidone is an antipsychotic medication commonly used in the treatment of schizophrenia. It helps to manage symptoms such as hallucinations, delusions, and disorganized thinking. Levodopa (
A) is used in Parkinson's disease, Baclofen (
B) is a muscle relaxant, and Fenofibrate (
C) is used to lower cholesterol.
Therefore, they are not indicated for schizophrenia. Risperidone is the most appropriate choice for managing the symptoms of schizophrenia in this scenario.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for benazepril. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Make sure to change positions slowly. This instruction is important because benazepril, as an ACE inhibitor, can cause orthostatic hypotension, leading to dizziness or fainting when changing positions quickly. By advising the client to change positions slowly, the nurse helps prevent potential falls or injuries.
Choice B is incorrect because grapefruit juice does not interact with benazepril.
Choice C is incorrect because developing a cough is a common side effect of ACE inhibitors, and discontinuing the medication without consulting a healthcare provider could be harmful.
Choice D is incorrect as using salt substitutes can lead to increased potassium levels when taking benazepril, which can be dangerous.
Question 4 of 5
A nurse is reviewing the allergies of a client who has rheumatoid arthritis prior to administering celecoxib to the client. The nurse should identify that which of the following allergies is a contraindication for receiving this medication?
Correct Answer: A
Rationale: The correct answer is A: Sulfonamides. Celecoxib is a nonsteroidal anti-inflammatory drug (NSAI
D) that belongs to the sulfonamide class. Patients with a known allergy to sulfonamides should not receive celecoxib due to the risk of an allergic reaction. Sulfonamide allergies can manifest as severe skin reactions, such as Stevens-Johnson syndrome or toxic epidermal necrolysis, which can be life-threatening. It is crucial for the nurse to identify this allergy as a contraindication to prevent adverse reactions.
Incorrect choices:
B: Shellfish - Shellfish allergy is not directly related to sulfonamide drugs like celecoxib.
C: Fluoroquinolones - Fluoroquinolones are antibiotics and not related to celecoxib.
D: Peanuts - Peanut allergy is not associated with sulfonamide drugs like celecoxib.
Question 5 of 5
A nurse is reinforcing discharge teaching with a client who has a new diagnosis of type 2 diabetes mellitus and a prescription for exenatide. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Inject the medication into the subcutaneous tissue of your abdomen. Exenatide is a medication typically administered via subcutaneous injection into the abdomen. This route ensures proper absorption and effectiveness of the medication. Injecting in other areas may affect absorption. Contacting the provider for unexplained muscle pain (
A) is important but not specific to exenatide. Taking the medication at bedtime (
C) is not necessary as exenatide is usually taken before meals. Discarding excess medication after 60 days (
D) is important for medication safety but not specific to administration instructions.