ATI LPN
PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is taking high doses of aspirin to treat rheumatoid arthritis. Which of the following findings indicates that the client has salicylism?
Correct Answer: A
Rationale: The correct answer is A: Tinnitus. Salicylism is an aspirin toxicity characterized by symptoms like tinnitus, dizziness, and hearing loss. Tinnitus is a common early sign of salicylism due to its ototoxic effects. Nuchal rigidity (choice
B) is not typically associated with salicylism but rather with meningitis. Pharyngitis (choice
C) is inflammation of the throat and is not a common manifestation of salicylism. Pruritus (choice
D) refers to itching and is not a typical symptom of salicylism.
Therefore, the presence of tinnitus is the most indicative of salicylism in a client taking high doses of aspirin.
Question 2 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.
Extract:
Provider Prescriptions: Tetracycline 500 mg PO twice daily; Vital Signs Initial visit: Temperature 37.1° C (98.8° F), Heart rate 82/min, Blood pressure 118/76 mm Hg, Respiratory rate 16/min, SpO2 99% on room air; Current visit: Temperature 37.5° C (99.5° F), Heart rate 84/min, Blood pressure 122/72 mm Hg, Respiratory rate 18/min, SpO2 99% on room air; History and Physical Initial visit: Client is a 20-year-old female who presents with report of worsening acne over the past few months. Severe inflammatory acne noted over face, neck, and upper back. Client has no significant medical or surgical history. Discussed skin hygiene and use of over-the-counter acne treatments. Current visit: Client reports no improvement in acne since prior visit 2 months ago. Client states they have been gently washing their skin twice daily and using acne treatments as recommended. Client states they are self-conscious and avoids certain social activities. No change in acne noted on assessment. Tetracycline prescribed. Will have the client return to the clinic in 4 weeks.
Question 3 of 5
The nurse should identify that the client is at risk for developing ________and _________
Correct Answer: B, E
Rationale: The correct answer is B and E. Gastridium difficile-associated diarrhea and Vaginal yeast infection are both conditions commonly seen in clients at risk of developing them due to factors such as recent antibiotic use, immunosuppression, or hormonal changes. Gastridium difficile-associated diarrhea is often a consequence of antibiotic therapy disrupting the normal gut flora, leading to overgrowth of C. difficile. Vaginal yeast infections can occur due to hormonal changes, antibiotic use, or compromised immune system. The other options, such as Increased cholesterol level, Elevated blood glucose level, and Gallstones, are not directly related to the given risk factors and client populations, making them incorrect choices.
Extract:
Question 4 of 5
A nurse is preparing to administer medications to a client. Which of the following client identifiers should the nurse use to verify that the correct client is receiving the medication? (Select all that apply.)
Correct Answer: A, B, C
Rationale: The correct answers are A (Date of birth), B (Facility identification number), and C (Name). The nurse should use these identifiers to ensure the right client receives the medication. Date of birth is unique to each individual, eliminating confusion. The facility identification number helps confirm the client's identity within the facility. The client's name is a fundamental identifier.
Choices D, E, F, and G are incorrect because physical location and room number do not directly confirm the client's identity.
Question 5 of 5
A nurse is collecting data from a client who is taking high doses of aspirin to treat rheumatoid arthritis. Which of the following findings indicates that the client has salicylism?
Correct Answer: A
Rationale: The correct answer is A: Tinnitus. Salicylism is an aspirin toxicity characterized by symptoms like tinnitus, dizziness, and hearing loss. Tinnitus is a common early sign of salicylism due to its ototoxic effects. Nuchal rigidity (choice
B) is not typically associated with salicylism but rather with meningitis. Pharyngitis (choice
C) is inflammation of the throat and is not a common manifestation of salicylism. Pruritus (choice
D) refers to itching and is not a typical symptom of salicylism.
Therefore, the presence of tinnitus is the most indicative of salicylism in a client taking high doses of aspirin.