Questions 66

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ATI RN Pharmacology 2019 Exam 6 Questions

Extract:


Question 1 of 5

A nurse is providing discharge teaching about warfarin to a client who has deep-vein thrombosis. The nurse should instruct the client to obtain which of the following laboratory tests monthly?

Correct Answer: C

Rationale: INR monitoring ensures warfarin maintains therapeutic anticoagulation, preventing clotting or bleeding complications.

Question 2 of 5

A nurse is reviewing the laboratory results of a client who is receiving gentamicin for staphylococcus. Which of the following findings should the nurse report to the provider immediately?

Correct Answer: B

Rationale: Gentamicin is nephrotoxic; a creatinine of 1.8 mg/dL suggests kidney damage, requiring immediate reporting to prevent further harm.

Question 3 of 5

A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?

Correct Answer: B

Rationale: Nitroglycerin combined with sildenafil can cause severe hypotension, making it a contraindication due to synergistic blood pressure-lowering effects.

Question 4 of 5

A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

Correct Answer: D

Rationale: Ceftriaxone, a cephalosporin, may cause cross-reactivity in penicillin-allergic patients, making it contraindicated.

Question 5 of 5

A nurse is preparing to administer sulfadiazine 150mg/kg PO to divide equally every 6 hr to an adolescent who weighs 88 lb. Available is sulfadiazine 500 mg/tab. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: B

Rationale: 88 lb ÷ 2.2 = 40 kg; 150 mg/kg × 40 kg = 6000 mg/day; 6000 mg ÷ 4 doses = 1500 mg/dose; 1500 mg ÷ 500 mg/tab = 3 tablets.

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