Questions 24

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ATI Nurs 180 Pharmacology Quiz Questions

Extract:


Question 1 of 5

A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation digoxin toxicity? (Select all that apply.)

Correct Answer: C,D,E,F

Rationale: Bradycardia, nausea, vomiting, and anorexia are signs of digoxin toxicity. Constipation and dark red urine are not typically associated with digoxin toxicity.

Question 2 of 5

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: A

Rationale: The client's weight (198 lb) converts to 90 kg (198 / 2.2). The dose is 15 mg/kg/day, or 1350 mg/day (15 * 90). Divided every 12 hours, each dose is 675 mg (1350 / 2).

Question 3 of 5

The nurse is caring for a client who currently has a deep vein thrombosis. Which of the following medications would be administered to lyse existing clots? (Select All that Apply.)

Correct Answer: D,E

Rationale: Alteplase and anistreplase are thrombolytics that lyse existing clots. Aspirin, heparin, and warfarin prevent clot formation but do not dissolve existing clots.

Question 4 of 5

A client arrives to the healthcare setting and is currently taking atorvastatin daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?

Correct Answer: C

Rationale: Dark-red urine may indicate rhabdomyolysis, a serious side effect of atorvastatin requiring immediate reporting. Migraine, bradycardia, and elevated HDL are not directly related.

Question 5 of 5

The nurse is caring for a client following a myocardial infarction (MI) and prescribed aspirin 325mg PO daily. Which of following effects of this medication would this client benefit from following a MI?

Correct Answer: A

Rationale: Aspirin's inhibition of platelet aggregation prevents further clot formation post-MI. Its other properties are not the primary benefit in this context.

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