ATI RN
ATI Pharmacology Quiz 240 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching to a client who has a new prescription for imipramine (Tofranil) for treatment of depression. Which of the following should the nurse reinforce in the teaching? (Select all that apply)
Correct Answer: A,E
Rationale:
Correct
Answer: A, E
Rationale:
A: Chewing sugarless gum helps prevent dry mouth, a common side effect of imipramine.
E: Changing positions slowly can help minimize dizziness, another common side effect of imipramine.
Incorrect choices:
B: Therapeutic effects of imipramine usually take 2-4 weeks, not 24-48 hours.
C: Increasing, not decreasing, dietary fiber intake is recommended to prevent constipation, not diarrhea.
D: Discontinuing imipramine suddenly can lead to withdrawal symptoms and relapse of depression.
Question 2 of 5
The client has been diagnosed with hyperlipidemia and is being educated on types of food to include in his diet. What is the most appropriate nursing diagnosis for this client?
Correct Answer: B
Rationale: The correct answer is B: Deficient knowledge, related to need for altered lifestyle. This nursing diagnosis is appropriate because the client has been diagnosed with hyperlipidemia and requires education on dietary changes. By addressing the client's lack of knowledge regarding the necessary lifestyle modifications, the nurse can help promote better understanding and adherence to dietary recommendations.
Choice A is incorrect as it assumes noncompliance without assessing the client's knowledge level.
Choice C is incorrect as it focuses on the effects of drug therapy rather than the client's understanding of dietary changes.
Choice D is incorrect as it does not address the specific educational needs of the client in relation to dietary management.
Question 3 of 5
The nurse is preparing to administer atenolol (Tenormin) to a client with angina. Which vital sign would cause the nurse to question administering this drug?
Correct Answer: D
Rationale: The correct answer is D: Pulse 52 beats per minute. Atenolol is a beta-blocker that slows down the heart rate. A pulse rate of 52 beats per minute indicates bradycardia, which can be a side effect of atenolol. Administering atenolol in this case could further lower the heart rate, potentially causing adverse effects like decreased cardiac output. Oxygen saturation, respirations, and blood pressure are within normal ranges and not contraindications for administering atenolol.
Question 4 of 5
A nurse is collecting data from a client who has been taking sertraline (Zoloft) for the past 2 weeks. Which of the following data collection findings should alert the nurse to the possibility that the client is developing serotonin syndrome?
Correct Answer: A
Rationale: The correct answer is A: Fever. Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonin levels in the body. Fever is a hallmark symptom of serotonin syndrome, along with other symptoms such as confusion, agitation, rapid heart rate, dilated pupils, and high blood pressure. In this scenario, the nurse should be alert to fever as it could indicate the development of serotonin syndrome. Tinnitus (choice
B), bruising (choice
C), and rash (choice
D) are not typical symptoms of serotonin syndrome and would not necessarily indicate its development.
Question 5 of 5
What is the term for a medical condition, caused by statins, in which the muscle tissue becomes extremely inflamed, resulting in the breakdown of muscle?
Correct Answer: B
Rationale: The correct answer is B: Rhabdomyolysis. Rhabdomyolysis is a medical condition caused by statins that leads to severe muscle inflammation and breakdown. Statins can disrupt muscle cell function, leading to muscle damage. Multiple sclerosis (choice
A) is an autoimmune disease affecting the central nervous system, not related to statins. Dystonia (choice
C) is a movement disorder characterized by involuntary muscle contractions, not caused by statins. Spasticity (choice
D) is increased muscle tone and stiffness, not specific to statin use.
Therefore, the correct term for muscle breakdown caused by statins is rhabdomyolysis.