Questions 71

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ATI RN Pharmacology 2019 I Questions

Extract:


Question 1 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: D

Rationale: Gentamicin is nephrotoxic; a creatinine level of 1.8 mg/dL indicates potential kidney damage, requiring immediate reporting.

Question 2 of 5

A nurse is teaching a client who is to start taking clopidogrel. The nurse should instruct the client to monitor and report which of the following adverse effects of the medication?

Correct Answer: D

Rationale: Clopidogrel is an antiplatelet medication that increases the risk of bleeding, which may manifest as bruising, a significant adverse effect that should be reported.

Question 3 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: D

Rationale: INR monitoring is essential for clients on warfarin to ensure therapeutic anticoagulation and prevent bleeding or clotting.

Question 4 of 5

A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?

Correct Answer: B

Rationale: Acetaminophen is metabolized by the liver, and a history of alcohol use disorder may indicate compromised liver function, increasing the risk of hepatotoxicity. The nurse should notify the provider to assess the safety of administering acetaminophen.

Question 5 of 5

A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?

Correct Answer: D

Rationale: Improved cognition indicates correction of hyponatremia, as low sodium levels can cause neurological symptoms.

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