ATI RN
ATI RN Pharmacology 2023 IV Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a depressive disorder about amitriptyline. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "This medication can cause an increase in appetite." Amitriptyline is a tricyclic antidepressant known to cause weight gain and increased appetite as side effects, leading to potential weight gain. This information is important for the client to be aware of to monitor for changes in their eating habits. Hair loss (
A), diarrhea (
C), and urinary frequency (
D) are not common side effects of amitriptyline, making them incorrect choices.
Question 2 of 5
A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?
Correct Answer: B
Rationale: The correct answer is B: Endocarditis. Metronidazole is commonly used to treat anaerobic infections, including endocarditis caused by anaerobic bacteria. Endocarditis is an infection of the inner lining of the heart chambers and valves, which metronidazole is effective against. Kidney transplant (
A) is not a direct indication for metronidazole use. Seizures (
C) are a potential side effect of metronidazole, not an indication for its use. Hypokalemia (
D) is an electrolyte imbalance and not a direct indication for metronidazole.
Question 3 of 5
A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by intermittent IV bolus. Which of the following manifestations should the nurse identify as an indication of a therapeutic response to the medication?
Correct Answer: D
Rationale: The correct answer is D: Decrease in urine output. Desmopressin is a synthetic form of vasopressin, a hormone that helps regulate water balance in the body. In diabetes insipidus, there is a deficiency of vasopressin leading to excessive urination. By giving desmopressin, urine output should decrease as the medication helps the kidneys retain water. This indicates a therapeutic response as the medication is effectively addressing the underlying issue of excessive urine output.
A: Decrease in blood pressure - Desmopressin does not directly affect blood pressure.
B: Increase in serum sodium - Desmopressin should help decrease serum sodium levels by retaining water.
C: Increase in heart rate - Desmopressin should not have a direct impact on heart rate.
Question 4 of 5
A nurse is caring for a client who was prescribed phenytoin. Which of the following adverse effects of this medication should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Ataxia. Phenytoin is an antiepileptic medication that can cause ataxia, which is a condition characterized by loss of coordination and unsteady movements. Ataxia can be a sign of toxicity and requires immediate attention from the provider to adjust the dosage or consider alternative treatments.
A: Gingival hyperplasia is a common side effect of phenytoin but is not typically considered an urgent issue requiring immediate provider notification.
B: Drowsiness is a common side effect of phenytoin and may not necessarily indicate toxicity.
D: Hirsutism, or abnormal hair growth, is not typically associated with phenytoin use and is not a known adverse effect of the medication.
Therefore, the nurse should report ataxia to the provider as it may indicate a serious problem with the medication.
Question 5 of 5
A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: "You will need liver function tests before beginning therapy." This is important because lovastatin, as a statin medication, can potentially cause liver damage. Liver function tests are necessary to monitor any adverse effects. Option A is incorrect because there is no need to avoid dairy products with lovastatin. Option B is incorrect as extended-release medications should not be crushed. Option C is incorrect as the timing of the medication is not specified.