ATI RN Pharmacology 2023 V | Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Place the tablet under the tongue until dissolved. This instruction is correct because nitroglycerin sublingual tablets are meant to be absorbed under the tongue for rapid relief of angina symptoms. Placing the tablet under the tongue allows for quick absorption into the bloodstream.


Choice A is incorrect because taking a tablet every 10 minutes is not recommended and can lead to overdose.
Choice C is incorrect because nitroglycerin tablets should be stored in the original container at room temperature, not in the refrigerator.
Choice D is incorrect because calling 911 after 30 minutes is too long; the patient should seek immediate help if pain persists after 5 minutes of taking a tablet.

Correct Answer: D

Rationale: The correct answer is D: Ginkgo biloba. Ginkgo biloba can increase the risk of bleeding when taken with warfarin due to its antiplatelet effects. This combination can lead to excessive bleeding. Coenzyme Q10 (
A) does not have significant interactions with warfarin. Probiotics (
B) and valerian (
C) are also generally safe to take with warfarin.
Therefore, the nurse should identify ginkgo biloba as contraindicated due to its potential to enhance the anticoagulant effects of warfarin.

Correct Answer: D

Rationale: The correct answer is D: Blurred vision. Carbamazepine is known to cause visual disturbances, such as blurred vision, diplopia, and other vision changes. The nurse should instruct the client to monitor for these adverse effects as they may indicate a need to adjust the medication dosage. Insomnia (choice
A) is not a common adverse effect of carbamazepine. Tachypnea (choice
B) refers to rapid breathing and is not typically associated with this medication. Metallic taste (choice
C) is not a common side effect of carbamazepine. In summary, monitoring for blurred vision is crucial when taking carbamazepine to ensure early identification of potential side effects.

Correct Answer: C

Rationale: The correct answer is C: Taking a high-ceiling diuretic. High-ceiling diuretics, like furosemide, can lead to hypokalemia, which increases the risk of digoxin toxicity. Hypokalemia enhances the toxic effects of digoxin on the heart by increasing its binding and potentiating its action. Additionally, low potassium levels can predispose the client to cardiac dysrhythmias, which are a common manifestation of digoxin toxicity.

Choices A, B, and D do not directly increase the risk of digoxin toxicity. A HMG CoA reductase inhibitor, prolapsed mitral valve, and COPD do not have a direct pharmacological interaction with digoxin that predisposes the client to toxicity.

Correct Answer: B

Rationale: The correct answer is B: Compile a list of all medications the client is currently taking. This should be completed first to establish a baseline of the client's current medications. By compiling a comprehensive list, the nurse can ensure accuracy when comparing preadmission medications (
C), addressing discrepancies (
D), and documenting updates (
A). Without an accurate list of current medications, the nurse may overlook important details and compromise patient safety. Comparing preadmission medications, addressing discrepancies, and documenting updates are all important steps in medication reconciliation, but they should follow the initial compilation of the client's current medications to ensure a thorough and accurate process.