ATI RN
ATI Pharmacology Assessment 1 II Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has asthma about using a beclomethasone inhaler along with an albuterol inhaler. Which of the following instructions should the nurse include about the beclomethasone inhaler?
Correct Answer: A
Rationale: The correct answer is A: You should gargle with water after each use of this inhaler. Gargling with water after using a beclomethasone inhaler helps to prevent oral thrush, a common side effect of inhaled corticosteroids. This is important for maintaining oral health while using the inhaler.
Choice B is incorrect because using a spacer can actually improve the delivery of the medication to the lungs, so it is recommended to use a spacer with beclomethasone inhalers.
Choice C is incorrect because beclomethasone is a maintenance medication, not a rescue inhaler, so it should not be used for acute incidents of shortness of breath.
Choice D is incorrect because beclomethasone should be used regularly as prescribed, not just before using albuterol inhaler.
Question 2 of 5
A nurse is performing an assessment on a client who has been taking verapamil as prescribed for two months. Which of the following findings should the nurse identify as adverse effects of this medication?
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. Verapamil, a calcium channel blocker, can cause peripheral edema due to its vasodilatory effects, bradycardia as it reduces heart rate, and constipation as it can slow down intestinal motility.
Choice D, blurred vision, and choice E, insomnia, are not typically associated with verapamil use. Blurred vision is more common with anticholinergic medications, while insomnia is not a common side effect of verapamil.
Question 3 of 5
A nurse is reviewing the laboratory findings for a female client who is taking zidovudine to treat HIV. Which of the following should the nurse identify as an adverse finding associated with this medication?
Correct Answer: A
Rationale: The correct answer is A: Neutrophil count 650/mm. Zidovudine can cause bone marrow suppression, leading to decreased neutrophil count (neutropenia). Neutropenia increases the risk of infections. Option B is incorrect because platelet count is within the normal range. Option C is incorrect as Hgb level is elevated, not an adverse finding with zidovudine. Option D is incorrect as creatinine level is slightly elevated but not typically associated with zidovudine.
Question 4 of 5
A nurse is caring for a client following a bronchoscopy with moderate sedation. Which of the following actions should the nurse take?
Correct Answer: A,B,C,D,F
Rationale:
Correct
Answer: A, B, C, D, F
Rationale:
A: Assessing the client's gag reflex before offering oral intake is crucial to prevent aspiration post-bronchoscopy with sedation.
B: Listening to breath sounds helps monitor for any signs of respiratory distress or complications.
C: Monitoring oxygen saturation is essential to ensure adequate oxygenation post-procedure.
D: Monitoring for manifestations of bleeding is important as bronchoscopy can cause bleeding.
F: Observing for manifestations of a pneumothorax is essential, as it is a potential complication post-bronchoscopy.
Summary of Incorrect
Choices:
E: Assessing the client's puncture site is not typically necessary following a bronchoscopy with sedation.
G: No additional information provided, but not relevant based on the context of the procedure.
Question 5 of 5
A nurse is teaching a client who has a seizure disorder and has a new prescription for phenytoin. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will have my blood checked to monitor the medication levels." This statement indicates understanding because phenytoin has a narrow therapeutic range, requiring regular blood tests to monitor levels. This is crucial to prevent toxicity or ineffectiveness.
Choice A is incorrect as dark urine is not a common side effect of phenytoin.
Choice B is incorrect as taking an extra dose without medical advice can be dangerous.
Choice D is incorrect as phenytoin should not be taken with antacids as it can reduce its absorption.