ATI RN Pharmacology 2023 IV | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Bruising. Clopidogrel is an antiplatelet medication that helps prevent blood clots. One of the common side effects of clopidogrel is increased risk of bleeding, which can manifest as easy bruising. Monitoring and reporting bruising is important as it could indicate potential issues with clotting.
A: Blurred vision is not a common side effect of clopidogrel.
B: Constipation is not a common side effect of clopidogrel.
D: Weight loss is not a common side effect of clopidogrel.

Correct Answer: B

Rationale: The correct answer is B: Methotrexate. Methotrexate is an immunosuppressive medication that can weaken the immune system, making the client more susceptible to infections. Shingles vaccine is a live vaccine, and it is contraindicated in individuals taking immunosuppressive medications due to the risk of developing the infection the vaccine is meant to prevent.

Incorrect options:
A: Metformin - Metformin does not interact with the shingles vaccine and is not a contraindication for receiving the vaccine.
C: Estrogen - Estrogen does not interact with the shingles vaccine and is not a contraindication for receiving the vaccine.
D: Esomeprazole - Esomeprazole is a proton pump inhibitor and does not interact with the shingles vaccine and is not a contraindication for receiving the vaccine.

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.

Correct Answer: C

Rationale: The correct response is C: "I will notify your provider of your decision." This answer is correct because it shows respect for the client's autonomy while also ensuring that the healthcare provider is informed of the client's decision to refuse medication. By notifying the provider, the nurse ensures that the client's healthcare team is aware of the situation and can make any necessary adjustments to the treatment plan.



Choices A, B, and D are incorrect because they do not prioritize the client's autonomy and may come across as judgmental or dismissive.
Choice A minimizes the client's concerns, choice B puts the client on the spot without addressing the underlying reasons for refusal, and choice D uses a threatening approach that may harm the nurse-client relationship. It's important for the nurse to respect the client's decision while also ensuring that proper communication with the healthcare team is maintained.

Correct Answer: A

Rationale: The correct answer is A: Lactated Ringer's solution. Lactated Ringer's is the best choice for a client with major burns and dehydration as it is an isotonic solution that helps restore fluid balance and electrolytes lost due to burns. It contains sodium, chloride, potassium, calcium, and lactate, which are essential for cellular function and can help with rehydration. Dextrose 5% solutions (B and
C) are hypotonic and may worsen the cellular dehydration in this case. 0.45% sodium chloride (
D) is a hypotonic solution and may not provide enough electrolyte replacement for a client with major burns.