ATI RN
ATI RN Pharmacology 2019 I Questions
Extract:
Question 1 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: The correct answer is D: Bruising. Clopidogrel is an antiplatelet medication that helps prevent blood clots. Bruising can indicate a decreased platelet count or clotting issues, which are potential side effects of the medication. Monitoring and reporting bruising promptly can help prevent serious bleeding complications. Blurred vision (
A), constipation (
B), and weight loss (
C) are not commonly associated with clopidogrel use. Thus, they are incorrect choices in this scenario.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Drowsiness. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression and anxiety disorders. Drowsiness is a common side effect of this medication due to its effects on serotonin levels in the brain. Clients should be advised to monitor for drowsiness, especially when starting the medication or with dosage changes. Peripheral edema (
A), alopecia (
B), and tinnitus (
C) are not commonly associated with paroxetine use. Peripheral edema is more commonly seen with calcium channel blockers, alopecia with chemotherapy, and tinnitus with aminoglycoside antibiotics.
Question 3 of 5
A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, 'I forgot to tell the doctor I take albuterol for asthma.' For which of the following medications should the nurse withhold the dose and notify the provider?
Correct Answer: A
Rationale: The correct answer is A: Propranolol. Albuterol and propranolol have a drug interaction due to their opposing effects on beta receptors. Albuterol stimulates beta-2 receptors, while propranolol blocks them, potentially leading to diminished effectiveness of albuterol.
Therefore, the nurse should withhold the dose of propranolol and notify the provider to avoid any adverse effects.
Choice B: Isosorbide mononitrate is a medication used to prevent chest pain and does not have a significant interaction with albuterol.
Choice C: Pantoprazole is a proton pump inhibitor used to reduce stomach acid production and does not interact with albuterol.
Choice D: Montelukast is a leukotriene receptor antagonist used for asthma and allergies, but it does not have a significant interaction with albuterol.
In summary, the nurse should withhold the dose of propranolol due to its potential
Question 4 of 5
A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct action for the nurse to take first is to assess the client for adverse reactions (
Choice
C). This is crucial because the nurse needs to ensure the client's safety and well-being after missing the medication dose. By assessing the client for any potential adverse reactions promptly, the nurse can address any immediate concerns and take necessary actions to mitigate any negative effects. This step prioritizes the client's health and safety.
Other choices are not the first priority in this situation:
A: Filing an incident report (
Choice
A) can be done later after ensuring the client's immediate safety.
B: Determining factors that led to the omission (
Choice
B) is important for preventing future errors but is not the first step when a client's health may be at risk.
D: Reporting the missed dosage to the client's provider (
Choice
D) is important but should come after assessing the client's current condition.
Question 5 of 5
A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the medication through a straw. This is to prevent the discoloration of the teeth that can occur when iron supplements come in contact with teeth. Using a straw helps direct the medication to the back of the throat, bypassing the teeth. Diluting with milk (
A) can reduce absorption, caffeinated beverages (
B) can interfere with iron absorption, and antacids (
D) can decrease the effectiveness of iron supplements.