Questions 69

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ATI RN Pharmacology 2023 III Questions

Extract:

Nurses' Notes
Laboratory Results
Day 1:
Temperature 36.9°C (98.4" F)
Heart rate 78/min
Blood pressure 118/76 mm Hg
Respiratory rate 18/min
Day 14:
Temperature 36.3" C (97.4" F)
Heart rate 86/min
Blood pressure 110/66 mm Hg
Respiratory rate 16/min


Question 1 of 5

Click to highlight the findings that require immediate follow-up.

Correct Answer: A,B,C,D

Rationale: Headaches, nausea/vomiting, memory issues, and low sodium (hyponatremia) suggest oxcarbazepine side effects needing urgent attention due to potential toxicity.

Extract:


Question 2 of 5

A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?

Correct Answer: B

Rationale: Loop diuretics cause hypokalemia, increasing digoxin toxicity risk by enhancing its effects on the heart.

Extract:

Vital Signs
Provider Prescriptions
Nurses' Notes
Day 1:
Temperature 36.2° C (97.2° F) Respiratory rate 18/min
Heart rate 74/min
Blood pressure 118/68 mm Hg SPO2 96% on room air
Day 7:
Temperature 36.9°C (98.4" F) Heart rate 86/min
Respiratory rate 18/min Blood pressure 98/66 mm Hg SPO2 97% on room air


Question 3 of 5

Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Levodopa/Carbidopa causes nausea, orthostatic hypotension, dyskinesia, reduced efficacy with protein, and vivid dreams; urine darkens, not lightens.

Extract:

Vital Signs
Nurses' Notes
1 week ago:
Temperature 37° C (98.6° F) Heart rate 64/min Respiratory rate 12/min
Blood pressure 118/72 mm Hg Today:
Temperature 37.2° C (98.9° F) Heart rate 82/min Respiratory rate 16/min
Blood pressure 110/68 mm Hg
A nurse is caring for a client in the clinic.


Question 4 of 5

Which of the following client statements indicates to the nurse the teaching was effective? Select all that apply.

Correct Answer: C,D,E

Rationale: Saline rinses soothe stomatitis, avoiding alcohol prevents irritation, and soft foods reduce trauma. Firm-bristle brushes worsen irritation, and folic acid is recommended with methotrexate, not avoided.

Extract:


Question 5 of 5

A nurse is evaluating a client who received subcutaneous sumatriptan 1 hour ago. Which of the following findings should the nurse identify as an adverse effect of the medication?

Correct Answer: C

Rationale: Chest pressure is a known sumatriptan adverse effect, unlike visual disturbances or phonophobia (migraine symptoms) or tongue numbness.

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