ATI LPN
ATI LPN Pharmacology 2023 Questions
Extract:
Nurses' Notes
Plan of Care
Provider Prescriptions
Vital Signs
6 months ago:
The client was diagnosed with epilepsy during childhood. The client reports not having seizures for 2 years. The client has weaned off all seizure medications. The client was informed to return to the office for a follow-up in 6 months and to call the office if seizure activity resumes.
Today:
The client reports having a seizure this morning. Provider aware and new prescription obtained.
Question 1 of 5
Click to highlight the findings that require immediate follow-up as contraindications to the prescribed prescription (phenytoin).
| Client reports having three to four alcoholic beverages a couple times per week. |
| Last bowel movement was 3 days ago |
| Last menstrual period was 3 months ago |
| Client takes diazepam as needed for anxiety. |
Correct Answer: A,C
Rationale: First,
Step 1: The prescribed medication is phenytoin, an antiepileptic drug.
Step 2: Alcohol consumption can interact with phenytoin, causing increased sedation and affecting liver function.
Therefore, client reporting alcohol intake requires immediate follow-up.
Step 3: (0,0,1,0) Phenytoin can also affect menstrual cycles, so the client's last menstrual period being 3 months ago is a potential contraindication that needs follow-up.
Step 4: (0,1,0,0) Last bowel movement being 3 days ago is not directly related to phenytoin use.
Step 5: (0,0,0,1) Diazepam for anxiety is not a direct contraindication to phenytoin use.
Therefore, choices A and C are correct as they indicate potential issues requiring immediate attention, while choices B and D do not
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: