ATI LPN
LPN Pharmacology Texas University Questions
Extract:
Question 1 of 5
The nurse is preparing instructions for a client with a new prescription for colesevelam [Welchol]. Which of the following will the nurse include in medication teaching?
Correct Answer: D
Rationale: Colesevelam should be taken 4 hours after other meds to avoid absorption interference. Constipation (not diarrhea) is common, and it's not dosed repeatedly or with multivitamins routinely.
Question 2 of 5
Which of the following will the nurse include in teaching for a client taking ferrous sulfate [Feosol]?
Correct Answer: A
Rationale: Diluting liquid ferrous sulfate and using a straw prevents tooth staining and aids absorption. Dairy inhibits absorption, green/black stools are normal, and citrus juices enhance absorption.
Question 3 of 5
A client with type 1 diabetes is taking propranolol [Inderal], acting confused, and reports weakness and feeling shaky. What must the nurse check first?
Correct Answer: B
Rationale: Propranolol masks hypoglycemia symptoms in type 1 diabetes; confusion and shakiness suggest low glucose, requiring immediate check over renal, BP, or electrolytes.
Question 4 of 5
A client prescribed fluoxetine (Prozac) returns to the clinic one week after beginning therapy and states, "This drug is not working, I am still very sad." Which of the following would be the nurse's best response?
Correct Answer: D
Rationale: Fluoxetine, an SSRI, typically takes 4-6 weeks for full antidepressant effects. Adding drugs, switching early, or expecting results in 1-3 weeks is premature.
Question 5 of 5
The nurse is evaluating the therapeutic effects of nitroglycerin transdermal patches prescribed to a client 6 months ago. Which of the following statements by the client would indicate that the medication is effective?
Correct Answer: C
Rationale:
Tolerating exercise without pain indicates nitroglycerin effectively prevents angina, its primary goal. BP improvement, no attacks, and fewer headaches are less specific indicators.