ATI RN
ATI RN Pharmacology Exam 2024 With NGN Questions
Extract:
Question 1 of 5
Which of the following adverse effects should the nurse include in the teaching for a client who is to begin taking tamoxifen for the treatment of breast cancer?
Correct Answer: D
Rationale: The correct answer is D: Hot flashes. Tamoxifen is known to cause hot flashes as a common adverse effect due to its impact on estrogen receptors. This is important for the nurse to include in teaching as it helps prepare the client for this potential side effect.
A: Urinary retention - Not a common adverse effect of tamoxifen.
B: Constipation - Not a common adverse effect of tamoxifen.
C: Bradycardia - Not a common adverse effect of tamoxifen.
In summary, hot flashes are a common adverse effect of tamoxifen due to its anti-estrogenic properties, making it important for the nurse to educate the client on this potential side effect.
Question 2 of 5
A nurse is teaching a client about the prescribed medication. 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, E,F
Rationale: The correct statements to include when teaching the client about the prescribed medication are A, B, E, and F.
A: The medication can cause nausea - It is important for the client to be aware of potential side effects like nausea so they can be prepared and report any concerns to their healthcare provider.
B: So take with a meal - Taking the medication with a meal can help reduce the risk of stomach upset or other gastrointestinal side effects.
E: Consumption of a high-protein meal can reduce the effectiveness of the medication - This is important information for the client to ensure they are taking the medication as prescribed for optimal effectiveness.
F: You may initially notice an increase in involuntary movements - This alerts the client to a possible side effect they may experience and should report to their healthcare provider.
The other choices are incorrect because they do not provide essential information about the medication or its potential side effects. C, D, and G are not necessary for the client to know in relation to the prescribed medication.
Question 3 of 5
A nurse is teaching a client about cyclobenzaprinWhich of the following client statements should indicate to the nurse that the teaching is effective?
Correct Answer: C
Rationale:
Correct Answer: C - "I will taper off the medication before discontinuing it."
Rationale: Tapering off cyclobenzaprine is essential to prevent withdrawal symptoms due to its muscle relaxant properties. Abrupt discontinuation can lead to adverse effects. This statement shows understanding of the proper discontinuation process, indicating effective teaching.
Summary:
A: Increased saliva production is not a common side effect of cyclobenzaprine, so it does not demonstrate understanding of the medication.
B: Continuing the medication until the rash disappears is unrelated to cyclobenzaprine's use and does not reflect knowledge of proper medication management.
D: Reporting urinary incontinence is important, but not specific to cyclobenzaprine teaching. It does not indicate understanding of how to discontinue the medication properly.
Question 4 of 5
A nurse is teaching a client about cyclobenzaprinWhich of the following client statements should indicate to the nurse that the teaching about cyclobenzaprine was effective?
Correct Answer: C
Rationale:
Correct Answer: C - "I will taper off the medication before discontinuing it."
Rationale: Tapering off cyclobenzaprine is important to prevent withdrawal symptoms due to its muscle relaxant properties. Abruptly stopping the medication can lead to rebound muscle spasms and other adverse effects.
Therefore, the client's statement of tapering off the medication before discontinuing it indicates understanding of the proper way to stop taking cyclobenzaprine.
Summary of other choices:
A: Increased saliva production is not a common side effect of cyclobenzaprine.
B: Continuing the medication until the rash disappears is not relevant to cyclobenzaprine use.
D: Reporting urinary incontinence is important but not specifically related to the teaching about cyclobenzaprine.
Question 5 of 5
Which of the following actions is the priority for the nurse to take after inadvertently administering 160 mg of valsartan PO to a client who was scheduled to receive 80 mg?
Correct Answer: A
Rationale: The correct answer is A: Evaluate the client for orthostatic hypotension. After administering double the prescribed dose of valsartan, the nurse's priority is to assess the client for potential adverse effects, such as a sudden drop in blood pressure leading to orthostatic hypotension. This is crucial for immediate intervention to prevent complications.
B: Monitoring urine output is important but not the priority after an overdose.
C: Obtaining laboratory results may be necessary later but is not the immediate action needed.
D: Checking for nasal congestion is unrelated to the overdose of valsartan.
In summary, choice A is correct as it addresses the immediate concern of potential adverse effects, while the other choices are not the priority given the situation.