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PN ATI Capstone Proctored Comprehensive Assessment 2020 A with NGN
1. While providing education about the use of lorazepam, which of the following should be included?
- A. It can cause dependency
- B. It can be taken with alcohol
- C. It has no side effects
- D. It is a stimulant
Correct answer: A
Rationale: The correct answer is A: 'It can cause dependency.' Lorazepam is a benzodiazepine known to cause dependency, so it is crucial for clients to be informed about this potential risk. Choice B is incorrect as combining lorazepam with alcohol can lead to increased sedation and other adverse effects. Choice C is incorrect because lorazepam, like any medication, can have side effects such as drowsiness, dizziness, or confusion. Choice D is also incorrect as lorazepam is a sedative-hypnotic medication, not a stimulant.
2. A healthcare professional is assessing a client for signs of depression. Which of the following findings should the healthcare professional look for?
- A. Increased energy
- B. Changes in sleep patterns
- C. Weight loss
- D. Both B and C
Correct answer: D
Rationale: When assessing a client for signs of depression, healthcare professionals should look for changes in sleep patterns and weight loss. These are common symptoms associated with depression. Increased energy (choice A) is not typically a sign of depression, as individuals with depression often experience fatigue and a lack of energy. Therefore, choices A, B, and C are incorrect, making choice D the correct answer.
3. A client is prescribed digoxin and has a potassium level of 3.0 mEq/L. Which of the following actions should the nurse take?
- A. Administer digoxin without any modifications
- B. Administer the medication at a lower dose
- C. Monitor serum potassium levels
- D. Discontinue the medication if potassium levels rise
Correct answer: A
Rationale: A potassium level of 3.0 mEq/L indicates hypokalemia, which increases the risk of digoxin toxicity. In this case, the nurse should administer the digoxin without any modifications. Lowering the dose (Choice B) may not be necessary if the potassium level is not critically low. Monitoring serum potassium levels (Choice C) is important but should not delay the administration of digoxin. Discontinuing the medication (Choice D) is not the initial action to take unless the potassium levels become severely low and life-threatening.
4. A nurse is preparing to administer a dose of furosemide. Which of the following should the nurse do before administration?
- A. Check potassium levels
- B. Assess blood glucose levels
- C. Monitor respiratory rate
- D. Administer with food
Correct answer: A
Rationale: The correct answer is to check potassium levels before administering furosemide. Furosemide is a diuretic that can cause hypokalemia (low potassium levels) as a side effect. Monitoring potassium levels is crucial to prevent potential complications related to electrolyte imbalance. Assessing blood glucose levels (choice B) is not directly related to furosemide administration. Monitoring respiratory rate (choice C) is important in certain situations, but it is not the priority before administering furosemide. Administering furosemide with food (choice D) is not a requirement as it can be administered regardless of meals.
5. When teaching a client about the use of trazodone, what should be included?
- A. It can cause sedation
- B. It is a stimulant
- C. It has no side effects
- D. It should be taken with food
Correct answer: A
Rationale: The correct answer is A. Trazodone can cause sedation, so clients should be cautioned about activities requiring alertness, like driving. Choice B is incorrect because trazodone is not a stimulant; it is actually a sedating antidepressant. Choice C is incorrect as all medications have potential side effects. Choice D is not specifically indicated for trazodone; the client should follow the prescribing healthcare provider's instructions regarding food intake.
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