a nurse is caring for a client who has a new prescription for furosemide which of the following adverse effects should the nurse monitor a nurse is caring for a client who has a new prescription for furosemide which of the following adverse effects should the nurse monitor
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Nursing Elites

ATI RN

ATI Pharmacology Proctored Exam 2023

1. A client has a new prescription for Furosemide. Which of the following adverse effects should the nurse monitor?

Correct answer: B

Rationale: The correct answer is B: Hyponatremia. Furosemide, a diuretic, commonly causes hyponatremia (low sodium levels) as it increases the excretion of sodium. The nurse needs to monitor the client for signs of hyponatremia, such as confusion, weakness, and muscle cramps, by checking electrolyte levels regularly. Choices A, C, and D are incorrect because hyperkalemia (choice A), hypernatremia (choice C), and hypercalcemia (choice D) are not typically associated with Furosemide use.

2. A client is taking Sucralfate PO for Peptic Ulcer Disease and has a new prescription for phenytoin to control seizures. Which of the following instructions should the nurse include?

Correct answer: C

Rationale: Sucralfate can interfere with the absorption of phenytoin. To prevent this interaction, the client should allow a 2-hour interval between taking sucralfate and phenytoin. This timing helps to ensure adequate absorption and effectiveness of both medications without compromising therapeutic outcomes. Choices A, B, and D are incorrect because taking an antacid with sucralfate, taking sucralfate with a glass of milk, and chewing sucralfate thoroughly before swallowing do not address the need for a 2-hour interval between these medications to prevent interference with phenytoin absorption.

3. Although great diversity characterizes the interests and concerns of investigators who study development, they share a single goal: to identify __________.

Correct answer: D

Rationale: The correct answer is D because investigators who study development aim to identify the factors that influence consistencies and transformations in people from conception to death. This goal encompasses various domains such as physical, cognitive, emotional, and social development, highlighting the comprehensive nature of developmental research. Choices A, B, and C are incorrect as they do not align with the overarching goal of developmental researchers, which is to understand the factors influencing individuals throughout their lifespan, rather than focusing solely on genetic factors, environmental factors related to disease, or abnormal development in specific age groups.

4. What is the best intervention for a patient experiencing severe hypoglycemia?

Correct answer: A

Rationale: The best intervention for a patient experiencing severe hypoglycemia is to administer IV dextrose. This intervention is necessary to rapidly raise blood sugar levels in critical situations. Administering oral glucose may not be effective in severe cases as the patient may be unable to consume it. Monitoring blood sugar levels and rechecking blood sugar in 15 minutes are important steps but not the initial best intervention for severe hypoglycemia.

5. What is one of the best nutritional actions a caregiver can take to help a patient with Alzheimer's disease maintain appropriate body weight?

Correct answer: B: Supervise food planning and mealtimes

Rationale: The correct answer is B, 'Supervise food planning and mealtimes'. This action ensures the patient with Alzheimer's disease maintains an appropriate diet and body weight, thus reducing the risk of malnutrition. While choices A, 'Thicken liquids to prevent choking', C, 'Assist the person in completing a grocery checklist', and D, 'Feed the person their meals and snacks', might be beneficial in certain circumstances, they do not directly contribute to the maintenance of appropriate body weight as effectively as supervising food planning and mealtimes does.

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