ATI RN
ATI Pharmacology
1. A healthcare provider is caring for a client who is prescribed Furosemide. Which of the following laboratory values should the healthcare provider monitor?
- A. Serum potassium
- B. Serum calcium
- C. Serum sodium
- D. Serum magnesium
Correct answer: A
Rationale: Corrected Rationale: Furosemide is a loop diuretic that can lead to hypokalemia (low potassium levels) due to increased potassium excretion. Monitoring serum potassium levels is crucial to prevent complications such as cardiac dysrhythmias associated with hypokalemia. Choice B, serum calcium, is incorrect because Furosemide does not directly impact calcium levels. Choice C, serum sodium, is less commonly affected by Furosemide use. Choice D, serum magnesium, is not the primary electrolyte affected by Furosemide, although magnesium levels may be affected indirectly.
2. When caring for a child with hyponatremia, a nurse delegates care to a licensed vocational nurse (LVN) and instructs the LVN to promptly report which clinical manifestation?
- A. Seizures
- B. Respiratory distress
- C. Hyperthermia
- D. Bradycardia
Correct answer: A
Rationale: Seizures are a significant concern in severe hyponatremia as they indicate potential neurological complications and the need for urgent intervention to prevent further harm to the child. Prompt reporting of seizures allows for timely assessment and appropriate treatment to ensure the child's safety and well-being.
3. A male patient is receiving androgen therapy for hypogonadism. What adverse effect should the nurse monitor for during this therapy?
- A. Increased risk of bone fractures
- B. Increased risk of cardiovascular events
- C. Increased risk of liver dysfunction
- D. Increased risk of prostate cancer
Correct answer: B
Rationale: The correct answer is B: Increased risk of cardiovascular events. Androgen therapy can lead to an increased risk of cardiovascular events like heart attacks and strokes, especially in older patients. Monitoring for signs and symptoms of cardiovascular issues is essential during this therapy. Choices A, C, and D are incorrect because androgen therapy is not typically associated with an increased risk of bone fractures, liver dysfunction, or prostate cancer.
4. In the scenario where parents at Central Elementary School responded to a multiple-choice questionnaire regarding the most important activity they do with their child, this is an example of a __________.
- A. structured interview
- B. clinical interview
- C. naturalistic observation
- D. structured observation
Correct answer: A
Rationale: A structured interview involves asking individuals a predetermined set of questions in a set order. In this scenario, parents at Central Elementary School were given a multiple-choice questionnaire, which indicates that the questions were predetermined and likely asked in a specific order. This method allows for standardized data collection and comparison across participants. Choice B, clinical interview, involves in-depth questioning aimed at understanding an individual's thoughts, feelings, and behaviors related to psychological issues, which is not the case here. Choice C, naturalistic observation, involves observing individuals in their natural environment without interference, which is not applicable to a questionnaire scenario. Choice D, structured observation, involves systematically observing behavior in predefined ways, not relevant to the given scenario of questionnaire responses.
5. A nurse is providing discharge teaching to a client following a myocardial infarction (MI). Which of the following activities should the client avoid?
- A. Swimming in a pool
- B. Driving a car
- C. Light housework
- D. Walking on flat ground
Correct answer: B
Rationale: The correct answer is B: Driving a car. Driving a car can be physically and emotionally taxing, increasing the risk of complications soon after a myocardial infarction. It requires quick reflexes and decision-making abilities, which may be impaired during the recovery period. Swimming in a pool, light housework, and walking on flat ground are generally safe and beneficial activities for clients following a myocardial infarction as they promote circulation, muscle strength, and overall well-being.
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