a nurse is teaching a client who is starting therapy with atenolol which of the following adverse effects should the nurse instruct the client to mon

ATI RN

ATI Pharmacology Quizlet

1. A client is starting therapy with Atenolol. Which of the following adverse effects should the nurse instruct the client to monitor?

A. Tachycardia
B. Hypoglycemia
C. Bradycardia
D. Hypertension

Correct answer: C

Rationale: Atenolol is a beta-blocker that can cause bradycardia as an adverse effect due to its mechanism of action in slowing down the heart rate. The nurse should instruct the client to monitor their pulse regularly and report any significant decreases to prevent complications related to bradycardia.

2. Which of the following is classified as a class IA Sodium Channel blocker?

A. Quinidine
B. Disopyramide
C. Aminodarone
D. Propafenone

Correct answer: A

Rationale: Quinidine is classified as a class IA sodium channel blocker. Class IA antiarrhythmics, like quinidine, work by blocking sodium channels and delaying repolarization. Propafenone, mentioned in the original rationale, is actually a class IC antiarrhythmic agent, not a class IA sodium channel blocker.

3. What is one therapeutic use for nitroglycerin?

A. Relief or prevention of anginal attacks
B. Diuresis and mobilization of excess fluid
C. Decreasing nausea and vomiting
D. Relief of anxiety

Correct answer: A

Rationale: Nitroglycerin is primarily used for the relief or prevention of anginal attacks. It works by dilating blood vessels, increasing blood flow and oxygen to the heart muscle, thereby relieving chest pain caused by angina. The medication is not indicated for diuresis, antiemetic effects, or anxiety relief. Therefore, choices B, C, and D are incorrect as they do not reflect the therapeutic use of nitroglycerin.

4. A client is starting a new prescription for furosemide. Which of the following instructions should the nurse include?

A. Weigh yourself daily.
B. Limit sodium intake.
C. Increase potassium intake.
D. Avoid potassium-rich foods.

Correct answer: A

Rationale: The correct instruction to include when starting furosemide is to weigh yourself daily. Daily weighing helps monitor for fluid loss or retention, which is crucial when taking a diuretic like furosemide. Choices B, C, and D are incorrect because although monitoring sodium intake and potassium levels are important when taking furosemide, the most immediate and direct way to assess the medication's effectiveness and the body's response is through daily weight monitoring.

5. A client with heart failure is prescribed digoxin. Which statement by the client indicates an adverse effect of the medication?

A. I can walk a mile a day.
B. I've had a backache for several days.
C. I am urinating more frequently.
D. I feel nauseated and have no appetite.

Correct answer: D

Rationale: Nausea and loss of appetite are common early signs of digoxin toxicity, indicating an adverse effect of the medication. These symptoms should be reported to the healthcare provider immediately for further evaluation and management.