ATI RN
ATI Pharmacology
1. A client with increased intracranial pressure is receiving Mannitol. Which finding should the nurse report to the provider?
- A. Blood glucose 150 mg/dL
- B. Urine output 40 mL/hr
- C. Dyspnea
- D. Bilateral equal pupil size
Correct answer: C
Rationale: The correct answer is C: Dyspnea. Dyspnea is a concerning finding in a client receiving Mannitol as it can be a manifestation of heart failure, which is an adverse effect of the medication. The nurse should promptly notify the provider, discontinue the Mannitol, and initiate appropriate interventions to address the dyspnea and monitor the client's condition closely. Choice A, Blood glucose of 150 mg/dL, is within normal limits and not directly related to Mannitol administration. Choice B, Urine output of 40 mL/hr, could indicate decreased renal perfusion, but it is not the most critical finding compared to dyspnea. Choice D, Bilateral equal pupil size, is a normal neurological finding and not directly related to Mannitol therapy.
2. What describes a common physical change of aging that can affect an older adult's nutrition?
- A. reduced salivary output
- B. increased gastrointestinal motility
- C. abnormal cortisol production
- D. increase in number of taste buds
Correct answer: A
Rationale: Reduced salivary output is a common physical change in aging. This can affect an older adult's nutrition by impacting chewing, swallowing, and taste perception. The decrease in saliva production can make it harder to chew and swallow food effectively, affecting the overall eating experience. Additionally, saliva plays a role in taste perception, so a reduction in salivary output can lead to alterations in how food tastes, potentially impacting an individual's appetite and food choices. Increased gastrointestinal motility (choice B) is not typically associated with aging and would not directly affect nutrition. Abnormal cortisol production (choice C) is related to hormonal changes and is not a common physical change of aging that affects nutrition. An increase in the number of taste buds (choice D) is not a typical change associated with aging and would not have a significant impact on an older adult's nutrition.
3. A patient is prescribed medroxyprogesterone acetate (Provera) for the treatment of endometriosis. What important instruction should the nurse provide about the use of this medication?
- A. Take the medication with food to prevent nausea.
- B. Discontinue the medication if side effects occur.
- C. Take the medication at the same time each day to maintain consistent hormone levels.
- D. Avoid prolonged sun exposure while taking this medication.
Correct answer: C
Rationale: The correct answer is to take the medication at the same time each day to maintain consistent hormone levels. This is crucial for the effectiveness of medroxyprogesterone acetate in treating endometriosis. Choice A is incorrect because there is no specific instruction related to food intake. Choice B is incorrect because discontinuing the medication without consulting a healthcare provider can be harmful. Choice D is unrelated to the administration of medroxyprogesterone acetate and is not a specific consideration for this medication.
4. Mang Carlos has a standing DNR order. He then suddenly stopped breathing and you are at his bedside. You would:
- A. Give extraordinary measures to save Mang Carlos
- B. Stay with Mang Carlos and Do nothing
- C. Call the physician
- D. Activate Code Blue
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
5. Researchers randomly assigned adolescents to either a single-grade classroom or a mixed-age classroom. This is an example of a __________.
- A. naturalistic observation
- B. case study
- C. natural experiment
- D. field experiment
Correct answer: D
Rationale: In this scenario, the researchers randomly assigned adolescents to either a single-grade classroom or a mixed-age classroom, which is an example of a field experiment. A field experiment involves manipulating independent variables in a natural setting to observe the effects on participants. This design allows for more control over variables compared to naturalistic observation, case studies, or natural experiments. Naturalistic observation involves observing subjects in their natural environment without manipulating any variables. A case study focuses on in-depth analysis of a single individual or a small group. A natural experiment involves observing naturally occurring events without intervention or manipulation by the researcher.
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