ATI RN
ATI Pharmacology Quizlet
1. When teaching a client about preventing Otitis Externa, which of the following instructions should the nurse include?
- A. Clean the ear with a cotton-tipped swab daily.
- B. Place earplugs in the ears when sleeping at night.
- C. Use a cool water irrigation solution to remove earwax.
- D. Tip the head to the side to remove water from the ears after showering.
Correct answer: D
Rationale: To prevent Otitis Externa, the nurse should instruct the client to tip the head to the side to allow water to drain out after showering or swimming. This helps to prevent moisture buildup in the ear canal, reducing the risk of developing Otitis Externa, commonly known as swimmer's ear.
2. A client in an acute care facility is receiving IV Nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication?
- A. Intestinal ileus
- B. Neutropenia
- C. Delirium
- D. Hyperthermia
Correct answer: C
Rationale: The correct answer is C: Delirium. When IV Nitroprusside is infused at high dosages, it can lead to thiocyanate toxicity, causing mental status changes such as delirium. It is crucial to monitor the thiocyanate levels to ensure they remain below 10 mg/dL during therapy to prevent adverse effects. Choices A, B, and D are incorrect because IV Nitroprusside is not commonly associated with intestinal ileus, neutropenia, or hyperthermia. Monitoring for delirium is crucial due to the risk of thiocyanate toxicity.
3. While providing an Angiotensin-converting enzyme (ACE) inhibitor, the patient asks what the action of the drug is. As a healthcare provider, you explain that the action of an ACE inhibitor is:
- A. To lower blood pressure by blocking the conversion of angiotensin I to vasoconstrictor angiotensin II
- B. To inhibit reabsorption of sodium back into the body, ultimately increasing urine output and lowering blood pressure
- C. To decrease heart rate and blood pressure by competing with Beta1 and Beta2 receptors in the heart and lungs
- D. To lower blood glucose by stimulating the release of insulin
Correct answer: A
Rationale: ACE inhibitors lower blood pressure by blocking the conversion of angiotensin I to vasoconstrictor angiotensin II. Angiotensin II is a potent vasoconstrictor, and by inhibiting its formation, ACE inhibitors help dilate blood vessels, reduce blood pressure, and decrease the workload on the heart. Choice B is incorrect as it describes the mechanism of action of diuretics, not ACE inhibitors. Choice C is incorrect as it refers to the action of beta-blockers, not ACE inhibitors. Choice D is incorrect as it describes the mechanism of action of antidiabetic medications, not ACE inhibitors.
4. What condition involves a weakened and bulging aorta, the main artery in the body, potentially leading to rupture?
- A. Aortic aneurysm
- B. Arterial stenosis
- C. Pulmonary embolism
- D. Deep vein thrombosis
Correct answer: A
Rationale: An aortic aneurysm is a condition characterized by the weakening and bulging of the aorta, the body's main artery. If left untreated, this bulging may lead to a rupture, causing severe complications. Arterial stenosis refers to the narrowing of an artery, not the weakening and bulging seen in an aortic aneurysm. Pulmonary embolism involves a blockage in the pulmonary artery, which is different from the weakening and bulging in an aortic aneurysm. Deep vein thrombosis is the formation of a blood clot in a deep vein, not related to the condition described in the question.
5. When caring for an older adult client with a pulmonary infection, what action should the nurse take first?
- A. Encourage the client to increase fluid intake.
- B. Assess the client's level of consciousness.
- C. Raise the head of the bed to at least 45 degrees.
- D. Provide the client with humidified oxygen.
Correct answer: B
Rationale: Assessing the client's level of consciousness is the priority because it provides crucial information on the client's neurological status and response to the infection. Changes in consciousness can indicate deterioration or improvement in the client's condition, guiding further interventions and treatment.
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