ATI RN
ATI Gastrointestinal System
1. The nurse provides medication instructions to a client with peptic ulcer disease. Which statement, if made by the client, indicates the best understanding of the medication therapy?
- A. The cimetidine (Tagamet) will cause me to produce less stomach acid.
- B. Sucralfate (Carafate) will change the fluid in my stomach.
- C. Antacids will coat my stomach.
- D. Omeprazole (Prilosec) will coat the ulcer and help it heal.
Correct answer: A
Rationale: Cimetidine (Tagamet) works by reducing stomach acid production, which helps to manage peptic ulcer disease.
2. While obtaining the health and medication history of a client with a respiratory infection, the nurse learns that the client developed a rash the last time she took an antibiotic despite not being aware of any allergies. What information should the nurse provide to the client?
- A. Document the exact medication taken
- B. Ignore the symptom
- C. Stop taking antibiotics
- D. Continue with the current medication
Correct answer: A
Rationale: The correct answer is to instruct the client to document the exact medication taken. This is crucial for preventing future allergic reactions. By knowing the specific antibiotic that caused the rash, healthcare providers can avoid prescribing it again, reducing the risk of an allergic response. Choice B, 'Ignore the symptom,' is incorrect as ignoring a potential allergic reaction can lead to more severe complications. Choice C, 'Stop taking antibiotics,' is not advisable without proper guidance from a healthcare provider. Choice D, 'Continue with the current medication,' is also not recommended when there is a history of a rash related to antibiotic use.
3. A client with an artificial heart valve is prescribed warfarin therapy. Which of the following laboratory values should the nurse monitor to assess the therapeutic effect of warfarin?
- A. Hemoglobin (Hgb)
- B. Prothrombin time (PT)
- C. Bleeding time
- D. Activated partial thromboplastin time (aPTT)
Correct answer: B
Rationale: The correct answer is B: Prothrombin time (PT). Warfarin is an anticoagulant medication that works by inhibiting the clotting factors dependent on vitamin K, such as factors II, VII, IX, and X. The prothrombin time (PT) measures the extrinsic pathway and is used to monitor the therapeutic effects of warfarin therapy. Monitoring PT helps assess the time it takes for the blood to clot, ensuring that the anticoagulant effect is within the desired range. Choices A, C, and D are incorrect because hemoglobin (Hgb) measures the amount of hemoglobin in the blood, bleeding time assesses the time it takes for bleeding to stop, and activated partial thromboplastin time (aPTT) is used to monitor heparin therapy, not warfarin therapy.
4. What is the initial action for a healthcare provider when a patient presents with shortness of breath?
- A. Administer oxygen
- B. Reposition the patient
- C. Check for abnormal breath sounds
- D. Check oxygen saturation
Correct answer: A
Rationale: Administering oxygen is the initial action for a healthcare provider when a patient presents with shortness of breath because it helps alleviate the patient's symptoms by improving oxygenation. Providing oxygen takes precedence over other actions such as repositioning the patient, checking for abnormal breath sounds, or assessing oxygen saturation. While these actions are important, ensuring the patient has an adequate oxygen supply is crucial in the initial management of shortness of breath.
5. In persons who are obese, weight reduction can improve such CHD risk factors as hypertension, blood lipid abnormalities, and?
- A. inflammation
- B. insulin resistance
- C. gastrointestinal motility disorders
- D. damage from cigarette smoking
Correct answer: B
Rationale: Weight reduction in obese individuals can improve insulin resistance, a key factor in reducing the risk of coronary heart disease and type 2 diabetes.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99