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A contraindication for topical corticosteroid usage in a male patient with atopic dermatitis (eczema) is:
- A. Parasite infection.
- B. Viral infection.
- C. Bacterial infection.
- D. Spirochete infection.
Correct Answer: B
Rationale: Topical corticosteroids can exacerbate viral infections, such as herpes simplex, by suppressing the immune response. They are contraindicated in the presence of viral infections to prevent worsening of the condition. Bacterial, parasitic, and spirochete infections are not absolute contraindications, although caution is advised.
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The nurse is administering Penicillin to a patient who has tested positive for strep throat. The nurse knows to look for which of the following adverse effects as a sign of an acute allergic reaction?
- A. blurred vision
- B. tinnitus
- C. skin rash/hives
- D. vomiting ATI PHARMACOLOGY LATEST UPDATE 2022/2023 PROCTORED EXAM -STUDY GUIDE QUESTIONS & ANS 100% CORRECTLY VERIFIED GRADED A+ ATI PHARMACOLOGY LATEST UPDATE 2022/2023 PROCTORED EXAM -STUDY GUIDE QUESTIONS & ANS 100% CORRECTLY VERIFIED GRADED A+
Correct Answer: C
Rationale: When administering Penicillin, one of the adverse effects to watch out for as a sign of an acute allergic reaction is the development of a skin rash or hives. This reaction may indicate an allergic response to the medication. It is important for the nurse to monitor the patient closely for any signs of an allergic reaction, including skin changes, and to act promptly if such symptoms arise. An acute allergic reaction can progress to a severe life-threatening condition known as anaphylaxis, so prompt recognition and intervention are critical in such cases.
When a patient is experiencing digoxin toxicity, which clinical situation would necessitate the use
- A. ? (Select all that apply.)
- B. The patient reports seeing colorful halos around lights.
- C. The patient™s serum potassium level is above 5 mEq/L.
- D. The patient is experiencing nausea and anorexi
Correct Answer: D
Rationale: When a patient is experiencing digoxin toxicity, severe sinus bradycardia that does not respond to cardiac pacing is a clinical situation that would necessitate the use of digoxin-specific antibody fragments (Digibind). This intervention is required to counteract the toxic effects of digoxin on the heart, especially in cases of severe bradycardia that can compromise cardiac output and lead to serious consequences. In this scenario, Digibind works by binding to digoxin molecules, thereby neutralizing their effects and helping to restore normal cardiac function.
Basis for pharmacotherapeutics
- A. Selective action of drugs with regard to diagnosis, preventive and treatment of disease
- B. Bioavailability of drugs
- C. Biologic half-life of drugs
- D. Renal clearance and elimination of drugs
Correct Answer: A
Rationale: The basis for pharmacotherapeutics lies in the selective action of drugs with regard to the diagnosis, prevention, and treatment of diseases. Pharmacotherapeutics involves the use of drugs to manage diseases and improve health outcomes. Drugs are carefully selected based on their mechanism of action, efficacy, safety profile, and suitability for a specific condition. The goal is to achieve optimal therapeutic effects while minimizing potential adverse effects. By understanding the selective action of drugs in targeting specific pathways or processes in the body, healthcare providers can customize treatment regimens to individual patients and achieve the best possible outcomes.
A patient is scheduled to receive chemotherapy drugs that will cause myelosuppression. Which action by the nurse will be most important?
- A. Monitor for a change in temperature.
- B. Evaluate gastrointestinal function.
- C. Assess for evidence of cardiac compromise.
- D. Question the patient about changes in sense of taste.
Correct Answer: A
Rationale: Myelosuppression, a common side effect of chemotherapy, leads to a decrease in white blood cells, red blood cells, and platelets. A drop in white blood cells, particularly neutrophils, increases the risk of infection. Monitoring for a change in temperature is critical because fever is often the first sign of infection in neutropenic patients. Early detection allows for prompt intervention, such as administering antibiotics, to prevent life-threatening complications. While gastrointestinal function, cardiac compromise, and changes in taste are important to assess, they are not as immediately life-threatening as an undetected infection in a myelosuppressed patient.
What nursing interventions should you do when a patient is on Albuterol (select all that apply)
- A. Assess lung sounds , Pulse , and Blood pressure before administering
- B. Monitor for changes in behavior
- C. Observe for paradoxical bronchospasms
- D. Assess for abdominal distention
Correct Answer: A
Rationale: A. Assess lung sounds, Pulse, and Blood pressure before administering: It is important to assess the patient's baseline lung sounds, pulse rate, and blood pressure before administering Albuterol to monitor for any changes that may occur after administration. This is crucial in determining the effectiveness of the medication and detecting any potential side effects.