ATI Pharmacology Proctored Exam 2019

ATI Pharmacology Proctored Exam 2019 Related

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A client has a new prescription for a Nitroglycerin transdermal patch. Which of the following instructions should the nurse include?

  • A. Apply the patch to the same site each day.
  • B. Remove the patch at night.
  • C. Cover the patch with a heating pad.
  • D. Apply the patch to a hairless area of skin.
Correct Answer: D

Rationale: The correct instruction is to apply the Nitroglycerin transdermal patch to a hairless area of skin. This ensures proper absorption of the medication. It is important to rotate the application site daily to prevent skin irritation and tolerance development. Applying the patch to the same site each day can lead to decreased efficacy and potential skin reactions. Removing the patch at night is not necessary as the patches are usually worn continuously to provide constant medication delivery. Covering the patch with a heating pad can increase the absorption of the medication and lead to an overdose, which is not recommended.

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A healthcare professional in an emergency unit is reviewing the medical record of a client who is being evaluated for angle-closure glaucoma. Which of the following findings are indicative of this condition?

  • A. Insidious onset of painless loss of vision
  • B. Gradual reduction in peripheral vision
  • C. Severe pain around eyes
  • D. Intraocular pressure 12 mm Hg
Correct Answer: C

Rationale: Severe pain around the eyes that radiates over the face is a classic symptom of acute angle-closure glaucoma. This intense pain is often associated with other symptoms such as blurred vision, halos around lights, redness in the eye, and sometimes nausea and vomiting. Immediate medical attention is required to prevent permanent vision loss.

A client is starting therapy with docetaxel. Which of the following findings should the nurse instruct the client to report?

  • A. Flushing
  • B. Dyspnea
  • C. Hyperglycemia
  • D. Tinnitus
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

When starting amitriptyline, a client should be instructed to monitor for which of the following adverse effects?

  • A. Diarrhea
  • B. Urinary retention
  • C. Bradycardia
  • D. Dry cough
Correct Answer: B

Rationale: When a client starts taking amitriptyline, an important adverse effect to monitor for is urinary retention. Amitriptyline is a tricyclic antidepressant that can cause anticholinergic effects, including urinary retention. It is crucial to educate the client on recognizing and reporting this adverse effect to their healthcare provider.

A client has a prescription for furosemide. Which of the following instructions should the nurse include?

  • A. Take furosemide in the morning.
  • B. Eat a diet high in potassium.
  • C. Avoid foods high in magnesium.
  • D. Limit fluid intake to 1 liter per day.
Correct Answer: B

Rationale: The correct instruction for a client taking furosemide is to eat a diet high in potassium. Furosemide is a loop diuretic that can lead to potassium loss, potentially causing hypokalemia. Consuming foods rich in potassium can help maintain normal potassium levels in the body and counteract the potential side effect of furosemide.

A client has a new prescription for Digoxin for heart failure. Which of the following adverse effects should the client monitor for and report to the provider?

  • A. Dry cough
  • B. Pedal edema
  • C. Bruising
  • D. Yellow-tinged vision
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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