Proctored Pharmacology ATI

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A client has a prescription for Desmopressin for the treatment of Diabetes Insipidus. Which of the following instructions should the nurse include in the teaching?

  • A. Decrease fluid intake at the start of treatment.
  • B. Monitor for nocturia.
  • C. Report a weight loss of 0.5 kg (1.1 lb) per week.
  • D. Expect permanent polyuria with this medication.
Correct Answer: A

Rationale: Desmopressin is a medication used to reduce diuresis in clients with diabetes insipidus. To prevent water intoxication, clients should be advised to decrease fluid intake at the beginning of treatment. This instruction helps to balance fluid levels in the body and prevent potential complications associated with excessive fluid intake while on Desmopressin therapy. Monitoring for signs of fluid retention, such as weight gain, and adjusting fluid intake accordingly are essential components of client education when initiating treatment with Desmopressin.

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

  • A. Take the medication in the morning.
  • B. Increase your intake of potassium-rich foods.
  • C. Expect your urine to turn orange.
  • D. Avoid prolonged sunlight exposure.
Correct Answer: B

Rationale: Furosemide is a loop diuretic that can lead to hypokalemia (low potassium levels) due to increased excretion of potassium in the urine. To counteract this effect and maintain electrolyte balance, the client should be advised to increase their intake of potassium-rich foods. This instruction helps prevent potential complications associated with low potassium levels.

A client in a coronary care unit is being admitted after CPR post cardiac arrest. The client is receiving IV lidocaine at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?

  • A. Prevents dysrhythmias
  • B. Slows intestinal motility
  • C. Dissolves blood clots
  • D. Relieves pain
Correct Answer: A

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

A client is taking Warfarin for atrial fibrillation. Which of the following client statements indicates a need for further teaching?

  • A. I will avoid eating broccoli.
  • B. I will use an electric razor to shave.
  • C. I will take aspirin for headaches.
  • D. I will have my blood tested regularly.
Correct Answer: C

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

A client has a prescription for hydrochlorothiazide to treat hypertension. The nurse should monitor the client for which of the following adverse effects?

  • A. Hypokalemia
  • B. Hypertension
  • C. Hyperglycemia
  • D. Hypercalcemia
Correct Answer: A

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

A client with Depression has a new prescription for Venlafaxine. For which of the following adverse effects should the nurse monitor this client? (Select all that apply)

  • A. Cough
  • B. Dizziness
  • C. Decreased libido
  • D. B and C
Correct Answer: D

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

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