ATI Pharmacology Quizlet

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A healthcare professional is reviewing the medication administration record for a client who is receiving transdermal Fentanyl for severe pain. Which of the following medications should the healthcare professional expect to cause an adverse effect when administered concurrently with Fentanyl?

  • A. Ampicillin
  • B. Diazepam
  • C. Furosemide
  • D. Prednisone
Correct Answer: B

Rationale: Diazepam, a CNS depressant, can interact with Fentanyl causing severe sedation when administered concurrently. This is due to the additive central nervous system depressant effects of both medications, which can lead to excessive sedation, respiratory depression, and other serious adverse effects. Therefore, healthcare professionals need to monitor clients closely for signs of excessive sedation or respiratory depression when administering these medications together.

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A healthcare provider is administering a Dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication?

  • A. Lowered heart rate
  • B. Increased myocardial contractility
  • C. Decreased conduction through the AV node
  • D. Vasoconstriction of renal blood vessels
Correct Answer: B

Rationale: Dopamine, when administered at a low dose, acts on beta1 receptors in the heart, leading to increased myocardial contractility. This positive inotropic effect results in improved cardiac output, which is beneficial for a client with severe heart failure. Dopamine does not typically cause lowered heart rate, decreased conduction through the AV node, or vasoconstriction of renal blood vessels at low doses.

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

  • A. Take the medication with an antacid.
  • B. Avoid drinking coffee while taking this medication.
  • C. Take the medication at bedtime.
  • D. Stop the medication if you develop a headache.
Correct Answer: C

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

A client is being educated about Fluticasone for treating Perennial Rhinitis. Which statement by the client indicates an understanding of the teaching?

  • A. I should use the spray every 4 hours while I am awake.
  • B. It can take as long as 3 weeks before the medication takes maximum effect.
  • C. This medication can also be used to treat motion sickness.
  • D. I can use this medication when my nasal passages are blocked.
Correct Answer: B

Rationale: Correct! While the client may experience some benefits of Fluticasone within a few hours, the maximum effects may not be seen until up to 3 weeks of consistent use. This understanding is important to manage expectations and ensure the client uses the medication effectively for the treatment of Perennial Rhinitis.

A client has a new prescription for Metoprolol to treat hypertension. Which of the following instructions should the nurse include?

  • A. Stop taking the medication if your heart rate is below 70/min.
  • B. Take the medication with food.
  • C. Avoid sudden changes in position.
  • D. Limit your sodium intake while taking this medication.
Correct Answer: C

Rationale: The correct instruction for a client taking Metoprolol, a medication used to treat hypertension, is to avoid sudden changes in position. Metoprolol can cause orthostatic hypotension, a sudden drop in blood pressure when moving from lying down to standing up, leading to dizziness and falls. By advising the client to change positions slowly, the nurse helps prevent these adverse effects and promotes safety.

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

  • A. Take the medication with an antacid.
  • B. Avoid drinking coffee while taking this medication.
  • C. Take the medication at bedtime.
  • D. Stop the medication if you develop a headache.
Correct Answer: C

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

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