ATI LPN Pharmacology 2023

ATI LPN Pharmacology 2023 Related

Review ATI LPN Pharmacology 2023 related questions and content

Nurses' Notes
Plan of Care
Provider Prescriptions
Vital Signs
6 months ago:
The client was diagnosed with epilepsy during childhood. The client reports not having seizures for 2 years. The client has weaned off all seizure medications. The client was informed to return to the office for a follow-up in 6 months and to call the office if seizure activity resumes.
Today:
The client reports having a seizure this morning. Provider aware and new prescription obtained.

Click to highlight the findings that require immediate follow-up as contraindications to the prescribed prescription (phenytoin).

  • A. Client reports having three to four alcoholic beverages a couple times per week.
  • B. Last bowel movement was 3 days ago
  • C. Last menstrual period was 3 months ago
  • D. Client takes diazepam as needed for anxiety.
Correct Answer: A,C

Rationale: First, Step 1: The prescribed medication is phenytoin, an antiepileptic drug. Step 2: Alcohol consumption can interact with phenytoin, causing increased sedation and affecting liver function. Therefore, client reporting alcohol intake requires immediate follow-up. Step 3: (0,0,1,0) Phenytoin can also affect menstrual cycles, so the client's last menstrual period being 3 months ago is a potential contraindication that needs follow-up. Step 4: (0,1,0,0) Last bowel movement being 3 days ago is not directly related to phenytoin use. Step 5: (0,0,0,1) Diazepam for anxiety is not a direct contraindication to phenytoin use. Therefore, choices A and C are correct as they indicate potential issues requiring immediate attention, while choices B and D do not

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A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?

  • A. Coagulation studies
  • B. Thyroid levels
  • C. Complete blood count
  • D. Serum electrolyte levels
Correct Answer: D

Rationale: The correct answer is D: Serum electrolyte levels. Hydrochlorothiazide is a diuretic that can lead to electrolyte imbalances, such as hypokalemia and hyponatremia. Monitoring serum electrolyte levels is crucial to prevent complications like arrhythmias. Coagulation studies (A) are not typically affected by hydrochlorothiazide. Thyroid levels (B) are unrelated to this medication. Complete blood count (C) is not directly impacted by hydrochlorothiazide. Thus, evaluating serum electrolyte levels is the most relevant and essential assessment in this scenario.

A nurse in a mental health facility is collecting data from a client taking lithium. Which of the following information should the nurse report to the provider as an indication of lithium toxicity?

  • A. Dry cough
  • B. Elevated blood pressure
  • C. Stooped posture
  • D. Slurred speech
Correct Answer: D

Rationale: The correct answer is D: Slurred speech. Lithium toxicity can manifest as neurological symptoms such as slurred speech due to its effects on the central nervous system. A dry cough (A) is not typically associated with lithium toxicity. Elevated blood pressure (B) may be a sign of other conditions but is not specific to lithium toxicity. Stooped posture (C) is more indicative of musculoskeletal issues rather than lithium toxicity. In summary, slurred speech is a key neurological symptom of lithium toxicity, making it the correct choice in this scenario.

A nurse is preparing to administer vaccines to an 11-year-old child who is up to date on immunizations. Which of the following vaccines should the nurse plan to administer?

  • A. Quadrivalent human papillomavirus
  • B. Rotavirus
  • C. Pneumococcal conjugate
  • D. Hepatitis B
Correct Answer: A

Rationale: The correct answer is A: Quadrivalent human papillomavirus vaccine. At age 11, the child should receive the HPV vaccine as part of routine immunization. HPV vaccination is recommended for both males and females at this age to prevent HPV-related cancers and diseases. The other options are not typically given to a child who is up to date on immunizations at age 11. Rotavirus vaccine is usually given in infancy, pneumococcal conjugate vaccine is given earlier in childhood, and hepatitis B vaccine is typically administered shortly after birth and during infancy. Therefore, the HPV vaccine is the appropriate choice for this scenario.

A nurse is caring for a client who is receiving treatment for chronic alcohol use disorder. Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?

  • A. Carbamazepine
  • B. Disulfiram
  • C. Atenolol
  • D. Lorazepam
Correct Answer: B

Rationale: The correct answer is B: Disulfiram. Disulfiram is used in aversion therapy for alcohol use disorder by causing unpleasant effects like nausea, vomiting, and flushing when alcohol is consumed. This helps deter the client from drinking. Carbamazepine (A) is used for seizures, mood disorders, and neuropathic pain, not specifically for aversion therapy. Atenolol (C) is a beta-blocker used for hypertension and not for aversion therapy. Lorazepam (D) is a benzodiazepine used for anxiety and not for aversion therapy.

A nurse is preparing to administer 17,000 units heparin subcutaneously. Available is heparin 20,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if applicable. Do not use a trailing zero.)

  • A. 0.85
Correct Answer: A

Rationale: To calculate the mL of heparin needed, use the formula: Amount needed (17,000 units) ÷ Concentration of heparin (20,000 units/mL) = mL to administer. 17,000 ÷ 20,000 = 0.85 mL (Round to the nearest hundredth). Therefore, the correct answer is A (0.85 mL). Other choices are incorrect as they do not result from the correct calculation.

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