Review ATI PN Custom Pharmacology Cohert 6 Mid term Remidiation Cloned Assessment 1

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ATI PN Custom Pharmacology Cohert 6 Mid term Remidiation Cloned Assessment 1

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Total Questions : 45

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Question 1:

A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene.
Which of the following client statements indicates an understanding of the teaching?.

A. "I should take this medication when my spasms are bad.”. B. "I need to notify my provider if I don't get some relief from my muscle spasms within 3 months.”. C. "I am glad this medication is safe to take if I get pregnant.”. D. "I should return to the clinic to have my calcium level checked every 6 weeks.”.

Answer and Explanation

Choice A:

Dantrolene is a muscle relaxant used for relief of cramping, spasms, and tightness of muscles caused by multiple sclerosis. So, it should be taken regularly, not just when spasms are bad.

Choice B:

While it’s important to communicate with the healthcare provider about the effectiveness of the medication, three months is a long time to wait without relief. The timeline should be discussed with the healthcare provider.

Choice C:

The safety of dantrolene during pregnancy is not explicitly stated in the sources. It’s crucial to consult with a healthcare provider about this.

Choice D:

There’s no specific mention of needing to check calcium levels while on dantrolene. Regular follow-ups for overall health monitoring are necessary, but this statement is not directly related to dantrolene use. So, the correct answer is A.

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Question 2:

A nurse is preparing to administer lurasidone 120 mg PO for a client who has schizophrenia.

Available is lurasidone 40 mg tablets.

How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number.

Use a leading zero if it applies.

Do not use a trailing zero.).

Answer and Explanation

Correct Answer: "3 tablets." tablets

Explanation

Step 1 is: Divide the total dosage needed (120 mg) by the strength of each tablet (40 mg). So, 120 mg ÷ 40 mg/tablet = 3 tablets.
So, the correct answer is3 tablets.

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Question 3:

A nurse is reinforcing teaching with a client who has Parkinson's disease.
The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa.
Which of the following foods should the nurse recommend the client take with the medication?.

A. 1 cup (8oz) plain low-fat yogurt. B. 1 cup (8oz) of applesauce. C. 1 cup (8 oz) cooked spinach. D. 1 oz of cheddar cheese.

Answer and Explanation

Choice A:

1 cup (8oz) plain low-fat yogurt. This is incorrect choice. Yogurt is a high-protein food that can increase nausea and reduce the absorption of levodopa/carbidopa. According to the American Parkinson Disease Association, taking levodopa/carbidopa with a small, low-protein snack can help with nausea symptoms.

Choice B:

1 cup (8oz) of applesauce. This is a correct choice. Applesauce is a low-protein, low-fiber food that can help reduce nausea and improve the absorption of levodopa/carbidopa. According to Drugs.com, taking levodopa/carbidopa with foods that have a high fiber content can delay the drug’s absorption into the body. Applesauce also contains natural sugars that can provide some energy and hydration to the client.

Choice C:

1 cup (8 oz) cooked spinach. This is an incorrect choice. Spinach is a high-protein, high-fiber food that can increase nausea and decrease the absorption of levodopa/carbidopa. According to the Parkinson’s Foundation3, dietary protein can interfere with the absorption of levodopa by competing with the same transporter in the gut and the brain. High-fiber foods can also slow down the gastric emptying and reduce the drug’s availability.

Choice D:

1 oz of cheddar cheese. This is an incorrect choice. Cheese is a high-protein, high-fat food that can increase nausea and decrease the absorption of levodopa/carbidopa. According to the Parkinson’s Foundation, dietary protein can interfere with the absorption of levodopa by competing with the same transporter in the gut and the brain. High-fat foods can also delay the gastric emptying and reduce the drug’s availability.

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Question 4:

A nurse is caring for a client who states, "I am not going to take my medication anymore.”. Which of the following responses should the nurse make?.

A. "Why don't you want to take the medication?". B. "I always do what the doctor tells me to do.”. C. "Tell me more about this decision.”. D. "You won't get better unless you take the medication.”.

Answer and Explanation

Choice A:

Asking “Why don’t you want to take the medication?” can help the nurse understand the client’s concerns or fears about the medication. However, it may come across as confrontational.

Choice B:

Saying “I always do what the doctor tells me to do” does not address the client’s concerns and imposes the nurse’s personal beliefs on the client.

Choice C:

Asking “Tell me more about this decision” is an open-ended question that encourages the client to express their feelings and concerns, allowing the nurse to provide appropriate education and support.

Choice D:

Telling the client “You won’t get better unless you take the medication” is a threatening statement that does not respect the client’s autonomy or feelings. So, the correct answer is C, “Tell me more about this decision.”.

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Question 5:

A nurse is preparing to administer phenytoin 75 mg PO. Available is phenytoin suspension 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number.

Use a leading zero if it applies.

Do not use a trailing zero.

Answer and Explanation

Correct Answer: "So"," the correct answer is 15 mL." mL

Explanation

Step 1 is to determine how many milligrams are in each milliliter of the suspension. This is done by dividing the total milligrams by the total milliliters: 25 mg ÷ 5 mL = 5 mg/mL. Step 2 is to determine how many milliliters are needed to administer 75 mg. This is done by dividing the desired milligrams by the milligrams per milliliter: 75 mg ÷ 5 mg/mL = 15 mL.

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Question 6:

A nurse is preparing to administer 0.9% sodium chloride 1 L IV to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.

Use a leading zero if it applies.

Do not use a trailing zero.

Answer and Explanation

Correct Answer: "So"," the correct answer is 31 gtt\/min."

Explanation

Step 1 is to determine the total volume to be infused in minutes. This is done by multiplying the total volume by the drop factor: (1000 mL ÷ 480 min) × 15 gtt/mL = 31.25 gtt/min.

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Question 7:

A nurse is reinforcing teaching with a client who has a new prescription for phenytoin.
The nurse should recognize that which of the following statements by the client indicates a need for further teaching?.

A. "I will notify my provider before taking any other medications.”. B. "I have made an appointment to see my dentist next week.”. C. "I'll be glad when my seizures stop so I can quit taking this medicine.”. D. "I will take this medication with meals.”.

Answer and Explanation

Choice A:

The client should indeed notify their provider before taking any other medications, as phenytoin can interact with many other drugs. This statement does not indicate a need for further teaching.

Choice B:

Regular dental appointments are important as phenytoin can cause gum hyperplasia. This statement does not indicate a need for further teaching.

Choice C:

This statement indicates a misunderstanding. Phenytoin is used to control seizures, not cure them. The client should not stop taking the medication when their seizures stop.

Choice D:

Phenytoin can be taken with or without food, but it should be taken consistently in the same manner. This statement does not indicate a need for further teaching. So, the correct answer is C, after analyzing all choices.

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Question 8:

A nurse is administering risperidone to a client who has schizophrenia.
For which of the following adverse effects should the nurse monitor?.

A. Increased triglyceride level. B. Weight loss. C. Elevated blood pressure. D. Decreased blood glucose level.

Answer and Explanation

Choice A:

Risperidone can indeed increase triglyceride levels. The nurse should monitor this.

Choice B:

Risperidone is more likely to cause weight gain, not weight loss. This is not a common adverse effect.

Choice C:

Risperidone does not typically elevate blood pressure. This is not a common adverse effect.

Choice D:

Risperidone does not typically decrease blood glucose levels. This is not a common adverse effect. So, the correct answer is A, after analyzing all choices.

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Question 9:

A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder.
Which of the following instructions should the nurse include?.

A. Limit fluid intake to 800 ounces per day while taking this medication. B. Take the medication on an empty stomach. C. Wait up to 3 weeks to see the full effects of the medication. D. Follow a low-sodium diet.

Answer and Explanation

Choice A:

The client should maintain a normal fluid intake while taking lithium, not limit it to 800 ounces per day.

Choice B:

Lithium can be taken with or without food. This instruction is not necessary.

Choice C:

It can indeed take up to 3 weeks to see the full effects of lithium. This is a correct instruction.

Choice D:

The client should maintain a normal sodium diet while taking lithium, not a low-sodium diet. So, the correct answer is C, after analyzing all choices.

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Question 10:

A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder.
Which of the following instructions should the nurse include when reinforcing the teaching?.

A. Withhold dose if having a fine hand tremor. B. Avoid foods with a high tyramine content. C. Limit daily fluid intake. D. Follow a low-sodium diet.

Answer and Explanation

Choice A:

Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a common side effect of lithium, but they can be managed by adjusting the dose.

Choice B:

Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary restriction is typically associated with certain antidepressants, not lithium.

Choice C:

Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s important to maintain adequate hydration.

Choice D:

Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in your blood, so it’s important to consume a steady amount every day. So, the correct answer is, none of the above.

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