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Ati RN capstone pharmacology 1 .(benchmark)

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Total Questions : 50

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Question 1:

Client still reporting irritability, but denies any fatigue. Current able to get approximately 7-8 hours of sleep at night.

5 weeks ago:

Temperature 37.8° C (100° F)

Heart rate 120/min

Respiratory rate 18/min

Blood pressure 118/85 mm Hg.

Oxygen saturation 98% on room air

Weight 53 kg (117 lb)

Today:

Temperature 37.2° C (99° F)

Heart rate 95/min

Respiratory rate 16/min

Blood pressure 114/79 mm Hg.

Oxygen saturation 97% on room air

Weight 56 kg (123 lb)

A nurse is caring for a client in a clinic.

Exhibits
Select the 4 findings that indicate an Improvement in the client's condition.

Answer and Explanation

A
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Question 2:

Client presented with generalized body swelling and difficulty breathing that has progressively worsened over the last 3 days. Currently has difficulty breathing at rest with associated easy fatigability.

Heart failure for the last 3 years

Hypertension for 5 years

Hyperlipidaemia for 5 years

1230:

Furosemide 80 mg IV bolus stat

Furosemide 10 mg/hr IV infusion

A nurse is caring for a client in the emergency department.

Exhibits
Select words from the choices below to fill in each blank in the following sentence.

The client is at risk for developing 

and

 

Answer and Explanation

Explanation

Hypokalemia: The client is receiving high-dose furosemide, a loop diuretic, which promotes significant excretion of potassium in urine. This puts the client at high risk for hypokalemia, which can cause muscle weakness, arrhythmias, and fatigue—especially dangerous in someone with heart failure.
Hypotension: Furosemide also causes fluid volume loss, which can lead to decreased blood pressure. This client already shows signs of fluid overload, and rapid diuresis could result in hypotension, especially in an older adult or one with compromised cardiovascular status.
Rationale for Incorrect Options:
• Hypoglycemia: Furosemide does not typically cause low blood glucose.
• Hypercalcemia: Loop diuretics like furosemide actually cause calcium loss, so hypocalcemia, not hypercalcemia, is a more likely risk.
• Hypernatremia: While possible with dehydration, hyponatremia is actually more common with diuretics due to water loss exceeding sodium loss.


A
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Question 3:

A nurse is providing teaching to a client who has a new prescription for folic acid. The client states, "I thought that was only given during pregnancy." Which of the following statements should the nurse make?

Answer and Explanation

A
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Question 4:

A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting to take immediate-release exenatide. Which of the following client statements indicates an understanding of the teaching?

Answer and Explanation

A
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Question 5:

A nurse is reviewing the health history of a client who experiences migraine headaches and has asked about a prescription for sumatriptan. Which of the following conditions should the nurse identify as a contraindication for taking sumatriptan?

Answer and Explanation

A
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Question 6:

A nurse is teaching a client who has a new prescription for benzonatate. Which of the following statements by the client indicates an understanding of the teaching?

Answer and Explanation

A
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Question 7:

A nurse is preparing to administer mannitol IV to a client. The nurse should monitor the client for which of the following manifestations as an expected outcome of this medication?

Answer and Explanation

A
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Question 8:

A nurse is caring for a client who has a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider?

Answer and Explanation

A
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Question 9:

A nurse is providing teaching to a client who has a new prescription for methimazole for the treatment of hyperthyroidism. Which of the following statements by the client indicates an understanding of the teaching?

Answer and Explanation

A
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Question 10:

A nurse is caring for a client who has benign prostate hyperplasia (BPH) and a new prescription for doxazosin IR. Which of the following actions should the nurse plan to take first?

Answer and Explanation

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