ATI Pharmacology Practice Version 2 | LATEST, Questions and Answers
1. A nurse is teaching a client who is to start taking Diltiazem. The nurse should instruct the client to report which of the following findings as a
...
ATI Pharmacology Practice Version 2 | LATEST, Questions and Answers
1. A nurse is teaching a client who is to start taking Diltiazem. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?
-Blurred vision
The client who is taking diltiazem, a calcium channel blocker, has no visional adverse effects. Digoxin can have non-cardiac signs of toxicity, which can include blurred or yellow vision, nausea, vomiting, anorexia, and fatigue.
-Shortness of breath = CORRECT ANSWER
The client who is taking diltiazem, a calcium channel blocker, can experience shortness of breath as an adverse effect and should report the finding to the provider immediately.
-Muscle twitching
The client who is taking diltiazem, a calcium channel blocker, can have weakness, insomnia, tremors and paresthesia but not muscle twitching, which may indicate the client has hyponatremia.
-Dry cough
The client who is taking diltiazem, a calcium channel blocker, can have adverse effects of rhinitis, dyspnea, and pharyngitis. A cough is an adverse effect of an ACE inhibitor.
2. A nurse is providing teaching to a client who has a prescription for a MAOI inhibitor. Which of the following foods should the nurse instruct the client to avoid while taking this medication?
-Smoked sausage = CORRECT ANSWER
The nurse should instruct the client to avoid eating smoked sausage because it contains tyramine. Tyramine can interact with MAOIs and result in hypertensive crisis.
-Cottage cheese
The nurse should inform the client that it is safe to eat cottage cheese, which contains little to no tyramine, when taking MAOI medications.
-Green beans
The nurse should inform the client that it is safe to eat green beans, which contain little to no tyramine, when taking MAOI medications.
-Apple pie
The nurse should inform the client that it is safe to eat apple pie, which contains little to no tyramine, when taking MAOI medications.
3. A nurse is providing teaching to a client who is to start taking Lisinopril. Which of the following findings is an adverse effect that the nurse should instruct the client to monitor and report to the provider?
-Hair loss
Alopecia, or hair loss, is not an adverse effect of lisinopril.
-Ringing in the ears
Tinnitus, or ringing in the ears, is not an adverse effect of lisinopril.
-Facial flushing
Facial flushing is not an adverse effect of lisinopril. However, facial edema is a serious effect that the client should report to the provider.
-Dry cough = CORRECT ANSWER
A buildup of bradykinin from taking lisinopril can cause a client to have a dry cough and lead to life-threatening consequences. The client should report the finding to the provider.
4. A nurse is providing teaching to a client who is to start taking Sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider?
-Chest pressure
Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The client should report chest pressure or heavy arms to the provider.
-White patches on the tongue
White patches on the tongue can indicate a fungal infection, which is not an adverse effect of sumatriptan.
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