ATI CAPSTONE PHARMACOLOGY ASSESSMENT 2 2019
/NGN QUESTIONS WITH 100% CORRECT ANSWERS AND
RATIONALES/LATEST UPDATE 2024-2025/ALREADY
GRADED A+
CAPSTONE PHARMACOLOGY 2
1. A caregiver is caring for a patient who reports using the herbal medication
garlic along with prescribed warfarin. The caregiver should identify that which
of the following is a potential adverse effect of taking both of these products
concurrently?
• Altered renal perfusion
• Elevated blood pressure
• Increased ecchymosis
RATIONALE:- The caregiver should identify that ecchymosis occurs
when there is bleeding under the skin. Additionally, the caregiver should
recognize that, garlic has
antiplatelets effects that can result in bleeding. When taken concurrently
with an anticoagulant, such as warfarin, there is an increased risk for
bleeding.
2. A caregiver is providing teaching t a patient who is starting to take
aspirin. The caregiver should instruct the patient to monitor for which of the
,following findings as an adverse effect of this medication?
• Black, tarry stools-
RATIONALE:- A patient who takes aspirin can have an increased risk
for bleeding because aspirin suppresses platelet aggregation. The
caregiver should instruct the patient to monitor for and report indications
of bleeding, such as bruising, petechiae, and blood in
stools or urine.
• Nystagmus
• Dry mouth
3. A caregiver is caring for a patient who has an infection and is starting to take
gentamicin. Which of the following patient laboratory tests should the caregiver
monitor to detect an adverse effect of the medication?
• B-type natriuretic peptide (BNP)
• Creatinine –
RATIONALE:- The caregiver should monitor creatinine, BUN and
urine output for a patient who is receiving gentamicin, and
aminoglycoside antibiotic. Gentamicin is an aminoglycoside
that has both nephrotoxic and ototoxic adverse effects.
• Amylase level
4. A caregiver is assessing a patient who has diabetes insipidus and is starting
intranasal
, desmopressin. Which of the following findings should indicate to the caregiver
that medication is effective?
• The patient has clear mucus
• The patient’s 24 hr urine output is 1.256 mL –
RATIONALE:- Desmopressin is effective for the treatment of diabetes
insipidus, a disorder of the posterior pituitary gland in which large
amount
of dilute urine are produced due to a deficiency in vasopressin. The action
of desmopressin causes reabsorption of water and a decrease in urine
volume. A urine output of 1.256 mL over 24 hr is within the expected
reference range and indicates the medication is effective.
5. A caregiver is assessing a patient who has a prescription for haloperidol 0.5
mg PO three times daily. The medication administration record shows that the
patient received 5 mg per dose on the previous day. Which of the following
manifestations is the caregiver’s priority to assess?
• Muscle stiffness –
RATIONALE:- The caregiver should recognize that the greatest risk to
the patient is developing neuroleptic malignant syndrome, and adverse
reaction to haloperidol that is potentially fatal if not treated promptly.
Manifestations of neuroleptic malignant
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