ATI Pharmacology

Correct Answer: D

Rationale: Orthostatic hypotension is a common adverse effect of antihypertensive medications. The client should move slowly to a sitting or standing position and should be taught to sit or lie down if lightheadedness or dizziness occurs.

Correct Answer: A

Rationale: To verify trough levels of a medication, the healthcare professional should obtain a blood specimen immediately before administering the next dose of medication. This timing ensures an accurate representation of the medication's lowest concentration in the bloodstream, which is crucial for therapeutic monitoring and dose adjustments.

Correct Answer: A

Rationale: The correct answer is A: Tinnitus. The healthcare provider should instruct the client to report tinnitus, as it can be an indication of ototoxicity, an adverse effect associated with cisplatin therapy. Ototoxicity is damage to the inner ear structures that can lead to hearing loss, making it crucial for the client to report any early signs such as tinnitus to prevent further complications.

Correct Answer: B

Rationale: Avoiding grapefruit juice is crucial when taking Simvastatin because grapefruit juice can increase the blood levels of the medication. This elevation in drug levels can potentiate the side effects of Simvastatin, such as muscle pain and liver damage. It is essential for the client to be aware of this interaction to prevent potential harm and ensure the effectiveness of the medication.

Correct Answer: A

Rationale: It is important for the nurse to educate the client about the increased risk for a myocardial infarction when taking Celecoxib due to its effect on suppressing vasodilation, which can lead to this adverse cardiovascular event. Monitoring for signs of heart issues and discussing the importance of seeking prompt medical attention if symptoms occur is crucial in the patient's education.