ATI Pharmacology Proctored Exam 2023

Correct Answer: A

Rationale: Losartan, an angiotensin II receptor blocker (ARB), can cause hyperkalemia. The nurse should monitor the client's serum potassium levels closely because Losartan can increase potassium levels, potentially leading to serious complications such as arrhythmias.

Correct Answer: B

Rationale: Atenolol is a beta-blocker that can cause bradycardia, leading to a decreased heart rate. Monitoring heart rate regularly is essential to detect any significant decreases promptly and seek medical attention. While other choices may be relevant to the client's overall health, monitoring heart rate is the priority instruction due to the nature of Atenolol's effects.

Correct Answer: C

Rationale: The correct instruction for a client prescribed Verapamil is to avoid drinking grapefruit juice. Grapefruit juice can inhibit the metabolism of Verapamil, leading to increased blood levels of the medication. This can result in a higher risk of adverse effects, such as hypotension and bradycardia. Therefore, it is essential for the client to avoid grapefruit juice while taking Verapamil to prevent potential complications.

Correct Answer: D

Rationale: Duloxetine is a serotonin-norepinephrine reuptake inhibitor commonly used to manage fibromyalgia. It helps in reducing pain and improving mood in individuals with this condition. Additionally, duloxetine is also utilized in treating depression and diabetic peripheral neuropathy.

Correct Answer: D

Rationale: Prednisone is a corticosteroid that can cause hyperglycemia. The nurse should monitor the client's serum glucose levels closely to assess for elevated blood sugar levels.