ATI Pharmacology Proctored Exam 2023

Correct Answer: D

Rationale: When a client is prescribed Prednisone, monitoring serum glucose levels is essential. Prednisone, a corticosteroid, can lead to hyperglycemia. Therefore, regular monitoring of serum glucose helps in detecting and managing any potential hyperglycemic effects of the medication.

Correct Answer: C

Rationale: Regular insulin, also known as short-acting insulin, typically exhibits a peak effect around 1 to 5 hours following administration. This rapid onset and peak effect make it suitable for managing postprandial glucose levels. In contrast, Insulin glargine is a long-acting insulin with no pronounced peak effect, NPH insulin has an intermediate duration of action, and Insulin lispro is a rapid-acting insulin that peaks within 30 minutes to 2.5 hours after administration.

Correct Answer: C

Rationale: The nurse should monitor the aPTT (activated partial thromboplastin time) when caring for a client receiving Heparin therapy. The aPTT reflects the intrinsic pathway of the clotting cascade and is used to monitor the effectiveness of heparin, which primarily affects this pathway by potentiating antithrombin III. Monitoring the aPTT helps ensure that the client's blood is within the therapeutic range to prevent thrombus formation.

Correct Answer: A

Rationale: St. John's wort should be avoided by clients taking Warfarin as it can reduce the medication's effectiveness. The nurse should also advise the client to avoid other supplements that may interact with Warfarin, such as garlic and ginseng.

Correct Answer: B

Rationale: Hot flashes are a common adverse effect associated with raloxifene therapy. Therefore, the nurse should instruct the client to monitor for hot flashes as part of the medication education.