ATI Pharmacology Proctored Exam 2019

Correct Answer: B

Rationale: The nurse should instruct the client to report fever as it can be an indication of an infection, which is a potential complication of rituximab therapy. Monitoring for fever is crucial to detect early signs of infection and prevent complications.

Correct Answer: D

Rationale: The correct instruction is to apply the Nitroglycerin transdermal patch to a hairless area of skin. This is important for proper absorption of the medication. Additionally, rotating the patch to different sites each day helps prevent skin irritation and ensures optimal therapeutic effect. Applying the patch to the same site each day can lead to skin irritation or tolerance development. Removing the patch at night is not necessary as the patch is typically worn continuously to provide a consistent level of medication. Covering the patch with a heating pad is contraindicated as it can increase drug absorption, potentially leading to adverse effects.

Correct Answer: C

Rationale: The correct answer is 'C: Sore throat.' Doxorubicin is known to have immunosuppressive effects, which can predispose the client to infections. A sore throat can be an early sign of infection, and prompt reporting to the healthcare provider is crucial to initiate appropriate interventions and prevent complications.

Correct Answer: B

Rationale: Metoclopramide, as a dopamine antagonist, is prescribed to treat nausea and increase gastric motility in clients with diabetic gastroparesis. By enhancing gastric emptying, it can alleviate symptoms such as bloating and nausea associated with gastroparesis.

Correct Answer: B

Rationale: Ciprofloxacin should not be taken with dairy products due to the interference of calcium with medication absorption. To ensure optimal effectiveness, the client should be advised to take Ciprofloxacin 1 hour before or 2 hours after consuming dairy products.