ATI Pharmacology

Correct Answer: D

Rationale: Metformin is known to potentially cause lactic acidosis, especially in patients with impaired renal function. Monitoring serum creatinine levels is essential for assessing kidney function and detecting any adverse effects of Metformin on renal health.

Correct Answer: C

Rationale: Dyspnea is a concerning finding in a client receiving Mannitol as it can be a manifestation of heart failure, an adverse effect of the medication. The nurse should report this to the provider promptly to ensure appropriate evaluation and management.

Correct Answer: A

Rationale: To maximize the effectiveness of nicotine gum, the client should avoid eating or drinking 15 minutes before and while using it. This helps ensure proper absorption of nicotine through the oral mucosa.

Correct Answer: D

Rationale: Butorphanol is an opioid agonist/antagonist that can precipitate withdrawal symptoms in opioid-dependent individuals. Symptoms of abstinence syndrome can include abdominal pain, fever, and anxiety. This occurs because butorphanol competes with and displaces opioid agonists from receptors, leading to withdrawal symptoms in opioid-dependent clients.

Correct Answer: D

Rationale: A urine output of 200 mL in 8 hours indicates decreased kidney function and potential worsening heart failure. This finding should be reported promptly to the provider for further evaluation and management to prevent complications.