Proctored Pharmacology ATI

Correct Answer: B

Rationale: Grapefruit juice affects carbamazepine metabolism and should be avoided. It can lead to increased levels of the medication, potentially causing toxicity. Monitoring carbamazepine blood levels and the complete blood count (CBC) is essential to ensure the medication's efficacy and safety. Carbamazepine can cause serious adverse effects like Stevens-Johnson syndrome, which can be life-threatening. Therefore, the client should promptly report any rash to the healthcare provider. Additionally, the client should be educated about potential central nervous system (CNS) side effects such as drowsiness or dizziness, and advised to avoid activities requiring alertness until these effects diminish.

Correct Answer: B

Rationale: Nitroglycerin patches should be removed for 12 hours each day to prevent the development of tolerance. This nitrate-free interval ensures the medication remains effective in managing angina.

Correct Answer: C

Rationale: Monitoring blood pressure regularly is crucial for clients taking Losartan, an angiotensin II receptor blocker, to ensure effective management of hypertension. This medication works to dilate blood vessels, lowering blood pressure, so monitoring is essential to assess its effectiveness.

Correct Answer: A

Rationale: Protamine sulfate is the antidote for Heparin. Heparin is an anticoagulant used to prevent blood clotting. Protamine sulfate works by binding to heparin, neutralizing its anticoagulant effects. Vitamin K is not the antidote for Heparin; it is used to reverse the effects of warfarin, another type of anticoagulant. Naloxone is an opioid antagonist used to reverse the effects of opioids, and Toradol is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief.

Correct Answer: A

Rationale: Bradycardia is a common adverse effect of Beta Blockers due to their mechanism of action in slowing down the heart rate. Clients taking Beta Blockers should be monitored for signs of bradycardia, such as a slow heart rate, dizziness, or fainting. Monitoring for this adverse effect is crucial to prevent potential complications and ensure client safety.