Proctored Pharmacology ATI

Correct Answer: A

Rationale: The nurse should check the client's vital signs first because nausea and weakness can be signs of digoxin toxicity. Vital signs can provide immediate information on the client's condition and help guide further interventions.

Correct Answer: C

Rationale: Propranolol undergoes extensive first-pass metabolism in the liver. When administered orally, propranolol is extensively metabolized by the liver before reaching systemic circulation, leading to reduced bioavailability. This process is known as first-pass hepatic metabolism, which significantly affects the drug's effectiveness and necessitates higher oral doses compared to other routes of administration.

Correct Answer: D

Rationale: Dizziness and decreased libido are common adverse effects of Venlafaxine. Cough and alopecia are not typical side effects of this medication.

Correct Answer: A

Rationale: An INR of 4.0 indicates that the client's blood is clotting too slowly, increasing the risk of bleeding. This level is above the therapeutic range for a client on Warfarin therapy. Therefore, the healthcare professional should notify the provider immediately to prevent potential bleeding complications.

Correct Answer: C

Rationale: The correct answer is 'C: Eye damage.' Eye damage, such as retinopathy, is a severe adverse effect of Hydroxychloroquine, and clients should be informed to report any changes in vision immediately to prevent permanent visual impairment.