ATI LPN
ATI Adult Medical Surgical Questions
Question 1 of 5
The nurse is administering sevelamer (RenaGel) during lunch to a client with end-stage renal disease (ESRD). The client asks the nurse to bring the medication later. The nurse should describe which action of RenaGel as an explanation for taking it with meals?
Correct Answer: B
Rationale: Sevelamer (RenaGel) binds with phosphorus in foods and prevents its absorption. By taking RenaGel with meals, the binding of phosphorus helps to reduce the phosphorus load absorbed from food, thus aiding in the management of hyperphosphatemia in clients with ESRD.
Question 2 of 5
A patient with bipolar disorder is prescribed valproic acid. What is an important side effect for the nurse to monitor?
Correct Answer: B
Rationale: The correct answer is B: Liver toxicity. Valproic acid is known to potentially cause liver toxicity. Monitoring liver function tests regularly in patients taking valproic acid is crucial to detect any signs of liver damage early and prevent serious complications.
Question 3 of 5
A patient with diabetes insipidus is prescribed desmopressin. What is the primary purpose of this medication?
Correct Answer: C
Rationale: Desmopressin is prescribed to decrease urine output in patients with diabetes insipidus. It works by increasing water reabsorption in the kidneys, helping to control fluid balance in the body.
Question 4 of 5
For a patient with asthma, what is the primary purpose of prescribing montelukast?
Correct Answer: B
Rationale: Montelukast, a leukotriene receptor antagonist, is primarily prescribed to prevent asthma attacks. It works by reducing inflammation and bronchoconstriction in the airways, thereby helping to control asthma symptoms and prevent exacerbations.
Question 5 of 5
A client with heart failure is prescribed furosemide (Lasix). Which instruction should the nurse include in the client's teaching plan?
Correct Answer: B
Rationale: In heart failure, fluid retention is a concern. Furosemide helps manage this by promoting diuresis. Instructing the client to report weight gain exceeding 2 pounds in a day is crucial as it can indicate fluid accumulation, prompting timely intervention to prevent worsening heart failure symptoms and complications.
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