LPN Pharmacology Assessment A

Questions 52

ATI LPN

ATI LPN Test Bank

LPN Pharmacology Assessment A Questions

Question 1 of 5

The nurse is caring for a client who has undergone a coronary artery bypass graft (CABG) surgery. Which action should the nurse take to prevent postoperative complications?

Correct Answer: A

Rationale: Encouraging the client to cough and deep breathe every 1 to 2 hours is crucial post-CABG surgery to prevent respiratory complications, such as atelectasis and pneumonia. These actions help to expand lung volume, clear secretions, and prevent the collapse of alveoli.

Question 2 of 5

The nurse is assisting in the care of a client with a history of angina pectoris who is receiving nitroglycerin patches. Which instruction should the nurse reinforce with the client?

Correct Answer: B

Rationale: Removing the nitroglycerin patch at night is essential to prevent the development of tolerance. Tolerance can occur when the body gets used to a constant level of the medication, reducing its effectiveness. By removing the patch at night, the client has a drug-free period, which helps prevent tolerance and maintains the effectiveness of the nitroglycerin for angina relief.

Question 3 of 5

The client with heart failure is receiving digoxin (Lanoxin). The nurse should monitor the client for which sign of digoxin toxicity?

Correct Answer: B

Rationale: Bradycardia is a common sign of digoxin toxicity. Digoxin can cause disturbances in the heart's electrical conduction system, leading to a slower heart rate. Therefore, the nurse should closely monitor the client's heart rate for signs of bradycardia, which could indicate digoxin toxicity.

Question 4 of 5

The healthcare provider is reviewing the medication orders for a client with angina pectoris. Which medication is typically prescribed to prevent angina attacks?

Correct Answer: B

Rationale: Nitroglycerin is the medication typically prescribed to prevent angina attacks. It works by dilating blood vessels, increasing blood flow, and reducing the heart's workload, hence relieving angina symptoms. Aspirin is often used to prevent blood clots, Atenolol is a beta-blocker used to manage high blood pressure and chest pain, and Simvastatin is a statin medication primarily used to lower cholesterol levels.

Question 5 of 5

A client with atrial fibrillation is receiving warfarin (Coumadin). The nurse should monitor which laboratory test to determine the effectiveness of the therapy?

Correct Answer: A

Rationale: To monitor the effectiveness of warfarin therapy in a client with atrial fibrillation, the nurse should assess the Prothrombin time (PT) and international normalized ratio (INR) levels. These tests help determine the clotting ability of the blood and ensure that the client's anticoagulation levels are within the therapeutic range, reducing the risk of bleeding or clotting complications.

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