a nurse is teaching a client who has a new prescription for atenolol which of the following adverse effects should the nurse instruct the client to m
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Nursing Elites

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ATI Pharmacology Quizlet

1. A nurse is teaching a client who has a new prescription for Atenolol. Which of the following adverse effects should the nurse instruct the client to monitor?

Correct answer: C

Rationale: Atenolol is a beta-blocker that can cause bradycardia as an adverse effect. The client should monitor their pulse regularly and report any significant decreases.

2. A client has a new prescription for Metoprolol. Which of the following instructions should the nurse include?

Correct answer: C

Rationale: The correct answer is to instruct the client to avoid sudden discontinuation of Metoprolol. Metoprolol is a beta-blocker that should be tapered off gradually to prevent rebound hypertension and other cardiac issues. Abruptly stopping Metoprolol can lead to serious complications, so it is essential for the client to follow the healthcare provider's guidance on discontinuation. Choice A is incorrect because Metoprolol can be taken with or without food. Choice B is incorrect as Metoprolol is not typically associated with causing hyperglycemia. Choice D is also incorrect as there is no need to increase potassium-rich foods specifically due to taking Metoprolol.

3. A healthcare professional is reviewing the medication list of a client who has a new prescription for Digoxin to treat heart failure. Which of the following medications places the client at risk for Digoxin toxicity?

Correct answer: C

Rationale: Loop diuretics, such as Furosemide, can increase the risk of Digoxin toxicity by causing hypokalemia. Hypokalemia enhances the toxic effects of Digoxin on the heart, leading to an increased risk of Digoxin toxicity. Spironolactone (Choice A) is less likely to cause hypokalemia and does not significantly increase the risk of Digoxin toxicity. Calcium channel blockers (Choice B) and ACE inhibitors (Choice D) do not directly increase the risk of Digoxin toxicity through hypokalemia; therefore, they are not the medications that place the client at risk for Digoxin toxicity.

4. When educating a client starting a new prescription for simvastatin, which instruction should the nurse provide?

Correct answer: B

Rationale: The correct instruction for a client starting simvastatin is to report any muscle pain immediately because it could be indicative of rhabdomyolysis, a serious side effect of the medication. This prompt reporting can help prevent further complications and ensure timely medical intervention. Choice A is incorrect because simvastatin can be taken at any time of the day. Choice C is generally true for many medications, but there is no specific interaction between grapefruit juice and simvastatin. Choice D is also incorrect as there is no specific recommendation to take simvastatin at bedtime.

5. A client has a new prescription for Prednisone and is receiving discharge instructions. Which of the following dietary instructions should the nurse include?

Correct answer: A

Rationale: The correct answer is to increase the intake of potassium-rich foods. Prednisone can lead to potassium depletion; therefore, it is essential for clients to consume foods high in potassium such as bananas, oranges, and spinach to counteract this effect and maintain electrolyte balance. Choice B is incorrect because increasing dairy products is not directly related to the side effects of Prednisone. Choice C is incorrect because avoiding foods high in vitamin K is more relevant for clients on anticoagulants. Choice D is incorrect because decreasing protein intake is not a typical dietary instruction for clients prescribed Prednisone.

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