a nurse is caring for a client who takes paroxetine to treat ptsd and reports that he grinds his teeth during the night the nurse should identify whic

ATI RN

ATI Proctored Pharmacology Test

1. A client is taking Paroxetine to treat PTSD and reports teeth grinding at night. Which interventions should the nurse implement to manage Bruxism? (Select all that apply.)

A. Concurrent administration of buspirone.
B. Administration of a different SSRI.
C. Use of a mouth guard.
D. Changing to a different class of antidepressant medication.

Correct answer: A

Rationale: The correct interventions to manage Bruxism associated with Paroxetine use include A: Concurrent administration of buspirone. Buspirone can help alleviate the side effect of Bruxism. Additionally, C: Use of a mouth guard is recommended to prevent oral damage from teeth grinding. B: Administration of a different SSRI is not necessary since the issue is specific to Paroxetine. D: Changing to a different class of antidepressant medication may be considered in severe cases, but the initial step should be to add buspirone to address the Bruxism caused by Paroxetine.

2. In which of the following cases is Lansoprazole not used?

A. Gastritis
B. Peptic Ulcers
C. Zollinger-Ellison syndrome
D. Thalamus hypertrophy

Correct answer: D

Rationale: Lansoprazole is a proton pump inhibitor mainly used to treat conditions related to the stomach, such as gastritis, peptic ulcers, and Zollinger-Ellison syndrome. Thalamus hypertrophy is not a condition that Lansoprazole is indicated for; it is used for gastrointestinal issues and not neurological conditions.

3. Why is it important to monitor ins and outs in patients using ACE inhibitors?

A. To assess for renal impairment
B. To ensure the patient is receiving adequate fluid intake
C. To assess the patient for potential heart failure
D. To assess for NSAID use

Correct answer: A

Rationale: It is crucial to monitor ins and outs in patients using ACE inhibitors to assess for renal impairment. ACE inhibitors can affect renal function, potentially leading to renal impairment. Monitoring the patient's fluid balance helps in early recognition of any renal issues and allows for timely interventions to prevent complications.

4. A client has a new prescription for Furosemide. Which of the following dietary instructions should the nurse provide?

A. Increase your intake of bananas and oranges.
B. Limit your intake of calcium-rich foods.
C. Avoid drinking milk.
D. Increase your intake of green, leafy vegetables.

Correct answer: A

Rationale: The correct answer is A: 'Increase your intake of bananas and oranges.' Furosemide, a loop diuretic, can cause potassium loss leading to hypokalemia. To prevent this, clients should increase their intake of potassium-rich foods, such as bananas and oranges, to replenish potassium levels. Choices B, C, and D are incorrect because limiting calcium-rich foods or avoiding milk is not necessary with Furosemide, and increasing intake of green, leafy vegetables does not specifically address the potential potassium loss associated with this medication.

5. Which of the following is not an effect of the drug isoflurane?

A. Elevated lipid levels
B. Nausea
C. Increased blood flow to the brain
D. Decreased respiratory function

Correct answer: A

Rationale: Isoflurane is not known to cause elevated lipid levels. Common effects of isoflurane include nausea, increased blood flow to the brain, and decreased respiratory function. Elevated lipid levels are not typically associated with the administration of isoflurane, making choice A the correct answer.