1 Exampromax - Stuvia US 2025/2026
ATI Pharmacology Made Easy 4.0 ~ The
Neurological System (Part 2) Questions and
Answers (100% Correct Answers) Already
Graded A+
A nurse is providing teaching to a client who has a new prescription for
fluoxetine. Which of the following instructions should the nurse include?
A. "Weigh yourself twice a month."
B. "If you have persistent headaches, let the provider know."
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C. "Reduce your daily sodium intake."
Exampromax - Stuvia US
D. "If your symptoms don't improve in 10 days, you will need a higher
dosage."
Ans: B. "If you have persistent headaches, let the provider know."
Rationale:
A. The nurse should instruct the client to measure their weight weekly and report
a consistent decline to the provider. Fluoxetine can cause abdominal pain,
abnormal taste, dry mouth, nausea, and anorexia, which can affect appetite.
B. The client should report persistent headache, anxiety, or insomnia to the
provider as an adverse drug reaction.
C. Fluoxetine can cause hyponatremia. The nurse should instruct the client to
maintain consistent sodium intake and to monitor for indications of a low blood
sodium level.
D. The nurse should inform the client that the medication can take up to 4 weeks
to become effective, and the client should communicate a lack of effectiveness
after that time.
A nurse is caring for a client who is taking lithium carbonate to treat
bipolar disorder. Which of the following diagnostic tests should the nurse
recommend that the client undergo periodically?
A. Chest x-ray
B. Tonometry
C. Thyroid function tests
D. Endoscopic retrograde cholangiopancreatography (ERCP)
, 2 Exampromax - Stuvia US 2025/2026
Ans: C. Thyroid function tests
Rationale:
A. Chest x-rays help identify problems with the heart and lungs. Lithium can
cause dysrhythmias, but it is unlikely to cause a dysfunction of the heart or lungs
that will be detectable on chest x-rays.
B. Tonometry is a method of testing for glaucoma. Lithium carbonate is unlikely
to cause glaucoma.
C. Hypothyroidism is an adverse effect of lithium carbonate. Clients should
report neck enlargement, weight gain, lethargy, and constipation. They should
also have their thyroid function checked before they begin taking lithium and
annually thereafter.
D. An ERCP helps identify disorders of the liver, gallbladder, bile ducts, and
pancreas. Lithium carbonate is unlikely to cause abnormalities of these structures.
A nurse is caring for a client who is about to begin taking lithium carbonate
© 2025 Assignment Expert
to treat bipolar disorder. The nurse should instruct the client to monitor for
which of the following findings as indications of lithium toxicity? (Select all
Exampromax - Stuvia US
that apply.)
A. Tremors
B. Confusion
C. Bronchospasm
D. Nausea
E. Muscle weakness
, 3 Exampromax - Stuvia US 2025/2026
Ans: A. Tremors
B. Confusion
D. Nausea
E. Muscle weakness
Rationale:
A. A fine hand tremor is an early indication of lithium toxicity. A coarse tremor
indicates advanced toxicity that can lead to seizure activity.
B. Confusion, slurred speech, and ataxia are indications of lithium toxicity that
develop because of the drug's narrow therapeutic range.
C. Lithium toxicity is unlikely to cause bronchospasm because it does not usually
affect the respiratory system.
D. Nausea, vomiting, and diarrhea are early indications of lithium toxicity that
develop because of the drug's narrow therapeutic range. Clients should report any
of these adverse effects.
E. Muscle weakness is an early indication of lithium toxicity that develops
because of the drug's narrow therapeutic range. The nurse should monitor lithium
© 2025 Assignment Expert
levels periodically.
Exampromax - Stuvia US
A nurse should identify that timolol is contraindicated for a client who has
which of the following disorders?
A. Asthma
B. Seizure disorder
C. Diabetes mellitus
D. Rheumatoid arthritis
Ans: A. Asthma
Rationale:
A. Timolol, a beta-adrenergic antagonist, can cause bronchospasm and difficulty
breathing. Clients who have asthma or any disorder that compromises respiratory
function should not use the drug.
B. Timolol, a beta-adrenergic antagonist, is appropriate for clients who have a
seizure disorder. However, those who have heart failure or bradycardia should
not use the drug.
C. Timolol, a beta-adrenergic antagonist, is appropriate for clients who have
diabetes mellitus, although caution is essential when patients who have peripheral
vascular disease or hyperthyroidism use the drug.
D. Timolol, a beta-adrenergic antagonist, is appropriate for clients who have
rheumatoid arthritis, although Raynaud's disease is a contraindication for using
the drug.
ATI Pharmacology Made Easy 4.0 ~ The
Neurological System (Part 2) Questions and
Answers (100% Correct Answers) Already
Graded A+
A nurse is providing teaching to a client who has a new prescription for
fluoxetine. Which of the following instructions should the nurse include?
A. "Weigh yourself twice a month."
B. "If you have persistent headaches, let the provider know."
© 2025 Assignment Expert
C. "Reduce your daily sodium intake."
Exampromax - Stuvia US
D. "If your symptoms don't improve in 10 days, you will need a higher
dosage."
Ans: B. "If you have persistent headaches, let the provider know."
Rationale:
A. The nurse should instruct the client to measure their weight weekly and report
a consistent decline to the provider. Fluoxetine can cause abdominal pain,
abnormal taste, dry mouth, nausea, and anorexia, which can affect appetite.
B. The client should report persistent headache, anxiety, or insomnia to the
provider as an adverse drug reaction.
C. Fluoxetine can cause hyponatremia. The nurse should instruct the client to
maintain consistent sodium intake and to monitor for indications of a low blood
sodium level.
D. The nurse should inform the client that the medication can take up to 4 weeks
to become effective, and the client should communicate a lack of effectiveness
after that time.
A nurse is caring for a client who is taking lithium carbonate to treat
bipolar disorder. Which of the following diagnostic tests should the nurse
recommend that the client undergo periodically?
A. Chest x-ray
B. Tonometry
C. Thyroid function tests
D. Endoscopic retrograde cholangiopancreatography (ERCP)
, 2 Exampromax - Stuvia US 2025/2026
Ans: C. Thyroid function tests
Rationale:
A. Chest x-rays help identify problems with the heart and lungs. Lithium can
cause dysrhythmias, but it is unlikely to cause a dysfunction of the heart or lungs
that will be detectable on chest x-rays.
B. Tonometry is a method of testing for glaucoma. Lithium carbonate is unlikely
to cause glaucoma.
C. Hypothyroidism is an adverse effect of lithium carbonate. Clients should
report neck enlargement, weight gain, lethargy, and constipation. They should
also have their thyroid function checked before they begin taking lithium and
annually thereafter.
D. An ERCP helps identify disorders of the liver, gallbladder, bile ducts, and
pancreas. Lithium carbonate is unlikely to cause abnormalities of these structures.
A nurse is caring for a client who is about to begin taking lithium carbonate
© 2025 Assignment Expert
to treat bipolar disorder. The nurse should instruct the client to monitor for
which of the following findings as indications of lithium toxicity? (Select all
Exampromax - Stuvia US
that apply.)
A. Tremors
B. Confusion
C. Bronchospasm
D. Nausea
E. Muscle weakness
, 3 Exampromax - Stuvia US 2025/2026
Ans: A. Tremors
B. Confusion
D. Nausea
E. Muscle weakness
Rationale:
A. A fine hand tremor is an early indication of lithium toxicity. A coarse tremor
indicates advanced toxicity that can lead to seizure activity.
B. Confusion, slurred speech, and ataxia are indications of lithium toxicity that
develop because of the drug's narrow therapeutic range.
C. Lithium toxicity is unlikely to cause bronchospasm because it does not usually
affect the respiratory system.
D. Nausea, vomiting, and diarrhea are early indications of lithium toxicity that
develop because of the drug's narrow therapeutic range. Clients should report any
of these adverse effects.
E. Muscle weakness is an early indication of lithium toxicity that develops
because of the drug's narrow therapeutic range. The nurse should monitor lithium
© 2025 Assignment Expert
levels periodically.
Exampromax - Stuvia US
A nurse should identify that timolol is contraindicated for a client who has
which of the following disorders?
A. Asthma
B. Seizure disorder
C. Diabetes mellitus
D. Rheumatoid arthritis
Ans: A. Asthma
Rationale:
A. Timolol, a beta-adrenergic antagonist, can cause bronchospasm and difficulty
breathing. Clients who have asthma or any disorder that compromises respiratory
function should not use the drug.
B. Timolol, a beta-adrenergic antagonist, is appropriate for clients who have a
seizure disorder. However, those who have heart failure or bradycardia should
not use the drug.
C. Timolol, a beta-adrenergic antagonist, is appropriate for clients who have
diabetes mellitus, although caution is essential when patients who have peripheral
vascular disease or hyperthyroidism use the drug.
D. Timolol, a beta-adrenergic antagonist, is appropriate for clients who have
rheumatoid arthritis, although Raynaud's disease is a contraindication for using
the drug.