NEXT GENERATION ATI NUTRITION PROCTORED 4 DIFFERENT VERSION ACTUAL EXAM COMPLETE QUESTION AND CORRECT ANSWERS WITH RATIONALES LATEST VERSION RATED GRADE.TEST BANK 100 % COMPLETE

NEXT GENERATION 2024 -2025 ATI NUTRITION PROCTORED 4 DIFFERENT VERSION ACTUAL EXAM COMPLETE QUESTION AND CORRECT ANSWERS WITH RATIONALES LATEST VERSION 2023 -2024 RATED GRADE. TEST BANK 100 % COMPLETE Airflow Disorders: Beta -2 Adrenergic Agonists - ANSAlbuterol: Asthma, bronchospasm - C: Pregnancy, hypertension, hyperthyroidism, tachydysrhythmias - AE: Angina, tachycardia, tremors - NC: Use as a rescue inhaler or prior to physical exercise Airflow Disorders: Inhaled Anticholinergics - ANSIpratropium: Asthma, COPD - C: Pregnancy, peanut allergy, glaucoma, BPH - AE: dry mouth, hoarseness - NC: Not a rescue inhaler! Rinse mouth after inhalation to decrease unpleasant taste Airflow Disorders: Inhale d Glucocorticoids - ANSBeclomethasone, Budesonide: Asthma - C: Pregnancy, live virus vaccine, diabetes, systemic fungal infection - AE: Candidiasis, hoarseness, difficulty speaking - NC: Rinse mouth after use, do not use as a rescue Airflow Disorders: Leukotriene Modifiers - ANSMontelukast: Asthma - C: pregnancy/lactation, liver issues - AE: Depression, suicidal thoughts - NC: Not a rescue, take once daily at bedtime unless for excersize - take 2 hours before. Airflow Disorders: Methylxanthines - ANSTheophylline: Asthma, COPD - C: Pregnancy, heart disease, hypertension, diabetes, liver/kidney issues - AE: GI upset, restlessness - NC: Do not chew or crush sustained -release tablets, not a rescue medication!, do not take with caffiene Airflow Disor ders: Oral Glucocorticoids - ANSPrednisone: Asthma - C: Pregnancy, live virus vaccine, systemic fungal infection, diabetes, kidney issues - AE: Suppression of adrenal function, bone loss, hyperglycemia, peptic ulcer disease, infection, weight gain, insom nia - NC: Taper drug off if taken long term, not a rescue, may require additional doses during times of stress Antilipemic Agents: Anticoagulants - ANSEnoxaparin (low -molecular weight heparin): prophylaxis for DVT, reduction in stroke risk - C: Pregnancy, thrombocytopenia, bleeding disorders, peptic ulcer disease - AE: Hemorrhage, toxicity, epidural or spinal hematoma, thrombocytopenia -NC: Monitor lab levels, same as heparin. Antilipemic Agents: Antiplatelet - ANSAspirin, clopidogrel, D ipyridamole: Primary prevention of MI, prevents stroke (prevents platelets from clumping - blood thinner) - C: Pregnancy, bleeding disorders, peptic ulcer disease, renal/liver impairment - AE: Bleeding, diarrhea, dyspepsia - NC: Discontinue 5 -7 days bef ore surgery, avoid OTC NSAIDs, observe for bleeding Antilipemic Agents: Bile Acid Sequestrants - ANSColesevelam, Colestipol: treats high choelsterol - C: Pregnancy, bowel obstruction, dysphagia - AE: Constipation - NC: Take with food and water, may be combined with statins, don't crush or chew ER tablets, increase dietary fiber. Antilipemic Agents: Cholesterol Absorption Inhibitors - ANSEzetimibe: treats high cholesterol - C: Pregnancy/lactation, liver disease - AE: Hepatitis, myopathy - NC: May be combined with statins, monitor liver/kidney function, follow low fat and low cholesterol diet Antilipemic Agents: Direct Inhibitor of Factor Xa - ANSRivaoxaban: Prophylaxis for DVT, reduces stroke risk NEXT GENERATION 2024 -2025 ATI NUTRITION PROCTORED 4 DIFFERENT VERSION ACTUAL EXAM COMPLETE QUESTION AND CORRECT ANSWERS WITH RATIONALES LATEST VERSION 2023 -2024 RATED GRADE. TEST BANK 100 % COMPLETE - C: Pregnancy, bleeding disorders, pe ptic ulcer disease, renal/liver impairment - AE: Elevated liver enzymes, bleeding - NC: Monitor hemoglobin, hematocrit, liver, and kidney function Antilipemic Agents: Direct Thrombin Inhibitors - ANSDabigatran: Prophylaxis for DVT, reduces stroke risk - C: Pregnancy, bleeding disorders, peptic ulcer disease - AE: Nausea, vomiting, bleeding - NC: Observe for bleeding, avoid OTC NSAIDs, use electric razor for shaving Antilipemic Agents: Fibrates - ANSGemfibrozil: Treats high triglycerides - C: Pregn ancy, liver disease - AE: GI upset, gallstones, myopathy, hepatotoxicity - NC: Take 30 minutes prior to breakfast and dinner, monitor liver function Antilipemic Agents: HMG -CoA Reductase Inhibitors (statins) - ANSAtorvastatin, Simvastatin: Lower's chole sterol, protection against MI and stroke - C: Pregnancy/lactation, liver disease - AE: Hepatotoxicity, myopathy/myalgia - NC: Monitor liver function every 6 months, avoid alcohol, report muscle aches, take in the evening. Antilipemic Agents: Thromboly tic Medications - ANSAlteplase (TPA): Acute MI, massive PE, ischemic stroke (disolves clots) - C: Pregnancy, bleeding disorders, prior intracranial hemorrhage, severe hypertention - AE: Bleeding - NC: Administer within 3 hours of manifestations Antilip emic Agents: Vitamin K Inhibitors - ANSWarfarin: Prophylaxis for DVT, reduction in stroke risk - C: Pregnancy/lactation, vitamin K deficiency, bleeding disorders, peptic ulcer disease - AE: Hemorrhage, hepatitis, toxicity - NC: Monitor PTT/INR (2 -3 ther apeutic), teach about dietary food interactions (foods with vitamin K), avoid OTC NSAIDs Cardiac Glycosides and Heart Failure: Adrenergic Agonists - ANSEpinephrine: Anaphylactic shock, bronchodilation, management of superficial bleeding, slows absorption of local anesthetics - C: Hyperthyroidism, angina, hypertension - AE: Hypertension, dysrhythmias, tachycardia - NC: Monitor ECG and BP, monitor for hyerglycemia in diabetics Dobutamine: Heart failure - C: Hyperthyroidism, angina, hypertension - AE: Hypertension, dysrhythmias, tachycardia - NC: Administered IV, monitor ECG and BP, older adults are more likely to experience adverse effects Dopamine: Heart failure, shock, acute kidney injury - C: Hyperthyroidism, angina, hypertension - AE: Hy pertension, dysrhythmias, tachycardia - NC: Administered IV, monitor ECG and BP, monitor urine output Cardiac Glycosides and Heart Failure: Cardiac Glycosides - ANSDigoxin: Heart failure - C: Pregancy/lactation, V -fib, V -tach, heart block - AE: Cardiotoxicity, nausea, vomiting, abdominal pain, fatigue, weakness, blurred vision - NC: Monitor for signs of toxicity (0.6 -1.2), monitor for bradycardia, avoid taking OTC medications to prevent adverse effects Complementary and Alternative Thera pies: Aloe Vera - ANSAnti -inflammatory properties - Drug to drug interactions: Digoxin,diuretics, corticosteroids, antidysrhythmic