ATI RN Pharmacology 2023 proctored exam ( 70 Questions)
A nurse in a provider's office is caring for a client.
For each category below, click to specify the medication the nurse should anticipate the provider to prescribe. Each finding may support more than 1 potential medication prescription.
|
Finding |
Potential Medication Description |
|
Blood pressure |
Losartan Misoprostol Moexipril |
|
Laboratory results |
Mesalamine Metformin Liraglutide |
The Correct Answers: Rationale for Correct Choices: Rationale for Incorrect Choices:
Correct Answer:
Rationale for Correct Choices:
- Losartan: Losartan is an angiotensin II receptor blocker (ARB) used to lower blood pressure by relaxing blood vessels and reducing vascular resistance which is especially important for clients with high blood pressure.
- Moexipril: Moexipril is an angiotensin-converting enzyme (ACE) inhibitor that reduces blood pressure by blocking the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor.
- Metformin: Metformin is a first-line oral medication for type 2 diabetes. It decreases hepatic glucose production and improves insulin sensitivity in peripheral tissues. It is commonly prescribed for elevated fasting blood glucose and HbA1c.
- Liraglutide: Liraglutide is a GLP-1 receptor agonist that enhances glucose-dependent insulin secretion, slows gastric emptying, and promotes satiety. It is used to improve glycemic control and can aid in weight management in type 2 diabetes.
Rationale for Incorrect Choices:
- Misoprostol: Misoprostol is a prostaglandin analog primarily used to prevent gastric ulcers in patients taking NSAIDs and to induce labor in obstetrics. It does not have a role in blood pressure management.
- Mesalamine: Mesalamine is used to treat inflammatory bowel disease, such as ulcerative colitis or Crohn’s disease, and has no effect on blood glucose levels.
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