ATI RN
Nursing Cardiovascular Drug List Quizlet Questions
Question 1 of 5
A 52-year-old man with chest pain presents to the emergency department for treatment. Three cardiac nitrates are available for treatment. The following is a listing of the agents and their onset and duration of action. Which of the following would be most appropriate for this patient?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
We are administering nitroprusside intravenously for control of severe hypertension during surgery. The dose has gotten too high, and the drug has been administered too long. Refractoriness to the antihypertensive effects has occurred. Blood pressure is decreased and other signs and symptoms of potentially severe toxicity develop. What is the main nitroprusside metabolite that accounts for those problems?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A client has been diagnosed with major depressive episode. After treatment with fluoxetine (Prozac), the client exhibits pressured speech and flight of ideas. Based on this symptom change, which physician action would the nurse anticipate?
Correct Answer: B
Rationale: Step 1: Pressure speech and flight of ideas are symptoms of mania, not depression. Step 2: Fluoxetine can induce manic episodes in some individuals. Step 3: Discontinuing fluoxetine is necessary to address manic symptoms. Step 4: Rethinking the diagnosis is important to provide appropriate treatment. Step 5: Increasing fluoxetine dosage or prescribing antipsychotics would worsen manic symptoms.
Question 4 of 5
A severely depressed patient has been prescribed clomipramine (Anafranil). For which medication side effects should the patient be monitored?
Correct Answer: D
Rationale: The correct answer is D: Orthostatic hypotension and constipation. Clomipramine is a tricyclic antidepressant known to cause orthostatic hypotension, which can lead to dizziness and falls. Constipation is also a common side effect due to its anticholinergic properties. Excess salivation and drooling (A) are not typical side effects of clomipramine. Muscle rigidity and restlessness (B) are more commonly associated with antipsychotic medications. Polyuria and coarse hand tremors (C) are not commonly seen with clomipramine.
Question 5 of 5
The nurse spends several sessions with a patient with paranoid schizophrenia and the patient’s family to help them understand the importance of antipsychotic medication in controlling his illness. The patient repeatedly states he isn’t sick and the pills make him stiff, and family members say he doesn’t think the medication helps him. Which options should the nurse discuss with the patient’s prescribing provider? (Select the one that does not apply.)
Correct Answer: C
Rationale: The correct answer is C: Adding a benzodiazepine such as diazepam (Valium). Benzodiazepines are not typically used as a primary treatment for paranoid schizophrenia. They can be habit-forming and may worsen cognitive deficits in patients with schizophrenia. The focus should be on antipsychotic medications that target the symptoms of schizophrenia. Choices A, B, and D are more relevant options to discuss with the prescribing provider. A long-acting injectable antipsychotic can help with medication adherence, adding medications to reduce side effects can improve tolerability, and tying medication use to the patient's goals can increase motivation for treatment compliance.