ATI RN
First Aid Cardiovascular Drugs Quizlet Questions
Question 1 of 5
A client diagnosed with bipolar disorder has been taking lithium carbonate (Lithobid) for one year. The client presents in an emergency department with a temperature of 101°F (38°C), severe diarrhea, blurred vision, and tinnitus. How should the nurse interpret these symptoms?
Correct Answer: D
Rationale: The correct interpretation is D: Symptoms indicate lithium carbonate toxicity. The client's symptoms of elevated temperature, severe diarrhea, blurred vision, and tinnitus are indicative of lithium toxicity. Elevated temperature, diarrhea, and blurred vision are common symptoms of lithium toxicity, while tinnitus is also a possible symptom. These signs suggest the client's lithium levels are too high, leading to adverse effects. It is crucial for the nurse to recognize these symptoms promptly to prevent further complications. Other choices are incorrect: A: Symptoms do not align with those of consuming foods high in tyramine. B: Discontinuation syndrome typically includes different symptoms when stopping lithium. C: Tolerance would not manifest with these specific symptoms and acute onset.
Question 2 of 5
A patient receiving risperidone (Risperdal) reports severe muscle stiffness midmorning. During lunch he has difficulty swallowing food and speaking, and when vital signs are taken 30 minutes later, he is noted to be stuporous and diaphoretic, with a temperature of 38.8° C, pulse of 110 beats/min, and blood pressure of 150/90 mm Hg. The nurse should suspect _________ and should ______________.
Correct Answer: A
Rationale: The correct answer is A: neuroleptic malignant syndrome (NMS). NMS is a rare but serious side effect of antipsychotic medications like risperidone. The patient's symptoms of severe muscle stiffness, difficulty swallowing, altered mental status, diaphoresis, fever, tachycardia, and hypertension are classic signs of NMS. Step-by-step rationale: 1. Severe muscle stiffness: characteristic symptom of NMS due to muscle rigidity. 2. Difficulty swallowing and speaking: indicative of autonomic dysfunction commonly seen in NMS. 3. Altered mental status: stuporous state is a hallmark feature of NMS. 4. Diaphoresis, fever (38.8° C), tachycardia (110 beats/min), hypertension (150/90 mm Hg): all signs of autonomic dysregulation and hyperadrenergic state in NMS. Summary of other choices: B: Anticholinergic toxicity -
Question 3 of 5
Which of the following statements is TRUE about the symbolic politics of cannabis in colonial Jamaica?
Correct Answer: A
Rationale: The correct answer is A because the suppression of marijuana in colonial Jamaica was indeed a way to oppress the Rastafarians, who were seen as a threat to colonial social stability. Rastafarians viewed marijuana (kaya) as a sacrament and a key element of their spiritual practice. Authorities perceived Rastafarians as rebellious and subversive due to their anti-colonial beliefs, hence the crackdown on marijuana. Choice B is incorrect because while Bob Marley was associated with the Rastafarian movement and advocated for Jamaican independence, the question specifically focuses on the symbolic politics of cannabis. Choice C is incorrect as colonial authorities objected to cannabis use across all classes, not just the working class. Choice D is incorrect as the trade union movement in Jamaica did not specifically arise to educate about the harms of cannabis but rather focused on workers' rights and labor issues.
Question 4 of 5
The nurse is developing a teaching plan for a client who has been diagnosed recently with a mental health disorder and has been prescribed a psychotropic medication. Which interventions regarding the medication should the nurse include in the teaching plan?Select the one tha does not apply.
Correct Answer: D
Rationale: Step 1: The correct answer is D because it is important for clients to never adjust their dosage of psychotropic medication without consulting their healthcare provider. Step 2: Teaching clients to decrease dosages on their own can be dangerous and lead to adverse effects or worsening of symptoms. Step 3: Option A is correct as it empowers the client to recognize and address side effects promptly. Option B is correct as it provides essential information about the medication. Option C is correct as it assesses understanding and readiness to seek help. Step 4: In summary, option D is incorrect because clients should always consult their healthcare provider before making any changes to their medication regimen.
Question 5 of 5
A client with severe depression has sleep disturbance and anorexia. The nurse’s planning will be enhanced by understanding that these symptoms may be attributed to dysfunction of the:
Correct Answer: C
Rationale: The correct answer is C: Hypothalamus. The hypothalamus plays a crucial role in regulating sleep, appetite, and other basic functions related to survival. Dysfunction in the hypothalamus can lead to sleep disturbances and anorexia, as seen in severe depression. The other choices (A, B, and D) are not directly responsible for regulating sleep and appetite, making them incorrect in this context. The cerebellum is involved in motor coordination, the basal ganglia in motor control and habit formation, and the occipital lobe in visual processing.