ATI RN
Nursing Cardiovascular Drug List Quizlet Questions
Question 1 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 2 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.
Question 3 of 5
Australian law prohibited alcohol in Indigenous Australian communities during what historical time period?
Correct Answer: C
Rationale: The correct answer is C (1920s - 2008) because Australian law prohibited alcohol in Indigenous Australian communities during this time period. The rationale is that the 1920s marked the beginning of alcohol restrictions imposed on Indigenous communities, and these laws were in place until 2008 when the Northern Territory Emergency Response Act repealed them. Choices A, B, and D are incorrect because they do not encompass the full historical time frame during which alcohol prohibition was enforced in Indigenous Australian communities.
Question 4 of 5
__________ side effects can occur when antipsychotic medications are taken that manifest as abnormal movements such as akathisia and pseudo-Parkinson symptoms.
Correct Answer: A
Rationale: Step 1: Extrapyramidal side effects are movement disorders caused by antipsychotic medications. Step 2: Akathisia and pseudo-Parkinson symptoms are classic examples of extrapyramidal side effects. Step 3: Anticholinergic medications primarily cause dry mouth, constipation, and blurred vision, not movement disorders. Step 4: Serotonergic medications affect serotonin levels, leading to mood and behavior changes, not movement disorders. Step 5: Adrenergic medications target the sympathetic nervous system, causing effects like increased heart rate and blood pressure, not movement disorders. Summary: The correct answer is A because extrapyramidal side effects specifically refer to abnormal movements caused by antipsychotic medications, while the other choices do not match the symptoms described in the question.
Question 5 of 5
A client with depression mentions to the nurse, 'My mother says depression is a chemical disorder. What does she mean?' The nurse’s response is based on the theory that depression primarily involves the following neurotransmitters:
Correct Answer: A
Rationale: The correct answer is A: Serotonin and dopamine. Depression is associated with imbalances in neurotransmitters such as serotonin and dopamine. Serotonin plays a role in regulating mood, sleep, and appetite, while dopamine is involved in motivation and pleasure. Low levels of these neurotransmitters are often seen in individuals with depression. Cortisol and GABA (choice B) are more related to stress response and anxiety disorders. COMT and glutamate (choice C) are not primary neurotransmitters involved in depression. Monamine and glycine (choice D) are not specific neurotransmitters related to depression. In conclusion, A is correct as serotonin and dopamine are the primary neurotransmitters associated with depression.