ATI RN
Cardiovascular Drugs Pharmacology Slideshare Questions
Question 1 of 5
A client who has been taking buspirone (BuSpar) as prescribed for 2 days is close to discharge. Which statement indicates to the nurse that the client has an understanding of important discharge teaching?
Correct Answer: B
Rationale: Step 1: Buspirone (BuSpar) is an anxiolytic medication that typically takes 2 to 3 weeks for the full therapeutic effect to be experienced. Step 2: Client understanding of this delayed onset of action is crucial for managing expectations and adherence. Step 3: Choice B indicates the client understands the timeframe for symptom improvement. Step 4: Other choices are incorrect: A is not specific to buspirone, C is incorrect as buspirone is not associated with physical dependence, and D is inaccurate as buspirone can be taken with or without food. Step 5: Therefore, choice B is the correct answer as it reflects an understanding of the medication's timeline for effectiveness.
Question 2 of 5
Which statement represents the most appropriate instructions for a patient with a past suicide attempt who is prescribed amitriptyline (Elavil), 150 mg PO at bedtime?
Correct Answer: A
Rationale: The correct answer is A because picking up a 7-day supply at the pharmacy each week ensures regular monitoring and compliance. This allows healthcare professionals to assess the patient's response to the medication and monitor for any potential side effects or worsening of symptoms. The other choices are incorrect because B does not address the need for regular monitoring, C may not be feasible for all patients and may compromise patient autonomy, and D is impractical and does not provide consistent access to medication.
Question 3 of 5
A client with chronic schizophrenia has had a stroke involving the hippocampus. The client will be discharged on low doses of haloperidol. The nurse who must provide medication teaching will need to adjust the teaching plan to account for client problems with:
Correct Answer: A
Rationale: The correct answer is A: Memory. The hippocampus is crucial for memory formation and retrieval. Since the client's hippocampus is affected by the stroke, they may experience memory deficits. Teaching about medication administration needs to be adjusted to accommodate the client's impaired memory to ensure they understand and remember the instructions. Summary: - Choice A is correct because the hippocampus is involved in memory. - Choice B (Expressive aphasia) is incorrect as it pertains to language expression, not memory. - Choice C (Emotional control) is incorrect as it is not directly related to hippocampal function. - Choice D (Poor balance and coordination) is incorrect as it is not typically associated with hippocampal damage.
Question 4 of 5
A 10-year-old patient will be started on methylphenidate hydrochloride (Ritalin) therapy. The nurse will perform which essential baseline assessment before this drug is started?
Correct Answer: B
Rationale: The correct answer is B: Height and weight. Before starting methylphenidate therapy in a 10-year-old patient, it is essential to assess height and weight as this medication can affect growth and appetite. Monitoring these parameters at baseline helps establish a reference point for future assessment of treatment effects on growth. Eye examination (A) is important for long-term monitoring but not essential before starting therapy. Liver studies (C) are not typically required before starting methylphenidate therapy. Hearing test (D) is not directly related to starting this medication.
Question 5 of 5
A patient has a digoxin level of 1.4 ng/mL. The nurse interprets that this level is
Correct Answer: B
Rationale: The correct answer is B because a digoxin level of 1.4 ng/mL falls within the therapeutic range of 0.5-2 ng/mL. This level is appropriate for treating heart conditions effectively without causing toxicity. Choice A is incorrect because 1.4 ng/mL is within the therapeutic range. Choice C is incorrect as the level is not above the therapeutic range. Choice D is incorrect because a level of 1.4 ng/mL is not considered toxic.