ATI RN
Drugs Affecting Cardiovascular System Questions
Question 1 of 5
A newly built hospital with the latest equipment and medication therapies purports a very high rate of salvage of strokes such that patients have significant recovery of normal function. Alteplase is the first-line agent administered in this facility. For the purported maximum salvage rate following stroke, this agent must be administered in which of the following time intervals?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Verapamil is useful in the treatment of the following EXCEPT:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A newly admitted client has taken thioridazine (Mellaril) for 2 years, with good symptom control. Symptoms exhibited on admission included paranoia and hallucinations. The nurse should recognize which potential cause for the return of these symptoms?
Correct Answer: C
Rationale: The correct answer is C: The client has not taken the medication as prescribed. Nonadherence to the prescribed medication regimen can lead to the return of symptoms. In this case, the client may not have been taking the medication consistently or at the correct dosage, resulting in the resurgence of paranoia and hallucinations. Incorrect answers: A: The client has developed tolerance to the antipsychotic medication - Tolerance does not typically develop to antipsychotic medications in the same way it does with some other types of medications. B: The client has not taken the medication with food - Taking the medication with food may affect absorption but is unlikely to directly cause the return of symptoms. D: The client has combined alcohol with the medication - While alcohol can interact with antipsychotic medications, it is not the most likely reason for the return of symptoms in this scenario.
Question 4 of 5
Which neurotransmitter has been associated with this disorder?
Correct Answer: C
Rationale: The correct answer is C: Serotonin. Serotonin is associated with mood regulation and is commonly linked to mood disorders such as depression. Research has shown that imbalances in serotonin levels can contribute to the development of depression. Norepinephrine (A) and dopamine (B) are also involved in mood regulation, but serotonin is more strongly linked to mood disorders. Acetylcholine (D) is primarily involved in muscle movement and cognitive function, not mood regulation.
Question 5 of 5
When a patient diagnosed with paranoid schizophrenia was discharged from the unit 6 months ago, the plan was for him to take chlorpromazine (Thorazine), a conventional (first generation) antipsychotic medication, 300 mg po daily. He tells the nurse he stopped taking his pills after a few months because they made him feel like a “zombie.” What other common side effects should the nurse determine if the patient experienced?
Correct Answer: B
Rationale: The correct answer is B: Sedation, tremor, and muscle stiffness. This is because chlorpromazine, a first-generation antipsychotic like Thorazine, commonly causes sedation, tremors, and muscle stiffness as side effects. Sedation is a common side effect of antipsychotic medications, leading to feelings of drowsiness or fatigue. Tremors can manifest as involuntary shaking or trembling of the hands or other body parts. Muscle stiffness, also known as extrapyramidal symptoms, can cause rigidity and difficulty moving smoothly. These side effects are typical with first-generation antipsychotics due to their mechanism of action on the central nervous system. The other choices are incorrect: A: Sweating, nausea, and weight gain are not typically associated with chlorpromazine or first-generation antipsychotics. C: Headache, watery eyes, and runny nose are not common side effects of chlorpromazine. D: Mild fever, sore throat, and