ATI RN
The Cardiovascular Pharmacology of Nonsteroidal Anti-Inflammatory Drugs Questions
Question 1 of 5
A outpatient with bipolar disorder takes lithium carbonate 600 mg BID. The patient complains of nausea. To lessen the nausea, the nurse can suggest taking the lithium with:
Correct Answer: A
Rationale: Correct Answer: A (meals) Rationale: 1. Taking lithium with meals can help reduce nausea by slowing down its absorption. 2. Food decreases the rate but not the extent of lithium absorption. 3. Taking lithium with meals also helps to minimize gastrointestinal side effects. Summary: - Choice B (an antacid) can alter lithium levels. - Choice C (an antiemetic) treats nausea but doesn't address the cause. - Choice D (a large glass of juice) doesn't have a direct impact on reducing nausea caused by lithium.
Question 2 of 5
The therapeutic action of neurotransmitter inhibitors that block reuptake cause:
Correct Answer: B
Rationale: The correct answer is B: increased concentration of neurotransmitter in the synaptic gap. When neurotransmitter reuptake is blocked, it remains in the synaptic gap longer, leading to an increased concentration available for binding to postsynaptic receptors. This enhances neurotransmission and can help alleviate symptoms associated with neurotransmitter imbalances. A: decreased concentration of the neurotransmitter in the central nervous system - This is incorrect because blocking reuptake leads to an increased concentration of neurotransmitter, not decreased. C: destruction of receptor sites - This is incorrect as blocking reuptake does not lead to the destruction of receptor sites. D: limbic system stimulation - This is incorrect as blocking reuptake affects neurotransmitter levels in the synaptic gap, not the stimulation of a specific brain region like the limbic system.
Question 3 of 5
When a patient requires an ever-increasing dose of a medication to achieve the same therapeutic effect, the nurse must assess the patient for:
Correct Answer: D
Rationale: The correct answer is D: tolerance. Tolerance occurs when a patient needs higher doses of a medication to achieve the same therapeutic effect over time. This indicates the body has adapted to the drug, requiring increased doses. Assessing for tolerance is crucial to prevent potential overdose or underdosing. A: Withdrawal is the body's reaction when a patient suddenly stops taking a medication, not when needing higher doses for the same effect. B: Patency refers to the openness of a tube or vessel, not related to needing increased drug doses. C: Side effects are potential adverse reactions to a medication but do not necessarily indicate the need for higher doses.
Question 4 of 5
A patient has been treated for lung cancer for 3 years. Over the past few months, the patient has noticed that the opioid analgesic is not helping as much as it had previously and more medication is needed for the same pain relief. The nurse is aware that this patient is experiencing opioid
Correct Answer: B
Rationale: The correct answer is B: tolerance. Tolerance occurs when a patient requires increasing doses of a medication to achieve the same effect over time. In this case, the patient needs more opioid medication for the same pain relief, indicating tolerance. Addiction (A) involves a psychological dependence on a substance, which is not directly related to the need for increased doses for pain relief. Toxicity (C) refers to harmful effects of a drug at excessive doses, not the need for higher doses for pain relief. Abstinence syndrome (D) is the set of symptoms that occur when a person stops using a drug abruptly, not the need for increasing doses due to decreased effectiveness.
Question 5 of 5
A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment?
Correct Answer: B
Rationale: The correct answer is B: methadone. Methadone is commonly used in managing opioid withdrawal symptoms due to its long-acting properties and ability to reduce cravings and withdrawal symptoms. It helps stabilize the patient and prevent relapse. Diazepam (A) is a benzodiazepine used for anxiety and not typically for opioid withdrawal. Disulfiram (C) is used for alcohol aversion therapy, not opioid withdrawal. Bupropion (D) is used for smoking cessation, not opioid withdrawal.