ATI RN
FHEA Drugs That Affect the Cardiovascular System Quizlet Questions
Question 1 of 5
A patient has schizophrenia and is troubled by negative symptoms, muscle stiffness, and motor restlessness. His Advanced Practice Nurse (APN) is considering changing the patient’s antipsychotic medication, haloperidol (Haldol, a typical or first generation antipsychotic drug). For planning purposes, which medication can the nurse assume that the APN will probably choose?
Correct Answer: C
Rationale: The correct answer is C: Olanzapine (Zyprexa). The nurse will likely choose olanzapine because it is an atypical or second-generation antipsychotic drug that is effective in treating negative symptoms, muscle stiffness, and motor restlessness associated with schizophrenia. Olanzapine has a lower risk of extrapyramidal side effects compared to haloperidol, making it a safer option for the patient. Chlorpromazine (A) is an older typical antipsychotic with similar side effect profile as haloperidol. Clozapine (B) is effective for treatment-resistant schizophrenia but is not typically a first choice due to its potential for serious side effects. Fluoxetine (D) is an antidepressant and not typically used as a first-line treatment for schizophrenia symptoms.
Question 2 of 5
Which of the following are basic responsibilities of nurses who administer psychotherapeutic drugs? Select the one tha does not apply.
Correct Answer: C
Rationale: Correct Answer: C - Adjusting medication dosages according to therapeutic levels Rationale: Nurses are responsible for administering psychotherapeutic drugs, not adjusting dosages. Only the prescribing healthcare provider should determine and adjust medication dosages based on the client's response and therapeutic levels. Nurses should monitor and evaluate the client's response, continually assess their condition, and assist in coordinating their care to ensure the client's well-being and safety. Adjusting medication dosages is beyond the scope of a nurse's practice and should only be done by a licensed healthcare provider.
Question 3 of 5
For a client who has experienced a temporal lobe injury, the nurse would anticipate assessing problems with:
Correct Answer: D
Rationale: The correct answer is D: Motivation and memory. Temporal lobe injuries often affect memory functions due to their role in memory formation and retrieval. Additionally, the temporal lobe is involved in regulating motivation and emotional responses. Therefore, it is common for clients with temporal lobe injuries to experience issues with motivation and memory. Choice A (Personality and intellectual function) is incorrect because these functions are primarily associated with the frontal lobe. Choice B (Attention selectivity and span) is incorrect as these are more closely related to the parietal lobe. Choice C (Form and color recognition) is incorrect as these functions are mainly associated with the occipital lobe.
Question 4 of 5
A patient is brought to the emergency department for treatment of a suspected overdose. The patient was found with an empty prescription bottle of a barbiturate by his bedside. He is lethargic and barely breathing. The nurse would expect which immediate intervention?
Correct Answer: C
Rationale: The correct answer is C: Implementing measures to maintain the airway and support respirations. In cases of a suspected barbiturate overdose, the priority is to ensure the patient has a patent airway and is able to breathe adequately. This intervention is crucial as barbiturates can depress the central nervous system, leading to respiratory depression or even respiratory arrest. By maintaining the airway and supporting respirations, the nurse can prevent further complications such as hypoxia and ensure the patient's vital functions are stable. Other choices are incorrect: A: Starting an intravenous infusion of diluted bicarbonate solution - While bicarbonate may be used in certain cases of drug toxicity to correct acidosis, it is not the immediate intervention needed for a patient with a suspected barbiturate overdose. B: Administering medications to increase blood pressure - This is not the priority in a case of barbiturate overdose where respiratory depression is the main concern. D: Administrating naloxone (Nar
Question 5 of 5
A calcium channel blocker (CCB) is prescribed for a patient, and the nurse provides instructions to the patient about the medication. Which instruction is correct?
Correct Answer: D
Rationale: The correct answer is D: A high-fiber diet with plenty of fluids will help prevent the constipation that may occur. Rationale: 1. CCBs can cause constipation as a side effect due to their action on smooth muscle. 2. A high-fiber diet and adequate fluids help prevent constipation by promoting bowel regularity. 3. Increasing fiber intake can soften stool and facilitate passage, reducing the risk of constipation. 4. Adequate fluid intake is essential to maintain hydration and support digestive function, aiding in the prevention of constipation. Summary: A: Chewing the tablet may alter the drug's release mechanism and is not recommended for CCBs. B: Grapefruit juice can interact with CCBs, potentially increasing drug levels and side effects. C: Adverse effects like chest pain, fainting, or dyspnea may indicate a serious reaction, but immediate discontinuation should be done under medical guidance, not solely based on patient judgment.