ATI RN
Cardiovascular Drugs Chapter 11 Quizlet Questions
Question 1 of 5
A patient moving from chair to chair in the day room and pacing in the hallway repeatedly, rapidly, and for extended periods is likely demonstrating _________ , and the nurse should __________.
Correct Answer: C
Rationale: The correct answer is C: akathisia...administer PRN diphenhydramine (Benadryl) PO. Akathisia is characterized by restlessness and the inability to sit still, leading to constant movement like pacing. Diphenhydramine is commonly used to manage akathisia due to its anticholinergic effects that can help reduce these symptoms. Rationale: 1. Akathisia matches the patient's symptoms of constant movement and restlessness. 2. Diphenhydramine is a common treatment for akathisia due to its calming effects. 3. Administering diphenhydramine orally is appropriate for managing akathisia symptoms in a non-emergent situation. Summary: A: Dystonic reaction presents with muscle spasms, not constant movement like pacing. B: Anxiety does not typically manifest as constant pacing and may require different interventions. D: Tardive dyskinesia involves involuntary movements and is
Question 2 of 5
The nurse is administering medications to a client with a diagnosis of paranoid schizophrenia. The nurse would expect to see which medication ordered for this client?
Correct Answer: D
Rationale: The correct answer is D: Risperdal – atyp antipsych. In treating paranoid schizophrenia, atypical antipsychotics like Risperdal are preferred due to their lower risk of extrapyramidal side effects compared to typical antipsychotics. Risperdal specifically targets psychotic symptoms, including paranoia, hallucinations, and delusions. Lithium (choice A) is typically used for bipolar disorder, Depakene (choice B) for seizures, and Neurontin (choice C) for anxiety and pain, none of which directly address the symptoms of paranoid schizophrenia.
Question 3 of 5
A patient’s spouse asks a nurse, “Why are they wasting money doing all these tests on my spouse? The hallucinations and delusions make the mental illness obvious!” The best reply would be:
Correct Answer: C
Rationale: The correct answer is C because it addresses the spouse's concern about the necessity of tests by explaining that physical illnesses can manifest as psychiatric symptoms. By ruling out physical causes, the healthcare team can accurately diagnose and treat the patient. Option A is dismissive and lacks a substantive explanation. Option B acknowledges the cost concern but does not address the underlying reason for the tests. Option D is invalidating and does not provide a logical reason for the testing. Thus, option C is the most appropriate response as it educates the spouse on the importance of ruling out physical illnesses in the diagnostic process.
Question 4 of 5
A patient has been taking phenobarbital for 2 weeks as part of his therapy for epilepsy. He tells the nurse that he feels tense and that 'the least little thing' bothers him now. Which is the correct explanation for this problem?
Correct Answer: D
Rationale: The correct answer is D because phenobarbital, a barbiturate, suppresses REM sleep, leading to a decrease in the body's ability to cope with stress. This can result in increased tension and irritability. Choice A is incorrect as the adverse effects mentioned are not expected to subside after a few weeks with this drug. Choice B is incorrect because stopping the drug abruptly can lead to withdrawal symptoms and potential seizures in epilepsy patients. Choice C is incorrect as it misrepresents the effect of phenobarbital on REM sleep, as it decreases REM sleep instead of increasing it.
Question 5 of 5
When the nurse is administering topical nitroglycerin ointment, which technique is correct?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Removing the old ointment ensures proper absorption and effectiveness of the new dose. 2. Residual ointment can lead to an overdose if not removed. 3. Mixing old and new ointment can alter the desired therapeutic effect. Summary of Other Choices: A: Incorrect. The ointment should be applied on a specific area, not just anywhere on the skin. B: Incorrect. Nitroglycerin ointment is used for prevention and treatment, not just during angina episodes. D: Incorrect. Massaging the ointment can alter absorption, and covering with plastic wrap can increase absorption and risk of side effects.