ATI RN
Cardiovascular Drugs Commonly Prescribed Quizlet Questions
Question 1 of 5
A patient received maintenance doses of fluphenazine decanoate (Prolixin Decanoate) 25 mg IM every 2 weeks for 2 years. The clinic nurse notes the patient is grimacing and seems to be constantly smacking her lips. On the next clinic visit, the patient’s neck and shoulders twist in a slow, snakelike motion. The nurse should suspect the presence of ________ and should __________.
Correct Answer: B
Rationale: The correct answer is B: tardive dyskinesia...administer the Abnormal Involuntary Movement Scale. Tardive dyskinesia is a movement disorder characterized by repetitive, involuntary movements such as grimacing, lip smacking, and twisting motions. It is a known side effect of long-term antipsychotic use, like fluphenazine decanoate. Administering the Abnormal Involuntary Movement Scale can help assess the severity of the symptoms and guide further management. Incorrect options: A: Agranulocytosis is a serious side effect of some antipsychotic medications but does not present with the symptoms described. C: Tourette's syndrome is a neurological disorder characterized by involuntary movements and vocalizations but is not typically associated with antipsychotic use. D: Anticholinergic effects can cause dry mouth and constipation but do not typically present with the specific movement symptoms described.
Question 2 of 5
Psychotropic medications can cause a parasympathetic and/or sympathetic response from the autonomic nervous system. Which of the following is considered a sympathetic response?
Correct Answer: A
Rationale: The correct answer is A: Pupil dilation. Sympathetic response involves the activation of the fight-or-flight response, leading to physiological changes to prepare the body for action. Pupil dilation occurs in response to sympathetic stimulation to enhance visual acuity. Increased saliva production (B) is a parasympathetic response for digestion. Decreased heart rate (C) and constricted airway (D) are both parasympathetic responses, as they are associated with relaxation and rest.
Question 3 of 5
A couple tells a nurse that they are concerned about having children because there is bipolar disorder in first-degree relatives of each of them. What advice should the nurse give?
Correct Answer: B
Rationale: The correct answer is B: "Seek genetic counseling." This is the best advice because genetic counseling can help the couple understand the risk of passing on bipolar disorder to their children and explore options for family planning. Option A is too extreme and does not consider other factors. Option C is vague and does not provide any useful guidance. Option D is incorrect as bipolar disorder has a genetic component. Genetic counseling will provide the couple with the necessary information and support to make informed decisions about their family planning.
Question 4 of 5
A 50-year-old man who has been taking phenobarbital for 1 week is found very lethargic and unable to walk after eating out for dinner. His wife states that he has no other prescriptions and that he did not take an overdose—the correct number of pills is in the bottle. The nurse suspects that which of the following may have happened?
Correct Answer: B
Rationale: The correct answer is B: He drank a glass of wine. Phenobarbital is a central nervous system depressant, and when combined with alcohol, it can enhance the sedative effects, leading to extreme lethargy and impaired motor skills. This interaction can be dangerous and life-threatening. Incorrect choices: A: Taking a multivitamin would not cause such severe symptoms when combined with phenobarbital. C: Aspirin does not typically interact in a significant way with phenobarbital to cause extreme lethargy and inability to walk. D: Developing an allergy to the drug would result in different symptoms, such as rash, swelling, or difficulty breathing, rather than extreme lethargy and impaired motor skills.
Question 5 of 5
The nurse is giving intravenous nitroglycerin to a patient who has just been admitted because of an acute myocardial infarction. Which statement is true regarding the administration of the intravenous form of this medication?
Correct Answer: D
Rationale: Step 1: Nitroglycerin is light-sensitive and can degrade when exposed to light. PVC plastic can release compounds that can interact with nitroglycerin. Therefore, non-PVC plastic must be used to prevent drug degradation. Step 2: Using non-PVC bags and tubing ensures the drug's stability and efficacy during administration, reducing the risk of adverse effects. Step 3: This requirement is specific to intravenous nitroglycerin administration and is crucial to ensure the patient receives the intended therapeutic benefits without compromising the drug's potency. In summary, choice D is correct because using non-PVC plastic intravenous bags and tubing is essential to maintain the stability and effectiveness of intravenous nitroglycerin. Choices A, B, and C are incorrect as they do not address the specific requirement related to the administration of this medication.