A patient was prescribed sertraline (Zoloft) for the treatment of depression and anxiety. The patient's spouse calls the clinic and reports the patient is increasingly moody and seems 'disconnected with life.' What is the best response by the nurse?

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ATI Intro to Pharmacology Quizlet Questions

Question 1 of 5

A patient was prescribed sertraline (Zoloft) for the treatment of depression and anxiety. The patient's spouse calls the clinic and reports the patient is increasingly moody and seems 'disconnected with life.' What is the best response by the nurse?

Correct Answer: B

Rationale: Sertraline carries a suicide risk warning, especially early on. Moodiness and disconnection suggest potential ideation, requiring urgent clinic assessment for safety. Diphenhydramine masks symptoms. Holding medication risks withdrawal. Doubling the dose could worsen effects. B ensures immediate evaluation, making it the best response.

Question 2 of 5

The following drugs commonly cause hepatotoxicity:

Correct Answer: A

Rationale: Paracetamol overdose can cause severe hepatotoxicity due to the accumulation of toxic metabolites.

Question 3 of 5

A patient with diabetes has a new prescription for the ACE inhibitor lisinopril. She questions this order because her physician has never told her that she has hypertension. What is the best explanation for this order?

Correct Answer: D

Rationale: The correct explanation for the prescription of the ACE inhibitor lisinopril for a patient with diabetes who does not have hypertension is that this medication has cardioprotective properties. ACE inhibitors, such as lisinopril, have been shown to have beneficial effects beyond just lowering blood pressure. They have been found to reduce the risk of cardiovascular events and complications in patients with diabetes, even in the absence of hypertension. Therefore, the prescription of lisinopril for a patient with diabetes may be for its cardioprotective properties rather than for hypertension control.

Question 4 of 5

While assessing a patient who is taking a beta blocker for angina, the nurse knows to monitor for which adverse effect?

Correct Answer: C

Rationale: Beta blockers work by blocking the action of beta-adrenergic receptors, resulting in a decreased heart rate. Bradycardia is a known adverse effect of beta blockers, and it is important for the nurse to monitor the patient's heart rate regularly while taking this medication, particularly for individuals with pre-existing heart conditions. Nervousness, hypertension, and dry cough are not typically associated with beta blocker use.

Question 5 of 5

The nurse is preparing to transfuse a patient with a unit of packed red blood cells (PRBCs). Which patient would be best treated with this transfusion?

Correct Answer: B

Rationale: Packed red blood cells (PRBCs) are typically transfused to patients with severe anemia, where the oxygen-carrying capacity of the blood is significantly reduced. PRBCs are concentrated units of red blood cells that can quickly increase the blood's oxygen-carrying capacity. Patients with severe anemia may experience symptoms such as fatigue, weakness, shortness of breath, and pale skin. Transfusion of PRBCs helps to improve oxygen delivery to tissues and organs, alleviating these symptoms and improving the patient's overall well-being.

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