ATI RN
Pharmacology Cardiovascular Drugs Quiz Questions
Question 1 of 5
A patient will be starting on fluoxetine hydrochloride (Prozac) therapy and taking 20 mg PO every morning. Which nursing intervention would be most therapeutic for the nurse to teach the patient?
Correct Answer: B
Rationale: This question requires the application of knowledge about selective serotonin reuptake inhibitors (SSRIs) to a specific plan for medication education. To reduce nausea, the patient should be advised to take the medicine with meals. When teaching patients who are taking tricyclic antidepressants (TCAs), one must emphasize that patients should dangle their legs over the bed and change positions slowly to prevent postural hypotension. It is also advisable for patients to increase fluids, exercise, and roughage intake to prevent the anticholinergic effects of antidepressants. Foods that contain tyramine (e.g., Chianti, nuts, cheese) are prohibited when patients are taking monoamine oxidase inhibitors (MAOIs). The primary synaptic activity for SSRIs is to inhibit the reuptake of 5-HT. The possible clinical effects of 5-HT include the following: gastrointestinal (GI) disturbances and sexual dysfunction. Fluoxetine hydrochloride (Prozac), an SSRI that is usually administered in the morning to reduce the potential of a side-effect profile that is 2+ for insomnia/agitation, also demonstrates a 3+ for GI disturbances.
Question 2 of 5
A patient has been admitted to the emergency department for an overdose of oral benzodiazepines. He is very drowsy but still responsive, with a respiration rate of 12 breaths per minute. The nurse will prepare for which immediate intervention?
Correct Answer: B
Rationale: Flumazenil (Romazicon), a benzodiazepine antidote, can be used to acutely reverse the sedative effects of benzodiazepines. Hemodialysis is not useful for benzodiazepine overdose, and naloxone is used for opioid overdose, not benzodiazepine overdose. Intubation and mechanical ventilation are not appropriate because the patient is still responsive and breathing on his own.
Question 3 of 5
When teaching a patient who has a new prescription for transdermal nitroglycerin patches, the nurse tells the patient that these patches are most appropriately used for which situation?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Mannitol (Osmitrol) has been ordered for a patient with acute renal failure. The nurse will administer this drug using which procedure?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A patient with end-stage renal failure has been admitted to the hospital for severe anemia. She is refusing blood transfusions. The nurse anticipates drug therapy with which drug to stimulate the production of red blood cells?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.