ATI RN
Cardiovascular System Drugs Questions
Question 1 of 5
A patient with bipolar disorder has an unstable mood, aggressiveness, agitation, talkativeness, and irritability. The nurse begins care planning based on the expectation that the health care provider is most likely to prescribe a medication classified as a(n):
Correct Answer: B
Rationale: The correct answer is B: mood stabilizer. For a patient with bipolar disorder experiencing unstable mood, aggressiveness, and talkativeness, a mood stabilizer would be the most appropriate medication. Mood stabilizers help regulate mood swings and prevent episodes of mania or depression. Anticholinergics (choice A) are not typically used to treat bipolar disorder. Psychostimulants (choice C) can exacerbate manic symptoms. Antidepressants (choice D) may trigger manic episodes if used alone without a mood stabilizer. Therefore, the most suitable option to address the symptoms described would be a mood stabilizer.
Question 2 of 5
A patient is receiving gabapentin (Neurontin), an anticonvulsant, but has no history of seizures. The nurse expects that the patient is receiving this drug for which condition?
Correct Answer: B
Rationale: Step 1: Gabapentin is commonly used to treat neuropathic pain. Step 2: Peripheral neuropathy is a type of nerve damage that causes pain. Step 3: Since the patient has no history of seizures, the most likely reason for receiving gabapentin is to manage pain associated with peripheral neuropathy. Step 4: Therefore, the correct answer is B: Pain associated with peripheral neuropathy. Summary: - Inflammation pain (Choice A) is not typically treated with gabapentin. - Depression associated with chronic pain (Choice C) may be managed with other medications. - Prevention of seizures (Choice D) is the primary indication for gabapentin in patients with a history of seizures, not in this case.
Question 3 of 5
A patient is being treated for ethanol alcohol abuse in a rehabilitation center. The nurse will include which information when teaching him about disulfiram (Antabuse) therapy?
Correct Answer: B
Rationale: The correct answer is B. When teaching a patient about disulfiram therapy, it is important to inform them about the common over-the-counter substances that contain alcohol, as consuming these can lead to a disulfiram-alcohol reaction. This reaction includes symptoms such as flushing, nausea, vomiting, and palpitations, which can be severe and potentially life-threatening. Therefore, the patient must avoid all sources of alcohol, including certain medications, mouthwashes, and even some foods. Choices A, C, and D are incorrect because smoking cigarettes, experiencing similar effects as alcohol without euphoria, and assuming small amounts of alcohol are safe can all lead to serious consequences while on disulfiram therapy.
Question 4 of 5
The nurse is preparing to administer dipyridamole (Persantine). Which statement about this drug is true?
Correct Answer: D
Rationale: The correct answer is D. Dipyridamole is used in combination with warfarin to prevent postoperative thromboembolic complications. This is because dipyridamole enhances the effects of warfarin, resulting in improved prevention of blood clots. Choice A is incorrect because dipyridamole does not have antiinflammatory or antipyretic properties. Choice B is incorrect because dipyridamole does not have analgesic properties and its main effect is antithrombotic. Choice C is incorrect because dipyridamole is not specifically indicated for reducing the risk of fatal and nonfatal thrombotic stroke.
Question 5 of 5
When educating a patient recently placed on inhaled corticosteroids, the nurse will discuss which potential adverse effects?
Correct Answer: D
Rationale: The correct answer is D because inhaled corticosteroids can lead to oral candidiasis (thrush) due to local immunosuppression and dry mouth. This is because corticosteroids can disrupt the oral mucosa's normal flora and reduce salivary flow. Fatigue and depression (A), anxiety and palpitations (B), and headache and rapid heart rate (C) are not typically associated with inhaled corticosteroid use.