ATI RN
Drugs Affecting the Cardiovascular and Renal Systems Edapt Quizlet Questions
Question 1 of 5
ACE inhibitors:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A nurse is administering risperidone (Risperdal) to a client diagnosed with schizophrenia. The therapeutic effect of this medication would most effectively address which of the following symptoms? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Social isolation. Risperidone is an antipsychotic medication commonly used to treat symptoms of schizophrenia, including hallucinations and delusions. Social isolation is often a result of these symptoms. By alleviating hallucinations and delusions with risperidone, the client may feel more connected and engaged with others, reducing social isolation. Somatic delusions (A) involve false beliefs about the body, which risperidone may not directly address. Gustatory hallucinations (C) involve false perceptions of taste, which risperidone may not specifically target. Flat affect (D) refers to a lack of emotional expression, which may improve with risperidone but is not directly related to social isolation.
Question 3 of 5
Which is an appropriate prescription for a client with OCD?
Correct Answer: B
Rationale: The correct answer is B, Fluvoxamine (Luvox), for a client with OCD. Fluvoxamine is a selective serotonin reuptake inhibitor (SSRI) that is FDA-approved for treating OCD due to its effectiveness in reducing obsessions and compulsions. It helps regulate serotonin levels in the brain, which play a role in OCD symptoms. Diazepam, Propranolol, and Alprazolam are not first-line treatments for OCD and do not specifically target the underlying causes of OCD like Fluvoxamine does. Diazepam and Alprazolam are benzodiazepines that may provide short-term relief but are not recommended for long-term use due to the risk of dependence. Propranolol is a beta-blocker primarily used for anxiety symptoms related to performance rather than OCD.
Question 4 of 5
When a patient with paranoid schizophrenia has a recurrence of positive symptoms after stopping his antipsychotic medication because of its postural hypotension (orthostasis) side effect, he is readmitted to the mental health unit. What measure should the nurse suggest to help the patient address this side effect?
Correct Answer: D
Rationale: The correct answer is D because wearing elastic support hose can help improve blood circulation and reduce the risk of orthostatic hypotension. Drinking adequate fluids can also help maintain blood pressure. Changing position slowly can prevent sudden drops in blood pressure. This comprehensive approach addresses the root cause of the side effect. A: Anticholinergic drugs can worsen orthostatic hypotension and are not recommended in this case. B: Chewing gum or using candy can help with dry mouth, a common side effect of antipsychotic medications, but it does not directly address orthostatic hypotension. C: Increasing sleep and taking rest breaks may improve overall well-being but does not specifically target orthostatic hypotension.
Question 5 of 5
Which laboratory test value does the nurse realize can contribute to the development of cardiovascular disease and stroke?
Correct Answer: B
Rationale: The correct answer is B: Increased homocysteine level. Elevated homocysteine is a well-established risk factor for cardiovascular disease and stroke. High levels of homocysteine can damage the lining of blood vessels and promote blood clot formation. This increases the risk of atherosclerosis, leading to cardiovascular events. Incorrect choices: A: Decreased antidiuretic hormone - This hormone regulates water balance and does not directly contribute to cardiovascular disease or stroke. C: Decreased triglycerides - Low triglycerides are not a significant risk factor for cardiovascular disease and stroke. D: Increased high-density lipoprotein level - High levels of HDL cholesterol are actually beneficial and protective against cardiovascular disease and stroke.