ATI RN
Cardiovascular Drug Safety Pharmacology Questions
Question 1 of 5
After 6 months of taking imipramine (Tofranil) for depressive symptoms, a client complains that the medication doesn’t seem as effective as before. Which question should the nurse ask to determine the cause of this problem?
Correct Answer: B
Rationale: The correct answer is B. Smoking cigarettes can affect the metabolism of imipramine, potentially leading to reduced effectiveness. The nurse should inquire about the number of packs smoked daily to assess this impact. Choice A is incorrect as tyramine-rich foods are relevant for MAOI medications, not imipramine. Choice C is not directly related to imipramine's efficacy. Choice D is incorrect as St. John's wort can interact with many medications, but not specifically imipramine.
Question 2 of 5
When interviewing and planning care for a patient with fear of public speaking, the nurse must be aware that social phobias are often treatable with:
Correct Answer: B
Rationale: The correct answer is B: beta-blockers. Beta-blockers are commonly used to treat performance anxiety, including fear of public speaking, by blocking the effects of adrenaline on the body. This helps reduce physical symptoms such as rapid heartbeat and trembling, allowing the individual to feel calmer and more in control during public speaking. Neuroleptics (A), tricyclic antidepressants (C), and monoamine oxidase inhibitors (D) are not typically used to treat social phobias like fear of public speaking, as they target different neurotransmitters and symptoms. Beta-blockers are a more appropriate choice for managing the physical symptoms associated with performance anxiety.
Question 3 of 5
According to Himmelstein, the social locus of cannabis use in the 1920s and 1930s in the United States was:
Correct Answer: B
Rationale: The correct answer is B: Chinese immigrants working on the transcontinental railroad. Himmelstein's research shows that during the 1920s and 1930s, cannabis use was primarily associated with Chinese immigrants who brought the practice to the United States. This is supported by historical records and cultural contexts of the time. The other choices are incorrect because white middle-class youth and Harry Anslinger were not the primary social locus for cannabis use during that period. White middle-class youth were not typically associated with cannabis use at that time, and Harry Anslinger, while influential in shaping drug policies, was not the main social group using cannabis in the 1920s and 1930s.
Question 4 of 5
A patient taking medication for depression states, “I need to stop taking my medication because it blurs my vision, and I’m making mistakes when I paint jewelry by hand.” Which response by a nurse would be most therapeutic?
Correct Answer: B
Rationale: Answer B is the most therapeutic response because it acknowledges the patient's concern about blurred vision and offers a practical solution to address it. By reminding the patient that blurred vision is a known side effect that will resolve shortly and suggesting the use of a magnifying glass as a temporary aid, the nurse validates the patient's experience and provides support. This response promotes open communication, reassures the patient, and empowers them to manage the side effect effectively. The other choices are incorrect because: A: Recommending ECT treatments without exploring alternative solutions or addressing the patient's concerns about medication side effects is not therapeutic. C: Suggesting a medication change without first addressing the current side effect and exploring other options does not address the patient's immediate issue. D: Recommending a sick leave as the first solution without exploring less disruptive options or addressing the patient's concerns is not therapeutic.
Question 5 of 5
A client asks the nurse, 'My wife has breast cancer. Could it be caused by too much stress?' The nurse responds with the knowledge that:
Correct Answer: C
Rationale: Rationale: C is correct because stress does cause the release of factors like cortisol that suppress the immune system, potentially contributing to the development or progression of diseases like cancer. A is incorrect as stress doesn't directly cause all types of cancer. B is incorrect as research supports the link between stress and disease. D is incorrect as stress can impact the body's health.