ATI RN
Cardiovascular Drugs Chapter 11 Quizlet Questions
Question 1 of 5
For what severe skeletal muscle adverse reaction should the nurse observe in a patient taking rosuvastatin?
Correct Answer: B
Rationale: The correct answer is B: Rhabdomyolysis. Rhabdomyolysis is a severe adverse reaction associated with statin use, including rosuvastatin. It is characterized by the breakdown of skeletal muscle tissue, leading to the release of muscle proteins into the bloodstream, potentially causing kidney damage. The nurse should monitor for symptoms such as muscle pain, weakness, and dark urine. Myasthenia gravis (A) is an autoimmune neuromuscular disorder, not directly related to statin use. Dyskinesia (C) refers to abnormal involuntary movements, typically associated with neurological conditions. Agranulocytosis (D) is a blood disorder characterized by a severe decrease in white blood cells and is not a common adverse effect of rosuvastatin.
Question 2 of 5
A patient’s spouse asks a nurse, “Why are they wasting money doing all these tests on my spouse? The hallucinations and delusions make the mental illness obvious!” The best reply would be:
Correct Answer: C
Rationale: The correct answer is C because it addresses the spouse's concern about the necessity of tests by explaining that physical illnesses can manifest as psychiatric symptoms. By ruling out physical causes, the healthcare team can accurately diagnose and treat the patient. Option A is dismissive and lacks a substantive explanation. Option B acknowledges the cost concern but does not address the underlying reason for the tests. Option D is invalidating and does not provide a logical reason for the testing. Thus, option C is the most appropriate response as it educates the spouse on the importance of ruling out physical illnesses in the diagnostic process.
Question 3 of 5
A patient has been taking phenobarbital for 2 weeks as part of his therapy for epilepsy. He tells the nurse that he feels tense and that 'the least little thing' bothers him now. Which is the correct explanation for this problem?
Correct Answer: D
Rationale: The correct answer is D because phenobarbital, a barbiturate, suppresses REM sleep, leading to a decrease in the body's ability to cope with stress. This can result in increased tension and irritability. Choice A is incorrect as the adverse effects mentioned are not expected to subside after a few weeks with this drug. Choice B is incorrect because stopping the drug abruptly can lead to withdrawal symptoms and potential seizures in epilepsy patients. Choice C is incorrect as it misrepresents the effect of phenobarbital on REM sleep, as it decreases REM sleep instead of increasing it.
Question 4 of 5
When the nurse is administering topical nitroglycerin ointment, which technique is correct?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Removing the old ointment ensures proper absorption and effectiveness of the new dose. 2. Residual ointment can lead to an overdose if not removed. 3. Mixing old and new ointment can alter the desired therapeutic effect. Summary of Other Choices: A: Incorrect. The ointment should be applied on a specific area, not just anywhere on the skin. B: Incorrect. Nitroglycerin ointment is used for prevention and treatment, not just during angina episodes. D: Incorrect. Massaging the ointment can alter absorption, and covering with plastic wrap can increase absorption and risk of side effects.
Question 5 of 5
While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?
Correct Answer: D
Rationale: The correct answer is D: Liver dysfunction. Antilipemic therapy can impact liver function due to the role of the liver in metabolizing lipids. Monitoring for liver dysfunction is crucial to prevent potential complications. Neutropenia (A) is unrelated to antilipemic therapy. Pulmonary problems (B) are not typically associated with this therapy. Vitamin C deficiency (C) is not a common concern in antilipemic treatment. In summary, monitoring for liver dysfunction is essential due to the potential impact of antilipemic therapy on liver function.