ATI RN
Cardiovascular Treatment Drugs Questions
Question 1 of 5
In acute pulmonary oedema the following are usually appropriate EXCEPT:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
During an admission assessment, a nurse notes that a client diagnosed with schizophrenia has allergies to penicillin, prochlorperazine (Compazine), and bee stings. On the basis of this assessment data, which antipsychotic medication would be contraindicated?
Correct Answer: D
Rationale: The correct answer is D: Thioridazine (Mellaril), because of cross-sensitivity among phenothiazines. Thioridazine belongs to the phenothiazine class, which includes prochlorperazine (Compazine) to which the client is allergic. Cross-sensitivity among phenothiazines can lead to allergic reactions. A, B, and C are incorrect: A: Haloperidol (Haldol) is not contraindicated solely based on the client's allergies. Its use in elderly patients is not a relevant factor in this case. B: Clozapine (Clozaril) does not have a cross-sensitivity with penicillin. It is not contraindicated in this case. C: Risperidone (Risperdal) does not exacerbate symptoms of depression. It is not contraindicated based on the client's allergies.
Question 3 of 5
Which statement about the treatment of clients with panic disorder is inaccurate?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Benzodiazepines are not recommended as long-term treatment for panic disorder due to their highly addictive nature and potential for tolerance. 2. The treatment of choice for panic disorder is typically SSRIs or cognitive-behavioral therapy. 3. Addiction potential is a significant concern with benzodiazepines, making them unsuitable for long-term use. 4. Clients with panic disorder may benefit from short-term use of benzodiazepines for acute anxiety episodes, but not as a long-term solution. 5. Other treatment options like therapy, SSRIs, and relaxation techniques are preferred for long-term management of panic disorder.
Question 4 of 5
A patient taking a monoamine oxidase inhibitor reports that he forgot he wasn’t supposed to take over-the-counter drugs without prior approval and took some medication for his cold 6 hours ago. His wife, a nurse’s aide, checked and reports that his blood pressure is 128/84, slightly above his usual blood pressure. He has not noticed any other changes or symptoms. Which of the following responses by the nurse would be most appropriate? (Select the one that does not apply.)
Correct Answer: B
Rationale: The most appropriate response is B because the patient is taking a monoamine oxidase inhibitor, which can interact dangerously with cold medications containing ingredients like pseudoephedrine. Going to the emergency room is a precautionary measure to ensure the patient's safety due to the potential risk of a hypertensive crisis. Response A is incorrect because even a single dose can be dangerous in this scenario. Response C is incorrect as waiting for symptoms to appear before seeking help can delay necessary treatment. Response D is also incorrect as waiting for the blood pressure to reach a specific level can be risky in this situation. Going to the ER promptly is the safest course of action.
Question 5 of 5
The nurse knows that a patient’s total cholesterol level should be within which range?
Correct Answer: A
Rationale: Step-by-step rationale: 1. The optimal total cholesterol level is below 200 mg/dL for heart health. 2. Levels between 200-225 mg/dL are borderline high, increasing heart disease risk. 3. Levels between 225-250 mg/dL are high, indicating potential heart disease risk. 4. Levels greater than 250 mg/dL are very high, posing significant heart disease risk. Therefore, choice A (150 to 200 mg/dL) is correct for maintaining heart health. Other choices are incorrect as they indicate elevated or high cholesterol levels, increasing cardiovascular risk.