ATI RN
Chapter 25 Cardiovascular Drugs Quizlet Questions
Question 1 of 5
In New South Wales, Australia, personal cannabis use has been:
Correct Answer: B
Rationale: The correct answer is B: decriminalised. In New South Wales, personal cannabis use is not fully legal but is treated as a minor offense, resulting in a fine or caution rather than criminal charges. Decriminalisation aims to reduce the burden on the criminal justice system while maintaining some level of control over cannabis use. This approach is a middle ground between full legalisation (C) and de facto legalisation (D), where cannabis use is widely accepted without formal legalisation. Criminalisation (A) entails serious legal consequences for cannabis use, which is not the case in New South Wales.
Question 2 of 5
A patient with a history of depression reports not feeling well rested in recent weeks. Before making the assumption that the complaint is related to depression, a nurse should investigate whether the patient has had any recent changes in:
Correct Answer: A
Rationale: The correct answer is A: work schedule that affect the hours of sleep. This is because changes in work schedule can directly impact the amount and quality of sleep a person gets, leading to feelings of not being well-rested. Investigating this factor is important before assuming the complaint is solely related to depression. Choice B: vacations taken within the same time zone, is incorrect as vacations within the same time zone should not significantly affect sleep patterns unless there are other factors involved. Choice C: fluid intake with reduced overall intake of water, is incorrect because while hydration is important for overall health, it is less likely to be the primary cause of not feeling well-rested. Choice D: food intake with decreased intake of heavy foods before bedtime, is incorrect as while diet can impact sleep quality, it is less likely to be the primary cause of feeling not well-rested in this case.
Question 3 of 5
A patient is taking flurazepam (Dalmane) 3 to 4 nights a week for sleeplessness. She is concerned that she cannot get to sleep without taking the medication. What nonpharmacologic measures should the nurse suggest to promote sleep for this patient?
Correct Answer: A
Rationale: The correct answer is A: Providing a quiet environment. Creating a quiet environment can help the patient relax and reduce distractions, promoting better sleep. This measure is important as it can help the patient establish a consistent sleep routine and reduce the dependence on medication for sleep. Choice B is incorrect because exercising before bedtime can actually stimulate the body and make it harder to fall asleep. Choice C is incorrect because consuming heavy meals in the evening can lead to indigestion and discomfort, making it difficult to sleep. Choice D is incorrect because drinking hot tea or coffee just before bedtime can interfere with sleep due to the caffeine content, which is a stimulant.
Question 4 of 5
A patient arrives in the emergency department with severe chest pain. The patient reports that the pain has been occurring off and on for a week now. Which assessment finding would indicate the need for cautious use of nitrates and nitrites?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure of 88/62 mm Hg. This indicates hypotension, a contraindication for nitrates that can further lower blood pressure. Nitrates dilate blood vessels, leading to decreased preload and afterload, which can worsen hypotension. Choices B, C, and D are incorrect because an elevated pulse rate, renal disease history, and past myocardial infarction do not directly contraindicate the cautious use of nitrates and nitrites.
Question 5 of 5
A patient who has recently started therapy on a statin drug asks the nurse how long it will take until he sees an effect on his serum cholesterol. Which statement would be the nurse’s best response?
Correct Answer: B
Rationale: The correct answer is B: “It takes 6 to 8 weeks to see a change in cholesterol levels.” This is because statins typically take time to reach their full effect on lowering cholesterol levels by inhibiting the enzyme involved in cholesterol production. Within 6 to 8 weeks, the patient can expect to see a significant reduction in their serum cholesterol levels. Choice A is incorrect because blood levels do not return to normal within a week of beginning statin therapy. Choice C is incorrect as it typically does not take 6 months to see a change in cholesterol levels with statins. Choice D is incorrect as significant results can be seen before a year of therapy.