ATI RN
Chapter 11 Cardiovascular Drugs Test Questions Quizlet Questions
Question 1 of 5
__________ is a side effect that can occur while a client is taking an antipsychotic medication, causing muscle rigidity, high fever, unstable vital signs, confusion, and agitation.
Correct Answer: B
Rationale: The correct answer is B: Neuroleptic malignant syndrome (NMS). NMS is a serious side effect of antipsychotic medications characterized by muscle rigidity, high fever, unstable vital signs, confusion, and agitation. This is a life-threatening condition that requires immediate medical attention. Rationale: 1. Muscle rigidity, high fever, and unstable vital signs are hallmark symptoms of NMS. 2. Confusion and agitation are also common in individuals experiencing NMS. 3. NMS is a medical emergency that can lead to serious complications if not treated promptly. 4. The other choices, A: Drug-induced parkinsonism, C: Tardive dyskinesia, and D: Dystonia, do not present with the same constellation of symptoms as NMS and are unrelated to the life-threatening nature of NMS.
Question 2 of 5
A patient is recovering from a minor automobile accident that occurred 1 week ago. He is taking cyclobenzaprine (Flexeril) for muscular pain and goes to physical therapy three times a week. Which nursing diagnosis would be appropriate for him?
Correct Answer: A
Rationale: The correct answer is A: Risk for falls related to decreased sensorium. The rationale is as follows: 1. Cyclobenzaprine can cause drowsiness, dizziness, and blurred vision, leading to decreased sensorium. 2. The patient is undergoing physical therapy, which may further increase the risk of falls due to potential muscle weakness or fatigue. 3. The combination of medication, therapy, and recent accident increases the risk of falls. 4. Nursing diagnosis should focus on preventing harm, making "Risk for falls related to decreased sensorium" the most appropriate choice. Summary: B: Risk for addiction is not relevant as the patient is using the medication as prescribed for acute pain. C: Decreased fluid volume is not a common side effect of cyclobenzaprine. D: Disturbed sleep pattern is a potential side effect, but the risk of falls due to decreased sensorium is a higher priority in this case.
Question 3 of 5
A 74-year-old professional golfer has chest pain that occurs toward the end of his golfing games. He says the pain usually goes away after 1 or 2 sublingual nitroglycerin tablets and rest. What type of angina is he experiencing?
Correct Answer: A
Rationale: The correct answer is A: Classic angina. This type of angina is characterized by chest pain occurring predictably with exertion and relieved by rest or nitroglycerin. In this case, the golfer experiences pain at the end of games, consistent with exertional angina. Variant angina (B) occurs at rest due to coronary artery spasm. Unstable angina (C) is characterized by chest pain at rest that is new or changing in pattern. Prinzmetal's angina (D) is also due to coronary artery spasm but typically occurs at rest and is not necessarily related to exertion.
Question 4 of 5
A patient with risk factors for coronary artery disease asks the nurse about the “good cholesterol” laboratory values. The nurse knows that “good cholesterol” refers to which lipids?
Correct Answer: D
Rationale: The correct answer is D: High-density lipoproteins (HDLs). HDLs are known as "good cholesterol" because they help remove LDL cholesterol from the arteries, reducing the risk of heart disease. High levels of HDL are associated with a lower risk of coronary artery disease. Triglycerides (A), LDLs (B), and VLDLs (C) are not considered "good cholesterol." Triglycerides are a type of fat in the blood that can increase the risk of heart disease when elevated. LDLs are often referred to as "bad cholesterol" as they can lead to plaque buildup in the arteries. VLDLs are another type of lipoprotein that carries triglycerides and can contribute to heart disease risk.
Question 5 of 5
The nurse is reviewing the medical record of a patient before giving a new order for iron sucrose (Venofer). Which statement regarding the administration of iron sucrose is correct?
Correct Answer: D
Rationale: The correct answer is D because monitoring for hypotension during iron sucrose infusion is crucial due to the risk of anaphylactic reactions. Hypotension is a common early sign of an allergic reaction. Choices A and B are incorrect as iron sucrose is typically given on an empty stomach and is safe for patients with renal disease. Choice C is incorrect as a test dose is not usually required for iron sucrose administration.