ATI RN
Pharmacology Cardiovascular Drugs Study Guide Questions
Question 1 of 5
The following drug effects have been correctly paired with the named drug EXCEPT:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient being treated for another condition complains that whenever he takes the medicine, his angina of effort becomes worse. This drug could be:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A client with a diagnosis of bipolar I disorder, current episode manic, tells a physician that she does not want to take lithium carbonate because she has gained a lot of weight while taking this medication. She says that if the physician sends her home on this drug she will just stop taking it. The physician decides to change the client's medication so she will be more compliant. Which medication should a nurse anticipate that the physician will choose to prescribe for this client?
Correct Answer: B
Rationale: The correct answer is B: Valproic acid (Depakote). In bipolar I disorder, mood stabilizers like lithium and valproic acid are commonly used to manage manic episodes. Valproic acid is often chosen as an alternative to lithium for patients who experience weight gain on lithium. Valproic acid is effective in stabilizing mood and has a lower likelihood of causing weight gain compared to lithium. Sertraline, trazodone, and paroxetine are antidepressants and not typically used as first-line treatments for bipolar disorder. Therefore, the physician is likely to choose valproic acid to address the client's concerns about weight gain and improve medication compliance.
Question 4 of 5
During a psychiatric emergency, IM ziprasidone (Geodon) is administered to an assaultive patient. During the next 2 hours, it is of primary importance that the nurse assess for:
Correct Answer: C
Rationale: The correct answer is C: Orthostatic hypotension. When administering IM ziprasidone to an assaultive patient, the nurse should assess for orthostatic hypotension as it is a common side effect that can lead to dizziness and falls. It is crucial to monitor the patient's blood pressure and pulse when changing positions to prevent complications. Tardive dyskinesia (choice A) is a long-term side effect of antipsychotic medications, usually seen after prolonged use. Anticholinergic effects (choice B) are more commonly associated with medications like antihistamines and tricyclic antidepressants. Pseudoparkinsonism (choice D) refers to symptoms resembling Parkinson's disease and is a side effect of certain antipsychotic medications, but it is not the primary concern immediately after administering IM ziprasidone.
Question 5 of 5
A patient takes an initial dose of a nitrate. Which symptom(s) will the nurse expect to occur?
Correct Answer: B
Rationale: The correct answer is B: Headaches. Nitrates dilate blood vessels, leading to vasodilation and potentially causing headaches due to increased blood flow to the brain. This is a common side effect of nitrate therapy. Nausea and vomiting (A) are less likely as direct effects of nitrates. Stomach cramps (C) are also less common since nitrates primarily affect blood vessels. Irregular pulse rate (D) is not a typical symptom of nitrate use.