ATI RN
Cardiovascular System Drugs Classification Questions
Question 1 of 5
The following drugs at standard therapeutic doses are less likely to aggravate heart failure:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
If clozapine (Clozaril) therapy is being considered, the nurse should evaluate which laboratory test to establish a baseline for comparison in order to recognize a potentially life-threatening side effect?
Correct Answer: A
Rationale: The correct answer is A: White blood cell count. Clozapine can lead to agranulocytosis, a potentially life-threatening condition characterized by a severe decrease in white blood cells. By evaluating the baseline white blood cell count, the nurse can monitor for any significant drops during therapy. Liver function studies (choice B), creatinine clearance (choice C), and blood urea nitrogen (choice D) are important to monitor for other potential side effects of clozapine but are not specifically related to recognizing agranulocytosis.
Question 3 of 5
Which mental illness?
Correct Answer: D
Rationale: The correct answer is D, Major depressive episode, because it specifically refers to a period of intense sadness, loss of interest or pleasure, and other symptoms like changes in sleep, appetite, and energy levels. This distinguishes it from the other options. A, Bipolar disorder: mania, involves periods of elevated mood and energy alternating with depressive episodes. B, Schizophrenia spectrum disorder, includes symptoms like hallucinations, delusions, and disorganized thinking. C, Generalized anxiety disorder, is characterized by excessive worry and anxiety. Therefore, the specific symptoms described in the question point to major depressive episode as the correct answer.
Question 4 of 5
A patient is being treated with phenelzine (Nardil) for depression. Which indicator(s) would be useful to monitor the outcome Patient will understand the potential side effects of monoamine oxidase inhibitor (MAOI) antidepressants? (Select the one that does not apply.)
Correct Answer: D
Rationale: Rationale: The correct answer is D because monitoring sodium intake is not a specific indicator related to the side effects of MAOIs like phenelzine. Monitoring dietary restrictions such as avoiding sausages, chocolate, and Chinese food, as well as wearing elastic hose and supportive shoes to prevent postural hypotension are essential in managing potential side effects of MAOIs. These monitoring parameters are directly related to the mechanism of action and potential side effects of MAOIs, unlike maintaining a stable sodium intake which is not a specific concern with these medications.
Question 5 of 5
A patient has a serum cholesterol level of 265 mg/dL, a triglyceride level of 235 mg/dL, and a low-density lipoprotein of 180 mg/dL. What do these serum levels indicate?
Correct Answer: C
Rationale: The correct answer is C: Hyperlipidemia. These serum levels indicate high levels of cholesterol, triglycerides, and low-density lipoprotein (LDL), which are characteristic of hyperlipidemia. High levels of these lipids increase the risk of cardiovascular diseases. Hypolipidemia (A) indicates low lipid levels, which is not the case here. Normolipidemia (B) suggests normal lipid levels, which the patient's levels exceed. Alipidemia (D) refers to absence of lipids, which is not the case here.