ATI RN
ATI Cardiovascular Drugs Quizlet Questions
Question 1 of 5
The following statements concerning drugs in heart failure are correct:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A client diagnosed with schizophrenia, who has been taking antipsychotic medication for the last 5 months, presents in an emergency department (ED) with uncontrollable tongue movements, stiff neck, and difficulty swallowing. The nurse would expect the physician to recognize which condition and implement which treatment?
Correct Answer: D
Rationale: The correct answer is D: Tardive dyskinesia, treated by discontinuing antipsychotic medications. Tardive dyskinesia is characterized by uncontrollable tongue movements, stiff neck, and difficulty swallowing, which are common side effects of long-term antipsychotic use. The treatment involves discontinuing the antipsychotic medication to prevent further worsening of symptoms. Neuroleptic malignant syndrome (choice A) presents with fever, muscle rigidity, altered mental status, and autonomic dysfunction, requiring immediate discontinuation of antipsychotic medication. Agranulocytosis (choice B) is a rare but serious side effect of clozapine, not associated with the symptoms described. Extrapyramidal symptoms (choice C) are movement disorders that can occur with antipsychotic use, but benztropine is typically used to treat parkinsonism, not the symptoms described.
Question 3 of 5
Which realistic goal should be included in this client’s plan of care?
Correct Answer: C
Rationale: The correct answer is C because it focuses on a specific, measurable, achievable, relevant, and time-bound goal related to the client's care plan. By not requiring zolpidem for sleep by discharge, it indicates progress in managing sleep without medication dependency. Option A is incorrect as it sets an unrealistic goal of having no flashbacks, which may not be achievable in a short timeframe. Option B is vague and subjective, as feeling a full range of emotions is difficult to measure and may not be directly related to the client's treatment goals. Option D is counterproductive as refraining from discussing the traumatic event may hinder the client's progress in therapy.
Question 4 of 5
A patient with schizophrenia is admitted to the psychiatric unit in an acutely disturbed, violent state. He is given several doses of haloperidol (Haldol) and becomes calm and The patient has _________ , and the nurse should _________.
Correct Answer: A
Rationale: The correct answer is A: a dystonic reaction…administer PRN IM benztropine (Cogentin). Rationale: 1. Haloperidol is a typical antipsychotic that can cause extrapyramidal symptoms like dystonic reactions. 2. Dystonic reactions are characterized by muscle spasms and abnormal postures. 3. Benztropine is an anticholinergic medication that helps alleviate dystonic reactions by blocking acetylcholine. 4. Administering benztropine intramuscularly (IM) is appropriate for quick relief in acute situations. Summary: B: Tardive dyskinesia is a late-developing side effect of antipsychotics, not an acute reaction like dystonic reactions. C: Waxy flexibility is a catatonic symptom, not related to extrapyramidal side effects. D: Akathisia is restlessness and an inability to sit still, not a dystonic reaction that would require ben
Question 5 of 5
A patient is taking lovastatin. Which serum level is most important for the nurse to monitor?
Correct Answer: D
Rationale: The correct answer is D: Hepatic enzymes. Lovastatin is a statin medication that can potentially cause liver damage. Monitoring hepatic enzymes, such as AST and ALT, is crucial to assess liver function and detect any signs of hepatotoxicity. Elevations in these enzymes may indicate liver injury and warrant further evaluation or discontinuation of the medication. A: Blood urea nitrogen is not directly affected by lovastatin and is more commonly monitored for kidney function. B: Complete blood count is not specific to monitoring for lovastatin-related side effects. C: Cardiac enzymes are not typically monitored in patients taking lovastatin unless there are specific cardiac concerns. In summary, monitoring hepatic enzymes is essential in patients taking lovastatin to ensure early detection of potential liver damage.