ATI RN
Cardiovascular Drugs Chapter 11 Quizlet Questions
Question 1 of 5
The nurse is administering medications to a client with a diagnosis of paranoid schizophrenia. The nurse would expect to see which medication ordered for this client?
Correct Answer: D
Rationale: The correct answer is D: Risperdal – atyp antipsych. In treating paranoid schizophrenia, atypical antipsychotics like Risperdal are preferred due to their lower risk of extrapyramidal side effects compared to typical antipsychotics. Risperdal specifically targets psychotic symptoms, including paranoia, hallucinations, and delusions. Lithium (choice A) is typically used for bipolar disorder, Depakene (choice B) for seizures, and Neurontin (choice C) for anxiety and pain, none of which directly address the symptoms of paranoid schizophrenia.
Question 2 of 5
A patient has been taking phenobarbital for 2 weeks as part of his therapy for epilepsy. He tells the nurse that he feels tense and that 'the least little thing' bothers him now. Which is the correct explanation for this problem?
Correct Answer: D
Rationale: The correct answer is D because phenobarbital, a barbiturate, suppresses REM sleep, leading to a decrease in the body's ability to cope with stress. This can result in increased tension and irritability. Choice A is incorrect as the adverse effects mentioned are not expected to subside after a few weeks with this drug. Choice B is incorrect because stopping the drug abruptly can lead to withdrawal symptoms and potential seizures in epilepsy patients. Choice C is incorrect as it misrepresents the effect of phenobarbital on REM sleep, as it decreases REM sleep instead of increasing it.
Question 3 of 5
When the nurse is administering topical nitroglycerin ointment, which technique is correct?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Removing the old ointment ensures proper absorption and effectiveness of the new dose. 2. Residual ointment can lead to an overdose if not removed. 3. Mixing old and new ointment can alter the desired therapeutic effect. Summary of Other Choices: A: Incorrect. The ointment should be applied on a specific area, not just anywhere on the skin. B: Incorrect. Nitroglycerin ointment is used for prevention and treatment, not just during angina episodes. D: Incorrect. Massaging the ointment can alter absorption, and covering with plastic wrap can increase absorption and risk of side effects.
Question 4 of 5
While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?
Correct Answer: D
Rationale: The correct answer is D: Liver dysfunction. Antilipemic therapy can impact liver function due to the role of the liver in metabolizing lipids. Monitoring for liver dysfunction is crucial to prevent potential complications. Neutropenia (A) is unrelated to antilipemic therapy. Pulmonary problems (B) are not typically associated with this therapy. Vitamin C deficiency (C) is not a common concern in antilipemic treatment. In summary, monitoring for liver dysfunction is essential due to the potential impact of antilipemic therapy on liver function.
Question 5 of 5
The nurse will teach a patient who is receiving oral iron supplements to watch for which expected adverse effects?
Correct Answer: C
Rationale: The correct answer is C: Black, tarry stools. Iron supplements commonly cause gastrointestinal side effects, including constipation and dark-colored stools. The black, tarry stools indicate the presence of iron in the stool. Palpitations (A) are not a common side effect of oral iron supplements. Drowsiness and dizziness (B) are not typically associated with iron supplementation. Orange-red discoloration of the urine (D) is a side effect of medications like phenazopyridine, not iron supplements. It is important to monitor for black, tarry stools as it may indicate gastrointestinal bleeding.