ATI RN
Quizlet WVU Pharmacology Cardiovascular Drugs Questions
Question 1 of 5
The nurse knows that which statement is correct regarding nursing care of a patient receiving hydrochlorothiazide? (Select the one tha does not apply.)
Correct Answer: A
Rationale: The correct answer is A because hydrochlorothiazide is a diuretic used to treat hypertension and fluid retention, not hypoglycemia. Step 1: Hydrochlorothiazide does not directly affect blood glucose levels. Step 2: Monitoring for hypoglycemia is more relevant for medications like insulin or oral hypoglycemic agents. Step 3: The other choices are relevant for patients on hydrochlorothiazide due to its potential side effects on potassium levels, uric acid levels, and blood pressure.
Question 2 of 5
In order to accurately predict how the body absorbs, distributes, metabolizes, and eliminates psychotropic medications the nurse must be familiar with a medication’s:
Correct Answer: C
Rationale: Rationale for Correct Answer (C - Pharmacokinetics): 1. Pharmacokinetics refers to how the body processes a medication including absorption, distribution, metabolism, and elimination. 2. Understanding pharmacokinetics helps predict how a medication will act in the body. 3. It is crucial for determining dosing intervals, potential drug interactions, and individualized therapy. 4. Half-life (A) is only one component of pharmacokinetics, not encompassing the full picture. 5. Side effects (B) are important but do not specifically address how the body interacts with the medication. 6. Therapeutic dosage range (D) is related to dosing but doesn't cover all aspects of pharmacokinetics.
Question 3 of 5
A patient will be discharged with a 1-week supply of an opioid analgesic for pain management after abdominal surgery. The nurse will include which information in the teaching plan?
Correct Answer: C
Rationale: The correct answer is C: How to prevent constipation. Opioid analgesics commonly cause constipation as a side effect. Teaching the patient how to prevent constipation, such as increasing fiber intake and staying hydrated, is crucial for their overall well-being. This information will help the patient manage a common side effect of the medication and improve their quality of life post-surgery. Choice A is incorrect because dehydration due to diarrhea is not a common side effect of opioid analgesics. Choice B is incorrect because waiting for pain to become severe before taking the medication can lead to uncontrolled pain and poor pain management. Choice D is incorrect because taking the drug on an empty stomach is not typically necessary for opioid analgesics and may actually increase the risk of gastrointestinal side effects.
Question 4 of 5
A 38-year-old male patient stopped smoking 6 months ago. He tells the nurse that he still feels strong cigarette cravings and wonders if he is ever going to feel “normal” again. Which statement by the nurse is correct?
Correct Answer: B
Rationale: The correct answer is B: “These cravings may persist for several months.” This is correct because nicotine withdrawal symptoms, including cravings, can last for several months after quitting smoking. The patient's experience is common and does not indicate a permanent state. A: Incorrect. It is not accurate to say that cravings will never stop, as they typically decrease over time. C: Incorrect. Cravings do not necessarily mean the patient is still using nicotine but rather experiencing withdrawal symptoms. D: Incorrect. Cravings do not indicate that the patient is about to experience withdrawal but rather that they are still in the process of withdrawal.
Question 5 of 5
A 62-year-old man is to receive lidocaine as treatment for a symptomatic dysrhythmia. Upon assessment, the nurse notes that he has a history of alcoholism and has late-stage liver failure. The nurse will expect which adjustments to his drug therapy?
Correct Answer: A
Rationale: The correct answer is A: The dosage will be reduced by 50%. In this case, the patient has late-stage liver failure, which can impair the metabolism and clearance of lidocaine. Since lidocaine is metabolized in the liver, reducing the dosage by 50% will prevent potential toxicity due to impaired liver function. Incorrect Choices: B: Adding a diuretic to lidocaine is not indicated in this scenario as it does not address the issue of impaired liver function affecting lidocaine metabolism. C: Changing lidocaine to an oral dosage form does not address the issue of impaired liver function and may still lead to toxicity due to altered metabolism. D: Increasing the dosage of lidocaine would only increase the risk of toxicity in a patient with impaired liver function. It is important to reduce the dosage to prevent adverse effects.