ATI RN
Nursing Cardiovascular Drug List Quizlet Questions
Question 1 of 5
The nurse spends several sessions with a patient with paranoid schizophrenia and the patient’s family to help them understand the importance of antipsychotic medication in controlling his illness. The patient repeatedly states he isn’t sick and the pills make him stiff, and family members say he doesn’t think the medication helps him. Which options should the nurse discuss with the patient’s prescribing provider? (Select the one that does not apply.)
Correct Answer: C
Rationale: The correct answer is C: Adding a benzodiazepine such as diazepam (Valium). Benzodiazepines are not typically used as a primary treatment for paranoid schizophrenia. They can be habit-forming and may worsen cognitive deficits in patients with schizophrenia. The focus should be on antipsychotic medications that target the symptoms of schizophrenia. Choices A, B, and D are more relevant options to discuss with the prescribing provider. A long-acting injectable antipsychotic can help with medication adherence, adding medications to reduce side effects can improve tolerability, and tying medication use to the patient's goals can increase motivation for treatment compliance.
Question 2 of 5
__________ side effects can occur when antipsychotic medications are taken that manifest as abnormal movements such as akathisia and pseudo-Parkinson symptoms.
Correct Answer: A
Rationale: Step 1: Extrapyramidal side effects are movement disorders caused by antipsychotic medications. Step 2: Akathisia and pseudo-Parkinson symptoms are classic examples of extrapyramidal side effects. Step 3: Anticholinergic medications primarily cause dry mouth, constipation, and blurred vision, not movement disorders. Step 4: Serotonergic medications affect serotonin levels, leading to mood and behavior changes, not movement disorders. Step 5: Adrenergic medications target the sympathetic nervous system, causing effects like increased heart rate and blood pressure, not movement disorders. Summary: The correct answer is A because extrapyramidal side effects specifically refer to abnormal movements caused by antipsychotic medications, while the other choices do not match the symptoms described in the question.
Question 3 of 5
A client with depression mentions to the nurse, 'My mother says depression is a chemical disorder. What does she mean?' The nurse’s response is based on the theory that depression primarily involves the following neurotransmitters:
Correct Answer: A
Rationale: The correct answer is A: Serotonin and dopamine. Depression is associated with imbalances in neurotransmitters such as serotonin and dopamine. Serotonin plays a role in regulating mood, sleep, and appetite, while dopamine is involved in motivation and pleasure. Low levels of these neurotransmitters are often seen in individuals with depression. Cortisol and GABA (choice B) are more related to stress response and anxiety disorders. COMT and glutamate (choice C) are not primary neurotransmitters involved in depression. Monamine and glycine (choice D) are not specific neurotransmitters related to depression. In conclusion, A is correct as serotonin and dopamine are the primary neurotransmitters associated with depression.
Question 4 of 5
The nurse notes in the patient’s medication history that the patient is taking cyclobenzaprine (Flexeril). Based on this finding, the nurse interprets that the patient has which disorder?
Correct Answer: A
Rationale: The correct answer is A: A musculoskeletal injury. Cyclobenzaprine is a muscle relaxant commonly prescribed for musculoskeletal conditions such as muscle spasms and pain. This drug works by blocking nerve impulses that cause muscle contractions. Therefore, the nurse can infer that the patient is taking cyclobenzaprine for a musculoskeletal issue. Incorrect choices: B: Insomnia - Cyclobenzaprine is not indicated for insomnia. It has sedative effects, but it is primarily used for muscle relaxation. C: Epilepsy - Cyclobenzaprine is not used to treat epilepsy. It does not have anticonvulsant properties. D: Agitation - Cyclobenzaprine is not typically prescribed for agitation. It is specifically used for muscle-related issues.
Question 5 of 5
A patient has been taking a beta blocker for 4 weeks as part of his antianginal therapy. He also has type II diabetes and hyperthyroidism. When discussing possible adverse effects, the nurse will include which information?
Correct Answer: D
Rationale: The correct answer is D. Beta blockers can mask symptoms of hypoglycemia in diabetic patients and may also affect blood glucose levels. Monitoring blood glucose levels is crucial to detect any potential hypoglycemia or hyperglycemia. A: Weight loss is not a common adverse effect of beta blockers, rather weight gain is more common. B: Beta blockers typically slow down the heart rate, so monitoring for an increased heart rate is not necessary. C: Hot tubs and saunas can potentially worsen the effects of beta blockers on blood pressure and heart rate, so it is not recommended to use them without medical advice. In summary, monitoring blood glucose levels for possible hypoglycemia or hyperglycemia is essential for diabetic patients on beta blockers, while the other choices are not directly related to the adverse effects of beta blockers in this context.