The patient is receiving the benzodiazepine clonazepam (Klonopin) for the treatment of panic attacks. What is an important medication outcome for this patient as it relates to safety?

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ATI RN Pharmacology Online Practice 2019 A Questions

Question 1 of 5

The patient is receiving the benzodiazepine clonazepam (Klonopin) for the treatment of panic attacks. What is an important medication outcome for this patient as it relates to safety?

Correct Answer: D

Rationale: Clonazepam, a benzo, risks withdrawal (e.g., seizures) if stopped abruptly-patients knowing this ensures safe taper, per safety. Stevens-Johnson isn't linked-rash is rare. No diet restrictions apply (unlike MAOIs). Blood work isn't routine for benzos. Abrupt cessation's danger is key, protecting against rebound.

Question 2 of 5

A nurse is providing discharge instructions to a patient who is taking atenolol (Tenormin) to treat hypertension. What would the nurse teach the patient regarding a possible drug-drug interaction?

Correct Answer: C

Rationale: A decreased hypertensive effect can occur if a beta-selective adrenergic blocking agent is used in combination with NSAIDs. If this combination is used, the patient should be monitored closely and dosage adjustments made. Antibiotics, oral contraceptives, and antifungal agents are not known to have a drug-drug interaction. The nurse should educate the patient about potential interactions and advise them to consult their healthcare provider before starting any new medications.

Question 3 of 5

Regarding inhaled anaesthetics:

Correct Answer: C

Rationale: Nitrous oxide has a high minimum alveolar concentration (MAC >100%), not low, due to low potency, so that's false. Halogenated agents (e.g., isoflurane) have higher brain:blood coefficients, reflecting solubility, making that false. They reduce mean arterial pressure (MAP) proportional to alveolar concentration via vasodilation, a true statement. Nitrous oxide does decrease tidal volume and increase respiratory rate, true. They don't reduce cerebral metabolic rate via blood flow alone but directly. MAP reduction is a key hemodynamic effect, guiding anesthetic depth monitoring.

Question 4 of 5

A patient™s blood pressure elevates to 270/150 mm Hg, and a hypertensive emergency is obvious.

Correct Answer: B

Rationale: In a patient with a hypertensive emergency, rapid and effective blood pressure reduction is crucial to prevent organ damage. The recommendation for IV administration of antihypertensive medications in this scenario is to titrate the medication to achieve a safe reduction in blood pressure, generally targeting a decrease in mean arterial pressure by no more than 25% within the first hour. The specific medication and infusion rate are dependent on the patient's clinical status and individual factors. Therefore, the maximum dose and duration of infusion must be tailored to the patient's response, with close monitoring by healthcare providers. Hence, determining a fixed time for the maximum dose of the drug to be infused is not appropriate in this critical care scenario.

Question 5 of 5

Antilipemic drug therapy is prescribed for a patient, and the nurse is providing instructions to the patient about the medication. Which instructions will the nurse include? (Select all that apply.)

Correct Answer: A

Rationale: A. Limit fluid intake to prevent fluid overload: Antilipemic drugs can sometimes cause fluid retention, so it is important for the patient to limit fluid intake to prevent fluid overload.

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