ATI RN
Cardiovascular Drug Therapy Questions
Question 1 of 5
Which client symptoms, related to the side effects of this medication, should prompt a nurse to intervene immediately?
Correct Answer: A
Rationale: The correct answer is A because sore throat, fever, and malaise could indicate a serious adverse reaction like infection or agranulocytosis, requiring immediate intervention. B is incorrect as akathisia and hypersalivation are typically related to antipsychotic medications and are not immediate concerns. C, akinesia, and insomnia are not typically acute side effects. D, dry mouth, and urinary retention are common side effects of many medications and are not typically urgent.
Question 2 of 5
A patient is placed on heparin, and the nurse acknowledges that heparin is effective for preventing clot formation in patients who have which disorder(s)? (Select the one tha does not apply.)
Correct Answer: C
Rationale: Rationale: Heparin is effective for preventing clot formation in disorders involving arterial or venous thrombosis, such as coronary thrombosis and deep vein thrombosis. However, heparin is contraindicated in hemorrhagic stroke due to the risk of increasing bleeding. Heparin can worsen bleeding in disseminated intravascular coagulation. Therefore, the correct answer is C.
Question 3 of 5
A nurse can anticipate anticholinergic side effects are likely when a patient takes:
Correct Answer: D
Rationale: The correct answer is D, fluphenazine (Prolixin). Fluphenazine is a typical antipsychotic that exerts its effects by blocking dopamine receptors in the brain, causing anticholinergic side effects such as dry mouth, constipation, blurred vision, and urinary retention. The other options (A, B, C) are not typically associated with significant anticholinergic side effects. Lithium is known for renal and thyroid side effects, buspirone for dizziness and nausea, and risperidone for metabolic side effects. Therefore, D is the correct choice for anticipating anticholinergic side effects in patients.
Question 4 of 5
Which neurotransmitter is involved in the movement disorders seen in Parkinson disease and in the deficits seen in schizophrenia and other psychoses?
Correct Answer: A
Rationale: The correct answer is A: Dopamine. In Parkinson's disease, there is a decrease in dopamine levels leading to movement disorders. In schizophrenia, there is an imbalance in dopamine transmission contributing to the cognitive deficits and positive symptoms. Melatonin (B) is involved in sleep regulation. Serotonin (C) is associated with mood regulation. Norepinephrine (D) plays a role in the sympathetic nervous system.
Question 5 of 5
A patient arrives at the urgent care center complaining of leg pain after a fall when rock climbing. The x-rays show no broken bones, but he has a large bruise on his thigh. The patient says he drives a truck and does not want to take anything strong because he needs to stay awake. Which statement by the nurse is most appropriate?
Correct Answer: D
Rationale: The correct answer is D: You can take acetaminophen, also known as Tylenol, for pain, but no more than 3000 mg per day. Rationale: 1. Acetaminophen is a suitable option for mild to moderate pain relief and is less likely to cause drowsiness compared to opioids. 2. The recommended maximum daily dose of acetaminophen is 3000 mg to avoid potential liver damage. 3. Advising the patient to take acetaminophen up to 3000 mg per day balances pain management with patient safety. 4. Option C's limit of 1000 mg per day may not provide sufficient pain relief for the patient's condition. 5. Option A is too vague and does not address the patient's pain management needs effectively. 6. Option B suggests opioid use without considering the patient's preference to avoid strong medications that may impair his ability to drive.