ATI RN
Cardiovascular Drugs Therapy Questions
Question 1 of 5
Which instruction has priority when teaching a patient taking clozapine (Clozaril)?
Correct Answer: B
Rationale: The correct answer is B because clozapine can cause agranulocytosis, a serious condition characterized by a low white blood cell count, leading to increased susceptibility to infections. Therefore, it is crucial for the patient to report sore throat and fever immediately to monitor their blood count. Choice A is important for overall health but not directly related to the medication. Choice C is not a priority as dietary changes may not have an immediate impact on the medication's effectiveness. Choice D is incorrect as over-the-counter preparations may not be suitable for potential clozapine-related rashes, which should also be reported to the healthcare provider.
Question 2 of 5
A patient is suffering from tendonitis of the knee. The nurse is reviewing the patient’s medication administration record and recognizes that which adjuvant medication is most appropriate for this type of pain?
Correct Answer: C
Rationale: The correct answer is C: Corticosteroid. Corticosteroids are commonly used as adjuvant medication for tendonitis due to their anti-inflammatory properties, which can help reduce pain and swelling in the affected area. They work by suppressing the inflammatory response in the tendon, thereby alleviating pain. Antidepressants (A) and anticonvulsants (B) are not typically used for tendonitis pain. Local anesthesia (D) provides temporary pain relief but does not address the underlying inflammation associated with tendonitis.
Question 3 of 5
The nurse is preparing for a community education program on hypertension. Which of these parameters determine the regulation of arterial blood pressure?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Cardiac output is the amount of blood pumped by the heart per minute, influencing blood pressure. 2. Systemic vascular resistance refers to the resistance to blood flow in the blood vessels, affecting blood pressure regulation. 3. Both parameters work together to regulate arterial blood pressure by determining the amount of blood pumped by the heart and the resistance to blood flow in the vessels. Summary: - Choice A is correct as both cardiac output and systemic vascular resistance play key roles in regulating arterial blood pressure. - Choices B, C, and D are incorrect as they do not directly impact blood pressure regulation through the parameters mentioned.
Question 4 of 5
A patient will be receiving a thrombolytic drug as part of the treatment for acute myocardial infarction. The nurse explains to the patient that this drug is used for which purpose?
Correct Answer: C
Rationale: The correct answer is C: To dissolve the clot in the coronary artery. Thrombolytic drugs are used to break down blood clots in the coronary arteries, restoring blood flow to the heart muscle during an acute myocardial infarction. This helps to prevent further damage to the heart tissue and reduce the risk of complications. Choice A is incorrect because the primary goal of thrombolytic therapy is not to relieve chest pain but to restore blood flow. Choice B is incorrect as thrombolytic drugs do not prevent further clot formation but rather address existing clots. Choice D is incorrect because thrombolytic drugs are not used to control bleeding but to dissolve clots.
Question 5 of 5
The nurse is discussing adverse effects of antitubercular drugs with a patient who has active tuberculosis. Which potential adverse effect of antitubercular drug therapy should the patient report to the prescriber?
Correct Answer: D
Rationale: The correct answer is D: Numbness and tingling of extremities. This is a potential adverse effect of antitubercular drugs known as peripheral neuropathy. Patients should report this to the prescriber immediately as it may indicate a serious side effect that requires prompt intervention to prevent further nerve damage. A: Gastrointestinal upset is a common side effect of antitubercular drugs but is usually not considered serious enough to warrant immediate reporting. B: Headache and nervousness are not typically associated with antitubercular drugs. While they may occur as side effects, they are not the most concerning adverse effects. C: Reddish-orange urine and stool are common side effects of rifampin, an antitubercular drug, and are not typically harmful. This side effect is usually harmless and does not require immediate reporting.