ATI RN
Cardiovascular Drugs Chapter 11 Quizlet Questions
Question 1 of 5
Which symptoms should a nurse identify that would warrant the need for this medication?
Correct Answer: C
Rationale: The correct answer is C because flashbacks of killing the enemy indicate PTSD, which requires medication for symptom management. Choice A refers to depression symptoms, not requiring this medication. Choice B suggests severe physical symptoms, not the primary indication for this medication. Choice D describes symptoms of personality disorders, not directly related to the medication's use for PTSD.
Question 2 of 5
For what severe skeletal muscle adverse reaction should the nurse observe in a patient taking rosuvastatin?
Correct Answer: B
Rationale: The correct answer is B: Rhabdomyolysis. Rhabdomyolysis is a severe adverse reaction associated with statin use, including rosuvastatin. It is characterized by the breakdown of skeletal muscle tissue, leading to the release of muscle proteins into the bloodstream, potentially causing kidney damage. The nurse should monitor for symptoms such as muscle pain, weakness, and dark urine. Myasthenia gravis (A) is an autoimmune neuromuscular disorder, not directly related to statin use. Dyskinesia (C) refers to abnormal involuntary movements, typically associated with neurological conditions. Agranulocytosis (D) is a blood disorder characterized by a severe decrease in white blood cells and is not a common adverse effect of rosuvastatin.
Question 3 of 5
The nurse is administering medications to a client with a diagnosis of paranoid schizophrenia. The nurse would expect to see which medication ordered for this client?
Correct Answer: D
Rationale: The correct answer is D: Risperdal – atyp antipsych. In treating paranoid schizophrenia, atypical antipsychotics like Risperdal are preferred due to their lower risk of extrapyramidal side effects compared to typical antipsychotics. Risperdal specifically targets psychotic symptoms, including paranoia, hallucinations, and delusions. Lithium (choice A) is typically used for bipolar disorder, Depakene (choice B) for seizures, and Neurontin (choice C) for anxiety and pain, none of which directly address the symptoms of paranoid schizophrenia.
Question 4 of 5
A patient’s spouse asks a nurse, “Why are they wasting money doing all these tests on my spouse? The hallucinations and delusions make the mental illness obvious!” The best reply would be:
Correct Answer: C
Rationale: The correct answer is C because it addresses the spouse's concern about the necessity of tests by explaining that physical illnesses can manifest as psychiatric symptoms. By ruling out physical causes, the healthcare team can accurately diagnose and treat the patient. Option A is dismissive and lacks a substantive explanation. Option B acknowledges the cost concern but does not address the underlying reason for the tests. Option D is invalidating and does not provide a logical reason for the testing. Thus, option C is the most appropriate response as it educates the spouse on the importance of ruling out physical illnesses in the diagnostic process.
Question 5 of 5
A patient has been taking phenobarbital for 2 weeks as part of his therapy for epilepsy. He tells the nurse that he feels tense and that 'the least little thing' bothers him now. Which is the correct explanation for this problem?
Correct Answer: D
Rationale: The correct answer is D because phenobarbital, a barbiturate, suppresses REM sleep, leading to a decrease in the body's ability to cope with stress. This can result in increased tension and irritability. Choice A is incorrect as the adverse effects mentioned are not expected to subside after a few weeks with this drug. Choice B is incorrect because stopping the drug abruptly can lead to withdrawal symptoms and potential seizures in epilepsy patients. Choice C is incorrect as it misrepresents the effect of phenobarbital on REM sleep, as it decreases REM sleep instead of increasing it.