ATI RN
Cardiovascular Drugs Therapy Questions
Question 1 of 5
Which treatment should a nurse identify as most appropriate for clients diagnosed with generalized anxiety disorder (GAD)?
Correct Answer: C
Rationale: The correct answer is C: Long-term treatment with buspirone (BuSpar) is most appropriate for clients diagnosed with generalized anxiety disorder (GAD). Buspirone is a non-addictive anxiolytic medication that is effective for long-term management of GAD. It works by affecting serotonin and dopamine receptors in the brain, helping to reduce anxiety symptoms over time. Choice A (Long-term treatment with diazepam) is incorrect because diazepam is a benzodiazepine with a high potential for dependence and tolerance, making it unsuitable for long-term treatment of GAD. Choice B (Acute symptom control with citalopram) is incorrect because citalopram is an antidepressant commonly used for treating depression, not specifically indicated for GAD. Choice D (Acute symptom control with ziprasidone) is incorrect because ziprasidone is an antipsychotic medication primarily used to treat schizophrenia and bipolar disorder, not recommended for
Question 2 of 5
Information given to a depressed patient and family when the patient begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy should include the directive to:
Correct Answer: B
Rationale: The correct answer is B: report increased suicidal thoughts. This is important because SSRIs may initially increase suicidal ideation in some patients before improving mood. By reporting any increased suicidal thoughts, the healthcare provider can closely monitor the patient and adjust the treatment plan if necessary. A: Avoid exposure to bright sunlight is incorrect because there is no direct correlation between SSRIs and sunlight exposure. C: Restrict sodium intake to 1 gm daily is incorrect as there is no specific dietary restriction related to SSRIs. D: Maintain a tyramine-free diet is incorrect because this is more relevant for MAOIs, not SSRIs. In summary, B is the correct answer as it focuses on the safety and well-being of the patient when starting SSRI therapy.
Question 3 of 5
Cilostazol is being prescribed for a patient with coronary artery disease. The nurse understands that which of the following is the major purpose for antiplatelet drug therapy?
Correct Answer: A
Rationale: The major purpose of antiplatelet drug therapy like cilostazol in coronary artery disease is to prevent acute myocardial infarction by inhibiting platelet aggregation and reducing the risk of blood clots in the coronary arteries. Acute myocardial infarction is a common complication of coronary artery disease, and antiplatelet drugs help prevent this by maintaining coronary artery patency. Deep vein thrombosis, hemorrhagic stroke, and disseminated intravascular coagulation are not the primary targets of antiplatelet therapy in coronary artery disease.
Question 4 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 5 of 5
A nurse explains to a patient undergoing diagnostic testing that which brain imaging technique measures brain structure?
Correct Answer: A
Rationale: The correct answer is A: Computed tomography (CT). CT scans use X-ray technology to create detailed images of brain structures. This technique is ideal for measuring brain structure due to its ability to provide clear and precise images of the brain's anatomy. Explanation: - CT scans are commonly used to assess brain structures such as the size, shape, and density of tissues. - The high-resolution images produced by CT scans allow healthcare professionals to identify abnormalities, tumors, hemorrhages, and other structural issues in the brain. - Unlike functional brain imaging techniques like PET, SPECT, and BEAM, which focus on brain activity, CT is specifically designed for visualizing brain structure. Summary of other choices: B: PET measures brain activity by detecting radioactive tracers. C: BEAM records brain electrical activity using electrodes. D: SPECT images brain blood flow and activity using radioactive tracers.