ATI RN
Core Concepts of Patient Family Care Questions
Question 1 of 5
Why are patients advised not to abruptly discontinue a benzodiazepine regimen?
Correct Answer: A
Rationale: The correct answer is A: Potential for seizures. Abruptly discontinuing benzodiazepines can lead to withdrawal symptoms, including seizures, due to the sudden decrease in GABA activity in the brain. This can result in serious health risks. Option B is incorrect as side effects are not the primary reason for gradual tapering. Option C is unrelated, as serotonin syndrome is associated with other types of medications. Option D is incorrect because withdrawal symptoms, not side effects, are the main concern when stopping benzodiazepines abruptly.
Question 2 of 5
What treatment does a nurse expect to initiate for a depressed patient who is agitated, vomiting, hyperthermic, hyperreflexive, and tachycardic?
Correct Answer: A
Rationale: The correct answer is A: Serotonin syndrome: Anticonvulsants for seizures. The patient's symptoms of agitation, vomiting, hyperthermia, hyperreflexia, and tachycardia are indicative of serotonin syndrome. Treatment involves stopping the offending medications, supportive care, and in severe cases, anticonvulsants for seizures. Choice B (Clonazepam) is incorrect as it is used for myoclonus, not the main symptoms presented. Choice C (Lorazepam) is incorrect as it is used for restlessness and agitation but not specifically for serotonin syndrome. Choice D (Palpitations) is incorrect as it is a symptom of serotonin syndrome, not a treatment.
Question 3 of 5
When providing instructions to a patient who has just been prescribed Isocarboxazid (Marplan), it is important for the nurse to include:
Correct Answer: A
Rationale: The correct answer is A because Isocarboxazid is an MAOI, which can have dangerous interactions with other medications resulting in serious side effects. It is crucial for the nurse to educate the patient about potential drug interactions to prevent harm. Choice B is incorrect as Isocarboxazid does not require a tyramine-free diet like other MAOIs such as phenelzine. Choices C and D are unrelated side effects of Isocarboxazid and not the key information that needs to be communicated to the patient.
Question 4 of 5
The nurse knows the lithium, a naturally-occurring salt that is excreted by the kidneys, has the potential to adversely affect:
Correct Answer: A
Rationale: The correct answer is A: Renal function. Lithium is excreted by the kidneys, and its accumulation can lead to renal toxicity, affecting renal function. The other choices are incorrect because lithium primarily affects the kidneys, not the thyroid (B), ECG (C), or causes polyuria (D). Lithium toxicity is commonly associated with renal impairment, making A the most appropriate choice.
Question 5 of 5
Which of the following are risk factors for pathological gambling?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.