Ch 22 Antidepressant

27. After teaching a client who is prescribed lithium about the drug, the nurse determines that the teaching was successful when the client states which of the following?

"I need to take the drug with food"

A client is prescribed lithium. The nurse suspects lithium toxicity based on which lithium drug level?

1.6 mEq/L

After teaching a group of nursing students about the action of antidepressants, the instructor determines that the teaching was successful when the students identify which of the following classes as exerting their effects by inhibiting reuptake of norepinephrine and serotonin? Select all that apply.

A) Amitriptyline C) Clomipramine

A client is prescribed phenelzine. Which of the following would the nurse instruct the client to avoid? Select all that apply

A) Blue cheese B) Pepperoni D) Chocolate

5. A nurse administers amitriptyline cautiously to which clients? Select all that apply.

A) Cardiac dx B) Older pt

32. The nurse is reviewing the medical records of several clients who are receiving lithium. Which of the following would the nurse identify as being at increased risk for the development of lithium toxicity? Select all that apply.

A) Clients receiving furosemide (Lasix) B) Clients experiencing diarrhea C) Clients with renal insufficiency E) Clients experiencing vomiting

The nurse suspects that a client is experiencing major depression based on assessment of which of the following? Select all that apply.

A) Feelings of hopelessness D) Loss of energy E) Excessive guilt

Antidepressants can often have GI adverse reactions that can result in a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. Which of the following would be appropriate for the nurse to suggest to minimize these effects? Select all that apply.

A) Increase fiber intake. C) Increase fluid intake. E) Chew sugarless gum.

A client receiving clomipramine is given a prescription for zolpidem for sleep. The primary health care provider was unaware the client was taking clomipramine. Which of the following reactions might the nurse observe in this client? Select all that apply.

A) Respiratory depression B) CNS depression

1. A nurse caring for a client taking amitriptyline for depression should monitor the client for which of the following adverse events? Select all that apply.

A) Sedation D) Dry mouth E) Photosensitivity

After teaching a group of students about antidepressant therapy, the instructor determines that the teaching was successful when the students identify which of the following as a class of antidepressants? Select all that apply

A) Selective serotonin reuptake inhibitors B) Tricyclics C) Monoamine oxidase inhibitors

15. A client is prescribed paroxetine. When teaching the client about this drug, which of the following would the nurse include as a possible adverse reaction? Select all that apply.

A) Sexual dysfunction B) Insomnia C) Somnolence D) Diarrhea E) Constipation

A nurse is caring for a pt with major depressive disorder and bulimia nervosa. The pt is prescribed fluoxetine, an SSRI. Which typical adverse reaction should be moniored

A) Somnolence B) Tremor

Before administering an antidepressant to a client, which of the following would the nurse assess? Select all that apply

A) Vital signs B) Presence of suicidal ideation C) Complete medical history D) Weight E) Mental status

A nurse understands that duloxetine may be used to treat which of the following? Select all that apply.

B) Depression C) Fibromyalgia D) Diabetic neuropathy E) Stress incontinence

6. A nurse understands that the antidepressant drug paroxetine (Paxil) can be used to treat which of the following medical conditions? Select all that apply.

B) Depressive episodes D) Obsessive-compulsive disorders E) Bulimia nervosa

11. Which of the following would the nurse report to the primary health care provider if assessed in a client receiving an antidepressant? Select all that apply.

B) Expressions of guilt C) Indirect threats of suicide E) Insomnia

14. A nurse would assess the client for an increase in anticholinergic symptoms if the client is prescribed cimetidine with which antidepressant? Select all that apply.

B) Sertraline C) Venlafaxine D) Clomipramine E) Escitalopram

A group of nursing students are reviewing information about antidepressants. The students demonstrate understanding of the information when they identify which of the following as an example of a serotonin/norepinephrine and dopamine/norepinephrine reuptake inhibitor? Select all that apply.

B) Venlafaxine C) Bupropion

MAOI antidepressants show symptoms including a H/A followed by sore neck, N/V, sweating, fever, chest pain, dilated pupils, and bradycardia indicative of hypertensive crisis. Which of the following factors needs immediate attenttion

BP

12. A client taking phenelzine (Nardil) is at a dinner party and has several glasses of red wine. The client begins to feel nauseated and develops a terrible headache. The client is taken to the nearest emergency department (ED). This client might be experiencing a hypertensive crisis. What other symptoms might the nurse in the ED assess if the client is experiencing a hypertensive crisis? Select all that apply.

C) Chest pain D) Tachycardia E) Stiff neck

9. A nurse determines the need to administer a prescribed antidepressant in the morning because of the increased likelihood of insomnia. Which drug would this most likely be? Select all that apply.

C) Citalopram D) Paroxetine E) Sertraline

When describing the action of antidepressants, the nursing instructor would include the belief that they exert their effect by causing slow adaptive changes to which of the following receptor systems? Select all that apply.

C) Norepinephrine D) Serotonin

After teaching a group of nursing students about possible adverse reactions associated with trazodone, the instructor determines that the teaching was successful when the students identify which of the following? Select all that apply.

C) Priapism E) Dry mouth

Which of the following antidepressants exert their effects by inhibiting the reuptake of serotonin? Select all that apply.

D) Fluoxetine E) Escitalopram

30. When developing the plan of care for a client who is receiving lithium therapy, which nursing diagnosis would the nurse most likely identify as a priority?

Imbalance Fluid Volume

Which symptoms would indicate to the nurse that a client is taking lithium is experiencing toxicity

N/V/D

which class of antidepressants exert their effects by exclusively inhibiting the reuptake of seotonin

SSRI

A client exhibits high energy and disorganized behavior on the mental health unit. This is best termed

bipolar disorder

Which antidepressant should be used with smoking Zyban

bupropion

Which antidepressant would be most likely to ccause the client to have a seizure?

bupropion

Which drug exerts its effct by inhibiting the activity of monoamine oxidase, leading to increases in epinephrine, norepinephrine, dopamine, and serotonin

bupropion

A client is receiving lithium therapy at a health care facility. The client informs the nurse that he is taking antacids for heartburn. The nurse would be alert for which of the following due to the interaction of the two drugs?

decreased effectiveness of lithium

A nurse is caring for a client with depression. The client has been prescribed amitriptyline. Which of the following would the nurse integrate into the teaching for the client about how the drug works?

decreased reuptake of nonepinephrine

Antidepressant drugs prevent the reuptake of which nurotransmitters

dopamine norepinephrine serotonin

When assessing a client for depression, which of the following would the nurse most likely find?

extreme sadness

A nurse is caring for a pt on MAOI and instructs them to avoid foods containing tyramine. Which is the result of tyramine interacting with MAOI

hypertensive crisis

The pt undergoing antidepressant is also prescribed warfarin for circulatory disorders. Which risk should the nurse monitor

increased risk for bleeding

A client is prescribed a monoamine oxidase inhibitor (MAOI) for depression. During the initial interview with the client, the nurse understands that the client is also receiving an adrenergic agent. The nurse would be alert for which of the following?

increased risk for cardiac arrythmias

A nurse is caring for a client with suicidal tendencies. Which of the following would be most important for the nurse to do after administering the drug orally?

inspect oral cavity to make sure drug was swallowed

A nurse is caring for a pt who has been prescribed fluoxetine. When is the best time to admin SSRI

morning

A nurse is caring for a pt who is prescribed a tricyclic antidepressant. Which common adverse

photosensitivity

A nruse is caring for a male pt under trazodone. Which should report immediately?

priapism

21. A nurse is caring for an individual who is to receive antidepressant therapy on an outpatient basis. What precaution should the nurse suggest to prevent risk of injury if the client experiences dizziness when getting out of bed?

rise slowly when getting out of bed

Which adverse would the nurse expct to find in a client taking amitriptyline?

sedation and dry mouth

A pt undergoing antidepressant therapy hear on tv that if he takes and antidepressant he should not be eating frapefruit. Which drugs should the nurse screen the pt for?

sertraline

nurse is caring for an older adult client who has been prescribed amoxapine for depression accompanied by anxiety. After administration of the drug, the nurse observes muscle rigidity and sweating. The nurse identifies these as the symptoms of neuroleptic malignant syndrome. Which of the following would the nurse do next?

stop the drug and contact PCP

Anticholinergic effes such as dry mouth, sedation, and UR are commeon adverse with the use of which antidepressant

tricyclic

The nurse instructs the client taking an MAOI not to eat foods containing

tyramine

A nurse is caring for a client who has been prescribed a monoamine oxidase inhibitor (MAOI). Which of the following should the nurse instruct the client to avoid?

yogurt