MEDS QUIZEZ

The client asks the nurse, "What will happen if I drink while taking disulfiram?" What should be the nurse's reply? "You will not want to drink while taking disulfiram. It reduces the cravings." "You will not get any effect from the alcohol you drink." "You will experience a severe reaction, including a throbbing headache and vomiting." "Disulfiram will reverse the effects of alcohol."

"You will experience a severe reaction, including a throbbing headache and vomiting."

During which phase of the nurse-client relationship does the client identify and explore specific problems? working debriefing orientation resolution

working

1) A client has been started on an antipsychotic medication and is exhibiting muscle stiffness of the arms, slowness of gait, and tremors. Which extrapyramidal syndrome (EPS) is the client displaying? Akathisia Pseudoparkinsonism Dystonia NMS

1) Pseudoparkinsonism Symptoms of pseudoparkinsonism include the classic triad of Parkinson's disease (rigidity, slowed movements, and tremor). The rigid muscle stiffness is usually seen in the arms. Akathisia is characterized by the inability to sit still or restlessness and is more common in middle-aged clients. Dystonia is impaired muscle tone that generally is the first EPS to occur, usually within a few days of initiating use of an antipsychotic. NMS is a serious complication that may result from antipsychotic medications. It is characterized by rigidity and high fever.

1) A patient diagnosed with bipolar disorder has an unstable mood, aggressiveness, agitation, talkativeness, and irritability. The nurse expects the health care provider to prescribe a medication from which group? a. Psychostimulants b. Mood stabilizers c. Anticholinergics d. Antidepressants 2) What phase of Bipolar disorder are they in? Hypomaina Mania 3) what are the nursing interventions?

1) b. Mood stabilizers (specially Lithium- first line for Bi-polar) 2) Mania 3) Safety, Diet

1) A client receiving an antipsychotic agent develops acute extrapyramidal symptoms. Which response by the nurse would be most appropriate? 2) Which is the most commonly seen adverse side effect of typical antipsychotics?

1)"These are the results of the drug and can be treated; your illness is not getting worse." 2) Extrapyramidal symptoms and tardive dyskinesia The greatest hazard of typical antipsychotics involves adverse effects, such as extrapyramidal symptoms (EPSs) and tardive dyskinesia. Risk of EPSs and other movement disorders is highest for clients who use older, high-potency neuroleptics, such as haloperidol or perphenazine, for long periods. The client's inability to "sit still"; and the client's frequent pacing are termed akathisia, an extrapyramidal effect of the antipsychotic medication. Akinesia is slowed movements. Dystonia involves involuntary muscle spasms that lead to abnormal postures, especially of the head and neck muscles. Pseudoparkinsonism includes rigidity, slowed movements, and tremor.

2) A nursing assessment of a client who has been diagnosed with neuroleptic malignant syndrome (NMS) would most likely reveal which signs?

2)Hyperpyrexia, severe hypertension, and diaphoresis

A nurse cares for four patients who are receiving clozapine, lithium, fluoxetine, and venlafaxine, respectively. With which patient should the nurse be most alert for problems associated with fluid and electrolyte imbalance? The patient receiving: a. lithium (Lithobid). b. clozapine (Clozaril). c. fluoxetine (Prozac). d. venlafaxine (Effexor).

A

The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm3. Select the nurse's best action. a. Report the results to the health care provider immediately. b. Administer the next dose as prescribed. c. Give aspirin and force fluids. d. Repeat the laboratory test.

A

A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for the past two months. The nurse would be especially alert for which of the following?A. DiarrheaB. Weight lossC. DiabetesD. Hypertension

A. Diarrhea

A patient is hospitalized for severe depression. Of the medications listed below, the nurse can expect to provide the patient with teaching about: a. chlordiazepoxide (Librium). b. clozapine (Clozaril). c. sertraline (Zoloft). d. tacrine (Cognex).

C

MATCHING-Neurocognitive Disease Agnosia Confabulation Anomia Executive Function Apraxia Problems with naming people and objects Difficulty with motor functions Tendency to make up answers to fill gaps in memory Reasoning and problem-solving ability Failure to recognize objects

Agnosia Failure to recognize objects Confabulation Tendency to make up answers to fill gaps in memory Anomia Problems with naming people and objects Executive Function Reasoning and problem-solving ability Apraxia Difficulty with motor functions

Carmanazepine (Tegretol) belongs to which classification of medication? Anticonvulsant antipsychotic anxiolytic antidepressant

Anticonvulsant

MATCHING: medication and class Anticonvulsant Selective serotonin reuptake inhibitors (SSRIs) A mood stabilizing salt found in the body Monoamine oxidase inhibitor Phenelzine Carbamazepine Sertraline Lithium

Anticonvulsant Carbamazepine Selective serotonin reuptake inhibitors (SSRIs) Sertraline A mood stabilizing salt found in the body Lithium Monoamine oxidase inhibitor Phenelzine

A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop? a. Anticholinergic effects b. Dopamine-blocking effects c. Endocrine-stimulating effects d. Ability to stimulate spinal nerves

B

The therapeutic action of neurotransmitter inhibitors that block reuptake cause: a. decreased concentration of the blocked neurotransmitter in the central nervous system. b. increased concentration of the blocked neurotransmitter in the synaptic gap. c. destruction of receptor sites specific to the blocked neurotransmitter. d. limbic system stimulation.

B

Which instruction has priority when teaching a patient about clozapine (Clozaril)? a. "Avoid unprotected sex." b. "Report sore throat and fever immediately." c. "Reduce foods high in polyunsaturated fats." d. "Use over-the-counter preparations for rashes."

B

Which medication below also belongs with this group of meds? carbamazepine (Tegretol), lamotrigine (Lamictal), gabapentin (Neurontin). a. Galantamine (Reminyl) b. Valproate (Depakote) c. Buspirone (BuSpar) d. Tacrine (Cognex)

B Carbamazepine (Tegretol)Anticonvulsant Oxcarbazepine (Trileptal)Anticonvulsant Gabapentin (Neurontin)Anticonvulsant Divalproex Sodium (Depakote) Anticonvulsant Lamotrigine (Lamictal)Anticonvulsant Phenytoin (Dilantin)Anticonvulsant

Which of the following medications is not abenzodiazepine? Buspar Valium Klonopin Xanax

Buspar Treats Anxiety, used to detox patients, and valium can be used during active seizure activity. (Drugs end in "-am" or "-pam")Valium (diazepam) - common to use during seizure activityAtivan (lorazepam)Xanax (alprazolam)Klonopin (clonazepam)Common Side Effects of Benzodiazepine: Addicting, respiratory depression, psychosis, over Sedation. CANNOT STOP SUDDENLY - Must taper off these meds.

A nurse can anticipate anticholinergic side effects are likely when a patient takes: a. lithium (Lithobid). b. buspirone (BuSpar). c. benzatropine (cogentin) d. risperidone (Risperdal).

C

A nurse instructs a patient taking a drug that inhibits monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of: a. cardiac dysrhythmia. b. hypotensive shock. c. hypertensive crisis. d. hypoglycemia.

C

A nurse cares for a group of patients receiving various medications, including haloperidol (Haldol), carbamazepine (Tegretol), trazodone (Desyrel), and phenelzine (Nardil). The nurse will order a special diet for the patient who takes: a. carbamazepine. b. haloperidol. c. phenelzine. d. trazodone.

C phenelzine (Nardil) is a MAOI and needs dietary changes, avoid thymine

A ten-year-old boy is unable to function well in school due to ADHD. He is prescribed a medication that is generally given to adults to control hypertension which has been found to increase norepinephrine in the brain to treat ADHD symptoms. This medication is: Methylphenidate Adderall Clonidine Atomoxetine

Clonidine

A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group? a. Tricyclic antidepressants b. Antipsychotic drug c. Antimanic drugs d. Benzodiazepines

D

An individual hiking in the forest encounters a large poisonous snake on the path. Which change in this individual's vital signs is most likely? a. Pulse rate changes from 90 to 72. b. Respiratory rate changes from 22 to 18. c. Complaints of intestinal cramping begin. d. Blood pressure changes from 114/62 to 136/78.

D

patient tells the nurse, "My doctor prescribed citalopram (Celexa) for my depression. I assume I'll have side effects like I had when I was taking Tofranil (imipramine)." The nurse's reply should be based on the knowledge that citalopram (Celexa) is a(n): a. selective norepinephrine reuptake inhibitor. b. tricyclic antidepressant. c. MAO inhibitor. d. SSRI.

D SSRIsDrugs fluoxetine (Prozac) fluvoxamine (Luvox) sertraline (Zoloft) citalopram (Celexa)

When providing care to a client, the psychiatric-mental health nurse is implementing the therapeutic use of self. The nurse is applying concepts based on the work of which individual?Florence NightingaleSigmund FreudDorothea DixHildegard Peplau

Hildegard Peplau

A nurse is caring for a client who is taking a monoamine oxidase (MAO) inhibitor for treatment of a depressive disorder. What is a potentially serious side effect of MAO inhibitors?

MAO inhibitors may interact with some foods and drugs to produce severe hypertension and possible heart attack or stroke. Clients who take MAO inhibitors should avoid foods that contain tyramine, such as aged cheese

A 20-year-old client arrives at the emergency department by ambulance. The client is unconscious, with slow respirations and pinpoint pupils. There are "tracks" visible on the client's arms. The friend who came with the client reports that the client had just "shot up" heroin when the client became unconscious. Which medication would the nurse most likely expect to administer? Naltrexone Naloxone Lorazepam Flumazenil

Naloxone

Which is considered an atypical antipsychotic? Olanzapine Haloperidol thioridazine thiothixene

Olanzapine is considered an atypical antipsychotic. Haloperidol thioridazine thiothixene are considered conventional antipsychotics.

A child with ADHD will begin medication therapy. The nurse should prepare a plan to teach the family about which classification of medications? Psychostimulant drugs anxiolytics Anticholinergic medication Antidepressant medications

Psychostimulant drugs

What classification of medication has the highest potential side effects of EPS? Typical antipsychotics atypical antipsychotics anti-depressants mood stabilizers

Typical antipsychotics

A nurse is completing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms? (select all that apply) a. auditory hallucination b. lack of motivation c. use of clang associations d. delusion of persecution e. constantly waving arms f. flat affect

a,c,d,e a. auditory hallucination c. use of clang associations d. delusion of persecution e. constantly waving arms

Transient psychotic symptoms that occur with borderline personality disorder are most likely treated with which type of drug? a. Anticonvulsant mood stabilizers b. Antipsychotics c. Benzodiazepines d. Lithium

a. Anticonvulsant mood stabilizers

A selective serotonin reuptake inhibitor is prescribed for an elderly patient with depression. Nursing assessment should include careful collection of information regarding: a. other prescribed medications and over-the-counter products used. b. evidence of pseudoparkinsonism or tardive dyskinesia c. history of psoriasis and any other skin disorders. d. history of diarrhea and electrolyte imbalances.

a. other prescribed medications and over-the-counter products used.

A depressed patient believes in traditional remedies but agrees to take an antidepressant medication. The patient tells the nurse, "I will also treat my symptoms with my own healing practices." Select the nurse's most important response. a. "You agreed to take this prescription. You must avoid herbal remedies." b. "What herbs and special foods do you plan to use?" c. "Will your treatment include yoga or meditation?" d. "Will you do special breathing exercises?"

b. "What herbs and special foods do you plan to use?"

The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client complains of restlessness, cannot sit still, and has muscle stiffness. Of the following prn medications, which would the nurse administer? a. Haloperidol (Haldol), 5 mg PO b. Benztropine (Cogentin), 2 mg PO c. Propranolol (Inderal), 20 mg PO d. Trazodone, 50 mg PO

b. Benztropine (Cogentin), 2 mg PO

A patient with bipolar disorder has an unstable mood, aggressiveness, agitation, talkativeness, and irritability. The nurse begins care planning based on the expectation that the health care provider is most likely to prescribe a medication classified as a(n): a. anticholinergic. b. mood stabilizer. c. psychostimulant. d. antidepressant.

b. mood stabilizer (anticonvulsant)

d. Severe vomiting, diarrhea, and weakness The signs of lithium toxicity include which? a. Sedation, fever, and restlessness b. Psychomotor agitation, insomnia, and increased thirst c. Elevated WBC count, sweating, and confusion d. Severe vomiting, diarrhea, and weakness

d. Severe vomiting, diarrhea, and weakness

A 30-year-old client is taking phenelzine (Nardil) 30mg PO tid. The nurse knows that at that dosage, the client will need to be carefully monitored for which?

dizziness. P358Explanation:The nurse will closely monitor for the adverse effects of phenelzine related to the anticholinergic effect of the drug, such as dizziness that tends to be more pronounced at dosages above 45 mg/day. Dizziness is also a sign of a phenelzine drug overdose. Constipation and dry mouth are also adverse effects, not diarrhea and increased secretions. Facial flushing is not an identified adverse effect of phenelzine.

A nurse cares for patients taking various medications, including buspirone (BuSpar), haloperidol (Haldol), carbamazepine (Tegretol), trazodone (Desyrel), and phenelzine, (Nardil). The nurse will order a special diet for the patient who takes: a. buspirone b. haloperidol c. carbamazepine d. trazodone e. phenelzine

e. phenelzine 5. Monoamine oxidase inhibitors (MAOIs): Phenelzine (Nardil), Tranylcypromine (Parnate)Side effects: Dietary Restriction, Potential for hypertensive crisis with other antidepressants DIETARY RESTRICTION-Tyramine (aged cheese, smoked meats, ETOH)

Clonapine (Clozaril) is a newer atypical or second generation antipsychotic which has the benefit of fewer problems with extrapyramidal side effects. In your lecture you learned that which statement is true about this medication? Observe the patient for a post injection delirium syndrome Given as a depot injection for a fast acting short term drug affect works best when given within and anxiolytic such as Valium must monitor the patient for flu like signs and symptoms

must monitor the patient for flu like signs and symptoms

quizlet Jacky is a 13-year-old boy with bipolar disorder. His medical provider is changing his current medication to lamotrigine (Lamictal). As part of his patient teaching the child and his parents are cautioned about which of the following side effects that are associated with a potentially life-threatening adverse reaction to this drug? (SELECT 2) nausea diarrhea blurred vision oculogyric crisis skin rash fever difficulty sleeping morning torticollis

skin rash fever lamotrigine (Lamictal) is an anticonvulsant/mood stabilizer