pharm psychology ati 41 questions

A client receiving lithium carbonate (Lithobid) complains of loose, watery stools and difficulty walking. The nurse should expect the serum lithium level to be which?

1.7 mEq/L

A client with schizophrenia has been started on medication therapy with loxapine. The nurse determines that the client is experiencing the intended effects of the medication if which client behavior is observed?

Absence of delusional statements

A client's medication sheet contains a prescription for sertraline hydrochloride (Zoloft). To ensure safe administration of the medication, which action should the nurse take?

Administer at the same time each evening.

A client with a psychotic disorder is being treated with haloperidol (Haldol). Which data would indicate the presence of a toxic effect of this medication?

Excessive salivation

A client with a history of simple partial seizures is taking clorazepate (Tranxene). The client asks the nurse whether there is a risk of addiction. The nurse's response is based on which understanding of clorazepate?

Leads to physical and psychological dependence with prolonged, high-dose therapy

A client taking buspirone (BuSpar) for 1 month returns to the clinic for a follow-up visit. Which should indicate medication effectiveness?

No rapid heartbeats or anxiety

A tricyclic antidepressant is administered to a client daily. The nurse plans to alleviate the common side effects of the medication and includes which in the plan of care?

Offer hard candy or gum periodically

The nurse is reinforcing medication discharge instructions for a client who has just begun taking isocarboxazid (Marplan) for depression and knows that the client needs further teaching after stating that which foods are safe to eat? Select all that apply.

Avocado Bologna

When teaching a client who is being started on imipramine hydrochloride (Tofranil), when should the nurse tell the client that the medication should have the desired effects?

Desired effects do not occur for 2 to 3 weeks of administration.

A client taking buspirone hydrochloride (BuSpar) for 1 month is scheduled for a follow-up appointment. The nurse gathers data from the client and interprets that the medication is effective if the client reports an absence of which symptom?

Palpitations and anxiety

Diphenhydramine hydrochloride (Benadryl) is used in the treatment of allergic rhinitis for a hospitalized client with a chronic psychotic disorder. The client asks the nurse why the medication is being discontinued before hospital discharge. How should the nurse respond correctly to this question?

Addictive properties are enhanced in the presence of psychotropic medications.

The nurse is caring for a hospitalized client who has been taking clozapine (Clozaril) for the treatment of a schizophrenic disorder. Which laboratory study prescribed for the client should the nurse specifically review to monitor for an adverse effect associated with the use of this medication?

White blood cell count

A hospitalized client is started on phenelzine sulfate (Nardil) for the treatment of depression. At lunchtime, a tray is delivered to the client. Which food item on the tray should the nurse remove?

Yogurt

A client receiving long-term therapy with lithium carbonate (Lithobid) exhibits muscle tremors, confusion, vomiting, and diarrhea. The nurse anticipates that the results of the latest serum lithium level will be between which?

1.5 and 2 mEq/L

A client diagnosed with depression is starting therapy with imipramine hydrochloride (Tofranil). The nurse is concerned that the client will not comply with the medication regimen. To encourage the client to continue taking the medication, the nurse tells the client that it is normal not to feel beneficial effects of the medication for which amount of time?

2 to 3 weeks