Pharm Q's 9

A nurse is counseling a client who abuses cocaine. The nurse recognizes that this drug is representative of which drug category? An opioid A stimulant A barbiturate A hallucinogen

A stimulant

A nurse is caring for a client who is addicted to opioids and who has undergone major surgery. The client is receiving methadone. What is the purpose of this medication? Allows symptom-free termination of opioid addiction Switches the user from illicit opioid use to use of a legal drug Provides postoperative pain control without causing opioid dependence Counteracts the depressive effects of long-term opioid use on thoracic muscles

Switches the user from illicit opioid use to use of a legal drug

A client with a history of smoking is suspected of having depression. The primary healthcare provider prescribes a drug that would be beneficial in treating depression and would aid in smoking cessation. Which adverse effects would the nurse suspect in this client? S elect all that apply. Asthenia Confusion Tachycardia Constipation Increased appetite

Confusion Tachycardia

A client on a psychiatric unit who has been hearing voices is receiving a neuroleptic medication for the first time. The client takes the cup of water and the pill and stares at them. What is the most therapeutic statement the nurse can make? "You have to take your medicine." "This is the medication that your healthcare provider ordered." "This will help you not to hear the voices. It will only work if you take it." "There must be a reason that you don't want to take your medicine."

"This will help you not to hear the voices. It will only work if you take it."

A male client diagnosed with bipolar disorder is prescribed medication that has caused a decreased libido. Which drugs would be appropriate to be prescribed by the primary healthcare provider to treat this condition? Asenapine Quetiapine Haloperidol Aripiprazole Chlorpromazine

Asenapine Quetiapine Aripiprazole

A client with a history of schizophrenia who responds poorly to medication is now being treated for acute depression. In light of the information elicited from the medication list and laboratory results, what does the nurse advise? Come in for weekly blood tests to monitor for drug-induced agranulocytosis. Report incidents of unusual bleeding or easy bruising while taking fluoxetine. Expect to be prescribed only 1 week's supply of fluoxetine at a time. Consume a high-protein diet to offset the risk of anemia while taking clozapine.

Come in for weekly blood tests to monitor for drug-induced agranulocytosis.

A client who takes insulin for type 1 diabetes has a psychosis and is to receive haloperidol. Which response does a nurse anticipate with this drug combination? Depressed respiration Intensified action of both drugs Decreased control of the diabetes Increased danger of extrapyramidal side effects

Decreased control of the diabetes

A client with a diagnosis of schizophrenia is discharged from the hospital. At home the client forgets to take the medication, is unable to function, and must be rehospitalized. What medication may be prescribed that can be administered on an outpatient basis every 2 to 3 weeks? Lithium Diazepam Fluvoxamine Fluphenazine

Fluphenazine

An 11-year-old client reports having the habit of bedwetting (enuresis). Which drug may be prescribed to this client? Alprazolam Imipramine Lithium salts Clomipramine

Imipramine

A client with a diagnosis of bipolar I disorder, depressive episode, is receiving lamotrigine. The nurse concludes that the medication is effective when the client displays which behavior change? More high-spirited Able to laugh off criticism Involved in performing activities of daily living Able to spend the morning entertaining several quiet clients

Involved in performing activities of daily living

A client is responding within 5 minutes of receiving naloxone to combat respiratory depression from an overdose of heroin. Why will a nurse continue to closely monitor this client's status? The drug may cause peripheral neuropathy. Naloxone and heroin can cause cardiac depression when combined. Symptoms of the heroin overdose may return after the naloxone is metabolized. Hyperexcitability and amnesia may cause the client to thrash about and become abusive.

Symptoms of the heroin overdose may return after the naloxone is metabolized.

A client with a new diagnosis of bipolar disorder is prescribed lithium carbonate. In light of the information shown, what teaching should the nurse provide to the client? Lithium can affect WBC production and therefore increases the client's risk for infection. The client's current thyroid function will require frequent assessments while taking lithium. Hyponatremia could lead to lithium toxicity, so the primary healthcare provider must first be notified of the level. Because of the platelet count, neutropenic precautions will be initiated once the client starts lithium therapy. The current hemoglobin and hematocrit levels require regular monitoring once the lithium level is stabilized.

The client's current thyroid function will require frequent assessments while taking lithium. Hyponatremia could lead to lithium toxicity, so the primary healthcare provider must first be notified of the level.

A client with depression was prescribed fluoxetine. After two days, the client arrives at the hospital and reports restlessness, confusion, and poor concentration. Upon assessment, the nurse finds an elevated body temperature. Which intervention by the healthcare provider would be beneficial to the client? Withdrawing the drug Administering isocarboxazid Reducing the dose of the drug Informing the client that these are expected side effects

Withdrawing the drug

Which sedative-hypnotics are used to treat insomnia effects associated with a panic disorder? Phenelzine Paroxetine Alprazolam Imipramine Clonazepam

Alprazolam Clonazepam

A client with depression has not responded to a tricyclic antidepressant and outpatient electroconvulsive therapy (ECT). The healthcare provider prescribes selegiline, and the nurse teaches the client about food to be avoided while taking this medication. Which foods identified by the client allow the nurse to conclude that the instructions have been understood? Fresh fish Beer Fried chicken Licorice Leafy vegetables

Beer Licorice

The registered nurse is teaching about monoamine oxidase (MAO) inhibitors to a nursing student. Which statement made by the nursing student indicates the need for further teaching? "Isocarboxazid is a selective MAO-B inhibitor." "MAO inhibitors are prescribed as adjunct to diphenhydramine." "Hypertensive crisis is a reported adverse effect of MAO inhibitors." "MAO inhibitors are prescribed to clients with Parkinson disease." "Interaction of sympathomimetic drugs with MAO inhibitors may cause hypertensive crisis."

"Isocarboxazid is a selective MAO-B inhibitor." "MAO inhibitors are prescribed as adjunct to diphenhydramine."

An adolescent with a major depressive disorder is prescribed venlafaxine. What signs or symptoms related to the medication will the nurse communicate immediately to the prescribing provider? Blurred vision Suicidal ideation Difficult urination Tardive dyskinesia Transient hypoglycemia

Blurred vision Suicidal ideation Difficult urination

A client on antidepressant therapy develops hyponatremia. Which drug may be responsible for the client's electrolyte imbalance? Phenelzine Paroxetine Imipramine Amitriptyline

Paroxetine

A client is receiving imipramine, a tricyclic antidepressant, for depression. The nurse assesses the client for side effects and adverse effects. Which adverse effect requires further assessment and possible medical intervention? Dry mouth Weight gain Blurred vision Urinary hesitancy

Urinary hesitancy

The nurse cares for a client who has schizophrenia and is taking chlorpromazine. The nurse instructs the family members to inform the nurse if any adverse effects develop. Which side effects are considered late extrapyramidal side effects? Tremors Restless movements Muscle spasms of neck Worm-like tongue movements

Worm-like tongue movements