Quiz 2 Pharmacology
A client begins taking 40 mg of fluoxetine daily. The next day the client calls complaining of restlessness. Which interventions should the nurse advocate for to the client's prescribing physician first? Add diazepam as an adjunct .Decrease the dosage of the medication Switch to a different selective serotonin reuptake inhibitor (SSRI). Stop taking the medication.
.Decrease the dosage of the medication
A nurse works at a weight management clinic. To which overweight client could the nurse safely administer dextroamphetamine? a) A 38-year-old Caucasian woman with glaucoma b) A 28-year-old African-American woman with hyperthyroidism c) A 60-year-old African-American man who experiences angina d) A 48-year-old Caucasian man who has adult-onset diabetes
A 48-year-old Caucasian man who has adult-onset diabetes
The nurse working with the family of a child prescribed methylphenidate should implement what strategy to address possible adverse effects? a) A strategy to ensure that the child maintains normal bladder function b) A plan to address the child's loss of self-esteem c) A strategy to regularly monitor the child's blood glucose levels d) A plan to address the child's loss of appetite
A plan to address the child's loss of appetite
A child is diagnosed with attention deficit hyperactivity disorder (ADHD). Which medication will most likely be administered in conjunction with treatment? A) Selective Serotonin Reuptake inhibitors B) Monaomine Oxidase Inhibitors (MAOI) C) ACE inhibitors D) Central nervous system (CNS) stimulants
D) Central nervous system (CNS) stimulants
Typical antipsychotics work by blocking which receptor? Serotonin Norepinephrine Dopamine and serotonin Dopamine
Dopamine
During a physical assessment, the nurse would recognize that there is the potential for medication-induced weight loss in a client who is being treated with which medication? Olanzapine Ziprasidone Risperidone Fluoxetine
Fluoxetine
A child has been receiving a CNS stimulant for long-term treatment of attention-deficit hyperactivity disorder (ADHD). The nurse would be especially alert for which finding?Select all that apply. a) Growth b) Hypotension c) Hyperglycemia d) Respiratory depression e) Weight loss
Growth Weight Loss
Atomoxetine has been selected as the primary pharmacologic treatment for a young adult client diagnosed with attention deficit hyperactivity disorder (ADHD). What characteristics make this a good drug of choice for this population of clients?Select all that apply. a) known to be safe to take during pregnancy b) a lower potential for abuse c) is administered orally d) presents with few significant adverse effects e) a low risk for dependency
Lower potential for abuse Low risk for dependency Administered orally
A client with a history of drug and alcohol abuse has recently been diagnosed with attention deficit hyperactivity disorder (ADHD). The client requires treatment with medication. Which medication would the nurse anticipate to be prescribed for this client? a) Atomoxetine b) Dextroamphetamine c) Methylphenidate d) Modafinil
Atomoxetine
A high-school-age client, brought to the emergency department (ED) by friends after taking a "whole handful of dextroamphetamine," is now lapsing in and out of consciousness. The ED nurse should prioritize what assessment related to dextroamphetamine overdose? a) Cardiac monitoring b) Blood glucose monitoring c) Lung function testing d) Cognitive assessment
Cardiac monitoring
A presurgical client has reported a history of illicit amphetamine use. The nurse is concerned because of the effect this type of abuse has on what physiological functions?Select all that apply a) sympathetic nervous system (SNS) b) respiratory system c) Central nervous system (CNS) d) gastrointestinal (GI) systeme) parasympathetic nervous system (PSNS)
Central nervous system sympathetic nervous system
A nurse suspects that a client has overdosed on the prescribed tricyclic antidepressant. Which assessment finding would support this suspicion? Select all that apply. Confusion Hallucinations Agitation Orthostatic hypotension Headache
Confusion Hallucinations Agitation
A child was diagnosed with attention-deficit hyperactivity disorder and methylphenidate was prescribed for treatment to be taken once a day in sustained release form. On future visits, what is a priority nursing assessment for this child?
Weight and height
A 22-year-old client comes into the emergency department. He is highly active, and says his heart is pounding. On further questioning, he says he took several pills at a party. What type of medication does the nurse suspect he took at the party? a) amphetamine b) antidepressant c) anorexiant d) analeptic
amphetamine
The nursing instructor is describing the effects of CNS stimulants and their potential for addiction due to their euphoric sensations. The instructor determines that the discussion was successful when the students identify which substances as being involved with this pleasurable feeling? a) dopamine b) serotonin c) norepinephrine d) epinephrine
dopamine
A 10 year old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the nurse must assess the child. The priority assessment since he is on this medication would be which? a) height and weight b) body temperature c) vision d) blood pressure
height and weight
A nurse is assessing a client who is suspected of having attention deficit hyperactivity disorder (ADHD). Which is a characteristic of ADHD? a) drowsiness b) spasticity c) impulsiveness d) hallucinations
impulsiveness
A client with obsessive-compulsive disorder has been taking clomipramine 25 mg PO for the past week. At the current follow-up appointment, the client states, "I'm so groggy I don't think I can keep going with these pills." What are appropriate assessment questions the nurse should ask? Select all that apply. "Have you been drinking any alcoholic beverages since you started these pills?" "Are you taking any over-the-counter sleep aids?" "What time of day are you taking your pill?" "Have you used any herbal remedies since starting clomipramine?" "Are you making sure to take it on an empty stomach?"
"Have you been drinking any alcoholic beverages since you started these pills?" "What time of day are you taking your pill?" "Have you used any herbal remedies since starting clomipramine?" "Are you taking any over-the-counter sleep aids?"
The nurse is providing education to an adolescent client who has been prescribed an amphetamine for attention deficit hyperactivity disorder. How does the nurse explain the purpose of a "drug holiday?" a) To prevent hyperthyroidism b) To allow electrolyte imbalances to resolve c) To minimize weight loss d) To slow bone resorption
To minimize weight loss
A client is being prescribed dextroamphetamine for the treatment of attention deficit hyperactivity disorder (ADHD). During health education, the nurse should make the client aware of the black box warning relating to what potential risk issue? a) kidney failure b) Potential for abuse c) stroke with excessive doses d) unstable blood glucose levels
potential for abuse
A nurse is providing care for a client diagnosed with attention deficit hyperactivity disorder (ADHD) who has been taking methylphenidate for several months. When monitoring for potential adverse effects, the nurse should include what assessments? a) sexual function b) pupillary response c) sleep patterns d) orientation to person, place, and time
sleep patterns
A client has been treated with amphetamines for ADHD. At the age of 16 years, the client is diagnosed with hyperthyroidism. What intervention should be implemented with this client? a) Discontinue the high-calorie diet b) Discontinue the amphetamines c) Assess the client for pulmonary edema d) Administer a proton pump inhibitor
Discontinue the amphetamines
After teaching a group of students about medications used to treat ADHD, the instructor determines that the education was successful when the group identifies atomoxetine as which of the following? Noradrenergic reuptake inhibitor Stimulant Antidepressant Alpha-agonist
Noradrenergic reuptake inhibitor
The fasting blood sugar of an older adult client is 130 mg/dl. The nurse reviews the client's pharmacological records and suspects which medication may be a contributing factor? Risperidone Simvastatin Low-dose acetylsalicylic acid Amlodipine
Risperidone
A 52-year-old woman is seeing a nurse therapist for moderate depression. The client has been taking fluoxetine (Prozac) for 3 weeks, but her mood has not improved. She states, "I need more than this to get better. I'm taking St. John's wort, too." Why does the nurse tell the client to immediately stop taking St. John's wort? St. John's wort with fluoxetine may lead to serotonin syndrome. St. John's wort with fluoxetine may cause blood dyscrasias. St. John's wort with fluoxetine may lead to liver failure .St. John's wort with fluoxetine may lead to hypertensive crisis.
St. John's wort with fluoxetine may lead to serotonin syndrome.
The nurse has learned that there is a high incidence of suicidal ideation in children and adolescents when using which of the following drugs? a) Provigil b) Dopram c)Nuvigil d) Strattera
Strattera
The client is prescribed dextroamphetamine. The nurse is counseling the client prior to beginning this medication. Which information should the nurse include in the teaching? Select all that apply. a) Take this medication in the morning with breakfast. b) You may see an improvement within 24 to 48 hours. c) Take this medication first thing in the morning on an empty stomach. d) Take this medication with food at night. e) You may see an improvement in symptoms within 5 to 7 days.
Take this medication first thing in the morning with breakfast
The psychiatric nurse is preparing to teach a client newly diagnosed with schizophrenia about the prescribed atypical antipsychotic medication risperidone. Which information would the nurse most likely include? The medication is directed at treating both positive and negative symptoms Olanzapine, quetiapine, and aripiprazole are possible alternates to the prescribed drug The client's liver function status will need to be evaluated regularly while on the medication The medication will also help manage any preexisting seizure disorder The client can take over-the-counter antacids to help control any stomach upset.
The client's liver function status will need to be evaluated regularly while on the medication
A child with attention-deficit hyperactivity disorder is prescribed atomoxetine. The nurse would assess the child closely for which adverse reaction? a) suicidal ideation b) hypertension c) hyperglycemia d) dyspnea
suicidal ideation
