Week 10: Antidpressants, Mood & Effect, Stimulants and Drugs for ADHD, Drugs for Bipolar Disorder

-Bronchial dilation -Promotes diuresis -Low birth defect risk -constriction of cerebral blood vessels

Evidence shows that caffeine has which effects on the body? Select all that apply?

The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks.

Fluoxetine is prescribed for a client with depression. Which precaution will the nurse consider when initiating treatment with this medication?

Is too busy to take time to eat

For hyperactive, manic client who exhibits flight of ideas, which rational explains why the client is not eating?

-Narcolepsy -Attention-deficit/ hyperactivity disorder

For what circumstances are central nervous system (CNS) stimulants indicated?

Cardiac dysrhythmias

The nurse explains to t he patient using caffeine that which disease process/condition may be exacerbated by the drug?

Constant singing

What assessment finding would the nurse observe in a client with bipolar disorder, manic phase?

-Causing the release of norepinephrine -Causing the release of epinephrine -Causing the release of dopamine -Inhibiting the reuptake of norepinephrine -Inhibiting the reuptake of dopamine

What does the nurse identify as the mechanism of action of the amphetamines?

-Lisdexamfetamine has a lower abuse potential than other forms of amphetamine -Hypertension and tachycardia are side effects of Lisdexamfetamine

What information does the nurse understand is true regarding lisdexamfetamine?

-Assess for tremors. -Monitor sodium levels. -Determine if the patient is pregnant -Assess if the patient is receiving diuretic therapy.

What is essential for the nurse to assess in a female patient taking lithium citrate?

5 mg before breakfast and lunch

What is the dose regimen for methylphenidate intimidate release for a 6-year-old child with ADHD?

Eating aged cheese

Which activity should the patient be cautioned to avoid while taking a monoamine oxidase inhibitor (MAOI)?

-Social isolation -Poor coping skills -Family authoritarianism -Feeling of no control over life -Inability to seek help from others -Expects child to satisfy needs for love

Which characteristic can be observed in abusive parents? Select all that apply.

Exhibits lack of empathy for others

Which characteristic of clients with antisocial personality disorder would the nurse consider when planning care?

Brain tumor

Which condition would be a contraindication to electroconclusive therapy (ECT)?

Methylphenidate

Which medication is the first choice drug for the treatment of attention deficit hyperactivity disorder (ADHD)?

The amphetamine family consists of amphetamine, dextroamphetamine, methamphetamine, and lisdexamfetamine

Which medications are part of the amphetamine family of drugs?

-Amphetamines -Mehylxanthines -Methylphenidate

Which medications are widely used pharmacologic stimulant drugs? Select all that apply.

Dopamine, -Norepinephrine

Which neurotransmitters are affected by amphetamines?

Confusion immediately after the treatment

Which side effect would the nurse monitor for in a severely depressed client who received electroconclusive therapy (ECT)?

TCA drugs decrease hyperactivity

Which statement about tricyclic antidepressants (TCA's) for attention-deficit/hyperactivity disorder is true?

-Lack of ability to control impulses -Symptoms lasting at least 6 months -Short attention span for the child's age

A 6-year-old patient is being evaluated for attention-deficit/hyperactivity disorder (ADHD). Which characteristics must be identified in the child's behavior before central nervous system stimulants are indicated?

"I have been sleeping better."

A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a follow up visit. When interviewing the client, the nurse identifies that the medication has been effective when the client makes which statement?

Are you breast feeding your infant?"

A new mother has been prescribed fluoxetine. What information is essential for the nurse to ask prior to therapy?

The patient developed lithium toxicity.

A nurse assesses a patient who takes a maintenance dose of lithium carbonate for bipolar. The patient complains of hand tremors, nausea, vomiting, and diarrhea. The patients gait is unsteady. What is the most likely explanation for these symptoms?

Schedule II CNS stimulants are the first-line drugs of choice for both ADHD and narcolepsy. They are potent drugs with a strong potential for tolerance and psychological dependence and are therefore classified as Schedule II drugs

A nurse is working with patients who are diagnosed with attention-deficit disorder (ADHD) knows such patients often take central nervous system (CNS) stimulant drugs. These medications are potent, with high potential for abuse and dependence. Based on this potential, how are these medications classified?

Assessment of liver enzymes

A patient has been started on therapy with fluvoxamine. Which assessment is essential prior to and during the first few weeks of therapy?

Atomoxetine

A patient is diagnosed with attention-deficit/hyperactivity disorder (ADHD). Which drug is suitable for treatment of this disorder?

Liver function test

A patient who has depression is prescribed duloxetine. Which tests will the nurse suggest to the provider before therapy is started?

Blocking the reuptake of neurotransmitters at nerve endings

Selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) both function by which mechanism?

Orthostatic hypotension Orthostatic hypotension is the most common adverse effect of tricyclic antidepressant therapy.

The nurse identifies which most common serious adverse effect of tricyclic antidepressant therapy?

"Drug therapy is used for 4 to 8 weeks before evaluating successful treatment."

The nurse is assessing a patient with bipolar disorder who has been prescribed sertraline [Zoloft]. The patient asks about "feeling better." What should the nurse teach the patient?

Modafinil

The nurse is caring for a patient who describes symptoms indicative of narcolepsy. The nurse recognizes that the physician is most likely to order which medication for the patient?

"This medication may suppress your appetite."

The nurse is caring for a patient who has been prescribed buproprion HCl for seasonal affective disorder. What should the nurse teach the patient about this medication?

To maintain therapeutic concentration of lithium

The nurse is caring for a patient who has bipolar disorder and has been administered lithum citrate. The primary healthcare provider asks the nurse to constantly monitor the patients blood sodium levels. What is the reason for giving such an instruction?

Aged cheeses

The nurse teaches a patient taking a monoamine oxidase inhibitor (MAOI) about important dietary restrictions. Which foods will the nurse caution the patient to avoid?

-Low potential for abuse -Takes 1 to 3 weeks for maximal response -May cause suicidal thinking in children and adolescents

What is true about atomoxetine?

Accept that the client is unable to control this behavior while setting appropriate limits

Which action would the nurse take for a client who is a psychologist and has questioned the authority of the treatment and advised other clients that their treatment plans are wrong?

Walk to the end of the hallway where the client is standing

Which action would the nurse take for a withdrawn client who suddenly screams, bursts into tears, and runs from the room to the far end of the hallway?

Guide her to dress appropriately in her own clothing

Which action would the nurse take to help a female, bipolar client in the manic episode meet personal hygiene needs?

Sit down next to the client at frequent intervals

Which action would the nurse take when caring for a severely depressed client?