ATI - Neurological Systems Part 2 -Mental Health

A nurse should identify that timolol is contraindicated for a client who has which of the following disorders? A. Asthma B. Seizure disorder C. Diabetes mellitus D. Rheumatoid arthritis

A. Asthma

A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following findings should indicate to the nurse to monitor for lithium toxicity? A. Furosemide for hypertension B. Acetaminophen for headaches C. Ciprofloxacin for a urinary tract infection D. Montelukast for asthma

A. Furosemide for hypertension (Furosemide, a high-ceiling loop diuretic, increases sodium loss and can cause lithium reabsorption. The nurse should evaluate the client for lithium toxicity.)

A nurse is caring for a client who has a prescription for fluoxetine and who reports self-administering St. John's wort daily for the past 2 weeks. Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome? A. Hallucinations B. Decreased temperature C. Hypersexual behavior D. Constipation

A. Hallucinations

A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification? A. Renal function impairment B. Cataracts C. Recent weight loss D. Smoking

A. Renal function impairment (Alprazolam dosage should be decreased for clients who have renal or hepatic impairment.)

A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include? A. "Weight yourself twice a month." B. "If you have persistent headaches, let the provider know." C. "Reduce your daily sodium intake." D. "If your symptoms don't improve in 10 days, you will need a higher dosage."

B. "If you have persistent headaches, let the provider know."

A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine. Which of the following laboratory values should the nurse monitor during and immediately after IV administration of the drug? A. Cardiac output B. Blood pressure C. Urine specific gravity D. Oxygen saturation

B. Blood pressure

A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions? A. Respiratory depression B. Hypertensive crisis C. Neuroleptic malignant syndrome D. Serotonin syndrome

B. Hypertensive crisis (Manifestations include hypertension, headache, and nausea.)

A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include? A. Stop taking the drug immediately with the first sign of a sore throat B. Wear sunscreen when exposed to sunlight C. Take the drug with food to reduce gastrointestinal distress D. Take the drug in the morning to prevent nocturia

B. Wear sunscreen when exposed to sunlight

A nurse is providing teaching to a client who has a prescription for buspirone. Which of the following instructions should the nurse include? A. Take the drug with grapefruit juice to increase absorption B. Use the drug as needed for anxiety C. Allow 2 to 4 weeks for full therapeutic effects D. Take the drug on an empty stomach

C. Allow 2 to 4 weeks for full therapeutic effects

A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instructions should the nurse include? A. Consume a low-sodium diet B. Reduce fluid intake C. Avoid taking NSAIDs D. Take the drug with food

C. Avoid taking NSAIDs

A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify that which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine? A. Alprazolam B. Phenytoin C. Phenelzine D. Pilocarpine

C. Phenelzine (Clients should not take Venlafaxine, a serotonin norepinephrine reuptake inhibitor, within 14 days of taking phenelzine, other MAOIs, or serotonergic drugs. Serotonin syndrome is a life-threatening complication characterized by anxiety, confusion, hallucinations, and a fever.)

A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend that the client undergo periodically? A. Chest x-ray B. Tonometry C. Thyroid function test D. Endoscopic retrograde cholangiopancreatography (ERCP)

C. Thyroid function test (Hypothyroidism is an adverse effect of lithium carbonate. Clients should report neck enlargement, weight gain, lethargy, and constipation. They should also have their thyroid function checked before they begin taking lithium and annually thereafter.)

A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions should the nurse include? (Select all that apply.) Change positions slowly from sitting or lying to standing Do not stop taking the drug abruptly Wear sunscreen and protective clothing Take the drug at bedtime to prevent daytime drowsiness Increase fiber and fluid intake

Change positions slowly from sitting or lying to standing Do not stop taking the drug abruptly Take the drug at bedtime to prevent daytime drowsiness Increase fiber and fluid intake

A nurse is providing teaching to a client who has a new prescription for diazepam for anxiety disorders. Which of the following client statements indicates an understanding of the teaching? A. "It is not a big deal if I forget my pills for a couple of days." B. "I should limit alcohol intake to one drink daily while taking this medication." C. "I will avoid salt because this medication can increase my blood pressure." D. "If i become pregnant, it is important to let my health care provider know."

D. "If i become pregnant, it is important to let my health care provider know."

A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and who was admitted to the emergency room with spasms of their face and back. Which of the following adverse reactions should the nurse suspect? A. Cholinergic crisis B. Serotonin syndrom C. Stevens-Johnson syndrome D. Acute dystonia

D. Acute dystonia

A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include in the teaching? A. Constricted pupils B. Discoloration of the iris C. Hypertension D. Bradycardia

D. Bradycardia (Betaxolol and timolol can cause bradycardia because of the blockade of cardiac beta1 receptors. Clients should check their pulse rate regularly and report any sustained decreases.)

A nurse is caring for a client who was admitted to the emergency department with a head injury. The nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. For which of the following adverse effects is the client at increased risk? A. Ischemic stroke B. Drowsiness C. Respiratory depression D. Seizure activity

D. Seizure activity

A nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects? A. Anterograde amnesia B. Respiratory depression C. Paradoxical reaction D. Withdrawal symptoms

D. Withdrawal symptoms

A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor? (Select all that apply.) Tolerance Anxiety Sedation Respiratory depression Constipation

Tolerance Anxiety Sedation Respiratory depression

A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity? (Select all that apply.) Tremors Confusion Bronchospasm Nausea Muscle weakness

Tremors Confusion Nausea Muscle weakness

A nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include? A. "Take a missed dose as soon as you remember." B. "Take the drug as needed at the first sign of anxious feelings." C. "Take the drug in the morning with a glass of grapefruit juice." D. "Drink a cup of chamomile tea at night with the drug."

A. "Take a missed dose as soon as you remember."

A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse reaction caused by alprazolam? A. Anxiety B. Ringing in the ears C. Increased appetite D. Muscle spasms

A. Anxiety

A nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops Do not touch the tip of the dropper Wash hangs after instilling the drops Rub eyes gently after instilling the drops Remove contact lenses prior to instilling the drops

Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops Do not touch the tip of the dropper Remove contact lenses prior to instilling the drops

A nurse is providing teaching to a client about the adverse effects of drug therapy. The nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs? A. Venlafaxine B. Bupropion C. Imipramine D. Valproic acid

C. Imipramine

When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following? (Select all that apply.) Motion sickness Seasonal affective disorder Insomnia Nicotine addition Depression

Seasonal affective disorder Nicotine addition Depression (Bupropion is an atypical antidepressant. Side effects include nausea, vomiting, insomnia, Agitation, and constipation.