MH Drugs

A client diagnosed with an anxiety disorder is prescribed buspirone orally. The client tells the nurse that it is difficult to swallow the tablets. Which is the best instruction to provide the client? 1.Crush the tablets before taking them. 2.Mix the tablet uncrushed in apple sauce. 3.Purchase the liquid preparation with the next refill. 4.Call the primary health care provider for a change in medication.

1.Crush the tablets before taking them.

The nurse determines that a history of which mental health disorder would support the prescription of taking donepezil hydrochloride? 1.Dementia 2.Schizophrenia 3.Seizure disorder 4.Obsessive-compulsive disorder

1.Dementia

A client's medication sheet contains a prescription for sertraline. To ensure safe administration of the medication, how should the nurse administer the dose? 1.On an empty stomach 2.At the same time each evening 3.Evenly spaced around the clock 4.As needed when the client complains of depression

2.At the same time each evening

The client diagnosed with alcoholism has been prescribed medication therapy to assist in the maintenance of sobriety. The nurse will provide the client with education focused on which medication that will most likely be prescribed? 1.Clonidine 2.Disulfiram 3.Pyridoxine hydrochloride 4.Chlordiazepoxide hydrochloride

2.Disulfiram

A client reported to the nurse that he has been taking an extra dose of his tricyclic antidepressant for a week because he has been feeling more depressed than usual. Hearing this, the nurse knows which are the most appropriate actions to take? Select all that apply. 1.Tell the client that taking an extra dose is ok as long as it is not longer than 1 week. 2.Re-educate the client because tricyclic antidepressant overdoses can be life threatening. 3.Advise the client to take in more liquids while an extra dose is being taken because dry mouth is a side effect of this medication. 4.Tell the client to continue taking the extra dose; the client knows how he is feeling and can stop the extra dose when he is feeling more himself. 5.Inform the client that if he experiences any symptoms of dysrhythmias, dry mouth, confusion, agitation, or hallucinations, he should seek medical attention right away.

2.Re-educate the client because tricyclic antidepressant overdoses can be life threatening. 5.Inform the client that if he experiences any symptoms of dysrhythmias, dry mouth, confusion, agitation, or hallucinations, he should seek medical attention right away.

The nurse taking a medication history for a client who has been admitted to the nursing unit notes that the client is receiving olanzapine. The nurse interprets that this client most likely has a history of which disorder? 1.Hypertension 2.Schizophrenia 3.Diabetes mellitus 4.Diabetes insipidus

2.Schizophrenia

A client diagnosed with schizophrenia has been prescribed clozapine. The nurse should monitor the client for which side/adverse effects of this medication? Select all that apply. 1.Diarrhea 2.Sedation 3.Dry mouth 4.Weight loss 5.Orthostatic hypotension 6.Presence of a fixed stare

2.Sedation 3.Dry mouth 5.Orthostatic hypotension 6.Presence of a fixed stare

The nurse gathers data from the client who was prescribed buspirone hydrochloride 1 month ago. The nurse interprets that the medication is effective when the client reports an absence of which event? 1.Delusions 2.Severe anxiety 3.Alcohol cravings 4.Paranoid thoughts

2.Severe anxiety

The nurse notes that a client with schizophrenia and receiving an antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. The nurse determines that the client is experiencing which medication complication? 1.Parkinsonism 2.Tardive dyskinesia 3.Hypertensive crisis 4.Neuroleptic malignant syndrome

2.Tardive dyskinesia

A client is being seen at his primary health care provider (PHCP) office. The client has a history of schizophrenia and has been taking a new psychotropic medication for 3 weeks. Which finding(s) indicate a need for follow-up? Select all that apply. 1.The client has reported sleeping less. 2.The client's cholesterol level is elevated. 3.The client reports a decrease in appetite. 4.The client gained 8 pounds since the last visit. 5.The client's blood pressure is increased from baseline.

2.The client's cholesterol level is elevated. 4.The client gained 8 pounds since the last visit. 5.The client's blood pressure is increased from baseline

The nurse is caring for a client who has been prescribed disulfiram. Which statement by the client indicates to the nurse the need for further teaching about this medication? 1."I'll have to check my aftershave lotion." 2."I must be careful taking cold medicines." 3."As long as I don't drink alcohol, I'll be fine." 4."I'll have to be careful with the ingredients I use for cooking."

3."As long as I don't drink alcohol, I'll be fine."

A hospitalized client is started on phenelzine for the treatment of depression. The nurse should instruct the client that which foods are acceptable to consume while taking this medication? Select all that apply. 1.Figs 2.Yogurt 3.Crackers 4.Aged cheese 5.Tossed salad 6.Oatmeal raisin cookies

3.Crackers 5.Tossed salad

A client diagnosed with schizophrenia has a new prescription for risperidone. Which baseline laboratory result should the nurse review before administering the first dose of this medication? 1.Platelet count 2.Blood clotting tests 3.Liver function studies 4.Complete blood count

3.Liver function studies

Before giving the client the initial dose of disulfiram, what should the psychiatric home health nurse determine? 1.If there is a history of hyperthyroidism 2.When the last full meal was consumed 3.If there is a history of diabetes insipidus 4.When the last alcoholic drink was consumed

4.When the last alcoholic drink was consumed

A nurse is discussing routine follow-up needs with a client who has a new prescription for valproate. The nurse should inform the client of the need for routine monitoring of which of the following? a. AST/ALT and LDH b. Creatinine and BUN c. WBC and granulocyte counts d. Serum sodium and potassium

a. AST/ALT and LDH

A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to administration of lithium carbonate, the client's lithium blood level is 1.2 mEq/L. Which of the following actions should the nurse take? a. Administer the next dose of lithium carbonate as scheduled. b. Prepare for administration of aminophylline. c. Notify the provider for a possible increase in the dosage of lithium carbonate. d. Request a stat repeat of the client's lithium blood level.

a. Administer the next dose of lithium carbonate as scheduled.

The nurse should include which information in the medication teaching plan for a client diagnosed with schizophrenia? a. Coffee, tea, and soda consumption should be limited. b. If the client is compliant, the relapse of symptoms will never occur. c. Psychotropic medications may cause mild cardiovascular symptoms. d. Most schizophrenic clients are able to taper off their medications eventually.

a. Coffee, tea, and soda consumption should be limited.

The nurse is planning to instruct a mental health client and the family about the importance of medication compliance. The nurse should plan for which interventions that are associated with increased compliance? (Select all that apply.) a. Including the family in the medication planning process b. Arranging medication administration to occur once per day c. Working with the psychiatrist to find the right medication at the right dose d. Providing the client with the injectable, long-acting form of the medication if available e. Working with the psychiatrist to find the medication that provides the least side effects for the client

a. Including the family in the medication planning process c. Working with the psychiatrist to find the right medication at the right dose d. Providing the client with the injectable, long-acting form of the medication if available e. Working with the psychiatrist to find the medication that provides the least side effects for the client

What is likely to occur when a patient taking lithium carbonate has low sodium levels? a. Lithium toxicity b. Low serum lithium levels c. Increase in mania d. Decrease in mania

a. lithium toxicity

A nurse is caring for a client who is prescribed lithium therapy. The client states that he wants to take ibuprofen for osteoarthritis pain relief. Which of the following statements should the nurse make? a. "That is a good choice. Ibuprofen does not interact with lithium." b. "Regular aspirin would be a better choice than ibuprofen." c. "Lithium decreases the effectiveness of ibuprofen." d. "The ibuprofen will make your lithium level fall too low."

b. "Regular aspirin would be a better choice than ibuprofen."

The nurse is working with a client who shows signs of benzodiazepine withdrawal. The nurse should suspect that the client has suddenly discontinued taking which prescribed medication? a. Sertraline b. Diazepam c. Fluoxetine d. Haloperidol

b. Diazepam

When administering antipsychotics to a client with paranoid schizophrenia, the nurse understands that the newer atypical antipsychotics, such as Olanzapine (Zyprexa) and Risperidone (Risperdal), are more effective than the other medications in treating the negative symptoms of schizophrenia because of which of the following? a. Serotonin and GABA levels are not affected b. Dopamine and serotonin receptors are blocked c. GABA and norepipnephrine levels are increased d. Norepinephrine and dopamine receptors are blocked

b. Dopamine and serotonin receptors are blocked

A nurse is caring for a client who is experiencing a crisis. Which of the following medications might the provider prescribe? (select all that apply) a. lithium carbonate b. paroxetine c. risperidone d. haloperidol e. lorazepam

b. paroxetine e. lorazepam

The client who has schizoaffective disorder takes both haloperidol (Haldol) and Valproic Acid (Depakote). When the client asks the nurse to explain what this particular combination of drugs is expected to do, what would be the best response by the nurse? a. "Haloperidol (Haldol) makes your moods calmer and Valproic Acid (Depakote) prevents tight muscles." b. "This combination is good for people who have problems like yours." c. "Haloperidol improves your thinking and Valproic Acid stabilizes your moods." d. "This is an old combination of drugs that helps people keep thinking and feelings in balance."

c. "Haloperidol improves your thinking and Valproic Acid stabilizes your moods."

A client diagnosed with schizophrenia takes Clozapine (Clozaril) 25 mg qd. Lab results reveal: RBC 4.7 million/mcL, WBC 2000/mcL, and TSH 1.3 mc-IU. Which would the nurse expect the physician to order? a. Levothyroxin Sodium (Synthroid) 150 mcg qd b. Ferrous Sulfate (Feosol) 100 mg tid c. Discontinue Clozapine d. Discontinue Clozapine and start Levothyroxine Sodium (Synthoid) 150 mcg qd

c. Discontinue Clozapine

Three days after beginning a new regime of haloperidol (Haldol) 10 mg BID, the nurse observes that a hospitalized patient is drooling, has stiff and extended extremities, and has skin that is damp and hot to the touch. The patient has difficulty responding verbally to the nurse. What is the nurse's correct analysis and action in this situation? a. A seizure is occurring; place the patient in a lateral recumbent position and monitor. b. Serotonin syndrome has developed; place an intravenous line and rapidly infuse D5½ NS. c. Neuroleptic malignant syndrome has developed; prepare the patient for immediate transfer to a medical unit. d. An acute dystonic reaction is occurring; promptly administer an intramuscular injection of diphenhydramine (Benadryl).

c. Neuroleptic malignant syndrome has developed; prepare the patient for immediate transfer to a medical unit.

In addition to experiencing paranoid delusions, a client is withdrawn, unkempt, and unmotivated to get out of bed. Which of the following medications would the nurse expect to be most beneficial for the client's symptoms? a. Haloperidol (Haldol) b. Chlorpromaine (Thorazine) c. Olanzapine (Zyprexa) d. Trihexyphenidyl (Artane)

c. Olanzapine (Zyprexa)

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should anticipate a prescription of which of the following medications? a. Chlorpromazine b. Thiothixene c. Risperidone d. Haloperidol

c. Risperidone

A client receiving Lithium Carbonate (Eskalith) complains of loose watery stools and difficulty walking. The nurse would expect the serum Lithium level to be which of the following? a. 0.7 mEq/L b. 1 mEq/L c. 1.3 mEq/L d. 1.8 mEw/L

d. 1.8 mEw/L

A client has a history of schizophrenia, controlled by haloperidol (Haldol). During an assessment, the nurse notes continuous restlessness. Which medication would the nurse expect the physician to prescribe for this client? a. Haloperidol (Haldol) b. Fluphenazine decanoate (Prolixin Decanoate) c. Clozapine (Clozaril) d. Benzotropine mesylate (Cogentin)

d. Benzotropine mesylate (Cogentin)

For the past year, a client has received haloperidol (Haldol). The nurse administering the client's next dose notes a twitch on the right side of the client's face and tongue movements. Which nursing intervention takes priority? a. Administer haloperidol (Haldol) along with benztropine (Cogentin) 1 mg IM PRN per order. b. Assess for other signs of hyperglycemia resulting from the use of the haloperidol (Haldol). c. Check the client's temperature, and assess mental status. d. Hold the haloperidol (Haldol), and call the physician.

d. Hold the haloperidol (Haldol), and call the physician.

A hospitalized client is receiving clozapine for the treatment of a schizophrenic disorder. The nurse determines that the client may be having an adverse reaction to the medication if abnormalities are noted on which laboratory study? a. Platelet count b. Cholesterol level c. Blood urea nitrogen d. White blood cell count

d. White blood cell count