Pham quiz #2

A nurse is reinforcing teaching with a client who has alcohol use disorder and is taking disulfiram. Which of the following statements should the nurse include in the teaching?

"Avoid alcohol for 2 weeks after discontinuing the medication."

A nurse is reinforcing discharge teaching with a client who has bipolar disorder and is to begin taking lithium. Which of the following instructions should the nurse include in the teaching?

"Avoid dieting."

A nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse the nurse include?

"Diazepam can cause drowsiness."

A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?

"I'lI be glad when my seizures stop so I can quit taking this medicine."

A nurse is reinforcing teaching about valprqate with a client who has a bipolar disorder. Which of the following information should the nurse include in the teaching?

"Liver function tests must be monitored regularly."

A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. Which of the following instructions should the nurse give the client?

"Watch for drowsiness and light-headedness while taking alprazolam."

A nurse is reinforcing teaching about methylphenidate with the parents of a school-age child who has ADHD. Which of the following instructions should the nurse include?

"You should give your child's last daily dose of the medication before 6 o'clock in the evening.*

A nurse is reinforcing teaching with a client who is to begin taking a monoamine oxidase inhibitor (MAOl) in addition to a selective serotonin reuptake inhibitor (SSRI), Which of the following statements should the nurse include in the teaching?

"You will need to be off the SSRI for at least two weeks before starting the MAOL."

A nurse is reviewing the morning laboratory report for a client who has bipolar disorder and recently started taking lithium. The client's current lithium level is 1.2 mE/L. Which of the following actions should the nurse plan to take?

Administer the regular dose of lithium.

A nurse is reinforcing dietary teaching with a client who has a new prescription for a monoamine oxidase inhibitor (MAOI). Which of the following foods should the nurse instruct the client to avoid while taking an MAOI?

Aged cheese

A nurse is collecting data from a client who is to begin taking alprazolam. Which of the following findings should the nurse identify is a contraindication to this medication?

Alcohol use disorder

A nurse is reinforcing dietary teaching for a client who is to start taking a monoamine oxidase inhibitor (MAOI). Which of the following food choices should the nurse identify as having the highest tyramine content?

Avocadoes

A nurse is modifying the diet of a client who has Parkinson's disease and a prescription for selegiline, a monamine oxidase inhibitor (MAOI). Which of the following foods should the nurse eliminate from the client's diet?

Cheddar cheese

A nurse is caring for a client who is taking disulfiram and is experiencing severe nausea and vomiting. The nurse should indenting that which of the following is the cause for the client's nausea and vomiting?

Consumption of alcohol

A nurse is caring for a client who has depression and is taking a monoamine oxidase inhibitor (MAOI). The nurse should inform the client that their diet may include which of the following foods?

Cottage cheese and oranges

A nurse is caring for a client who has schizophrenia and is receiving clozapine. For which of the following findings should the nurse monitor to determine if the medication is havingla therapeutic effect?

Decreased auditory hallucinations

A nurse is reviewing the laboratory reports of a client who has bipolar disorder and notes a serum lithium level of 2.0 mEq/L. Which of the following actions should the nurse take?

Determine the client's vital signs.

A nurse is caring for a client who is taking clozapine for the treatment of schizophrenia. The nurse should monitor the client for which of the following potential adverse effects of clozapine?

Dry mouth

A nurse is collecting data from a client who is taking alprazolam. For which of the following adverse effects should the nurse closely monitor?

Inability to recall events

A nurse is reinforcing teaching with a pediatric client and his and family about the purpose of methylphenidate to manage ADHD. The nurse should explain that the purpose of this medication therapy is to do which of the following?

Increase focus

A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)

Muscle contractions of the neck Fidgeting behavior Impaired gait

A nurse is caring for a client who has schizophrenia and taking haloperidol. The nurse observes that the client has developed a stooped posture and shuffling gait. The nurse should document these findings as which of the following extrapyramidal side effects of haloperidol?

Pseudoparkinsonism

A nurse is collecting data from client who has just begun therapy with alprazolam to treat anxiety. The nurse should observe the client for which of the following adverse effects of this medication?

Sedation

A nurse is reinforcing teaching a client who has a new prescription for phenytoin. The nurse should instruct the client to monitor and report which of the following adverse effects of this medication?

Skin rash

A nurse is reinforcing teaching with a client who has a new prescription for lithium carbonate to treat bipolar disorder. The nurse should make sure the client understands that he must maintain consistency in his intake of which of the following dietary elements?

Sodium

A nurse is caring for a client with has schizophrenia and is taking haloperidol. The nurse should monitor the client for which of the following adverse effects?

Tardive dyskinesia

A nurse is collecting data from a client who has schizophrenia and recently stopped taking chlorpromazine after 8 years. The nurse notes choreiform movements, lip smacking, and spastic facial distortions. The nurse should document these findings as indicating which of the following conditions?

Tardive dyskinesia

A nurse is caring for a client who has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following situations should the nurse administer the alprazolam?

The client reports his heart is beating out of his chest

A nurse is reinforcing teaching with a client who takes lithium carbonate for bipolar disorder. For which of the following findings should the nurse monitor as an adverse effect of lithium carbonate?

Thyroid enlargement

A nurse is reinforcing teaching with a client about manifestations of lithium toxicity. Which of the following manifestations should the nurse include in the teaching?

Vomiting and diarrhea

A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include?

Wait up to 3 weeks to see the full effects of the medication.

A nurse is collecting data from a client admitted to an inpatient mental health unit and has a new prescription for disulfiram. Which of the following information is most important for the nurse to obtain before administering this medication?

When the client last drank alcohol

A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder. Which of the following instructions should the nurse include when reinforcing the teaching?

Withhold dose if having a fine hand tremor.

A nurse is reviewing laboratory results for a client who is receiving lithium carbonate. The client's blood lithium level is 1.8 mEq/L. Which of the following actions should the nurse take?

Withhold the medication