Pharm Chapter 22: Psychotherapeutic Agents
The nurse administers chlorpromazine intramuscularly to a client. The nurse would maintain the client in bed for at least how long after administering the drug?
½ hour
A 28-year-old man calls the clinic to report that he has had difficulty sleeping for several nights. The nurse determines that the patient is taking ritalin for ADHD. The patient reports that he tries to go to bed by 10 PM each night. The nurse will advise the patient that the best time to take the medication would be at
8 AM
Antipsychotic drugs are contraindicated in:
Clients with liver damage, coronary artery disease, severe hypertension, bone marrow depression, or cerebrovascular disease.
Which of the following statements should be included in the teaching plan for a patient receiving methylphenidate (Ritalin)?
"Adverse effects include hypertension and nervousness."
A client asks the nurse dopamine is. What is a correct response by the nurse?
"Dopamine is a neurotransmitter that deals with pleasure and reward in the brain."
A child is prescribed an amphetamine for attention deficit hyperactivity disorder. Which of the following effects provide evidence that the medications are working?
Improved grades
A nurse is charting a client who has repetitive tongue thrusting, jaw movements, and a facial tick. What term could the nurse use in charting to describe these findings?
Tardive dyskinesia
A client, who has been diagnosed with bipolar disorder and is taking an antipsychotic medication, complains of constant thirst, frequent urination, and feeling nauseous. The nurse knows that which of the following is most likely his problem and what medication is the patient on most likely?
The client may have developed diabetes mellitus aripiprazole
A 10-year-old boy is taking methylphenidate daily for ADHD. At each clinic visit, the nurse's priority assessment would be
height and weight.
The nurse is administering haloperidol to a patient with psychosis. The nurse understands that the mechanism of action of this drug is to block the response of receptors in the brain. Which of the following receptors does it block?
Dopamine receptors
You are caring for a patient who is receiving drug therapy for a psychotic disorder. Which of the following goals should you include in a care plan for the patient following discharge from the hospital?
The patient will take medications as prescribed.
Which of the following tests should be scheduled every week for a patient taking haloperidol?
WBC count Use of the drug clozapine has been associated with severe agranulocytosis, i.e., decreased white blood cells, so weekly WBC count tests are scheduled.
