Pharm Chapter 22: Psychotherapeutic Agents

A patient is receiving clozapine. Which of the following would the nurse expect to monitor weekly?

White blood cell count

A patient expresses that being diagnosed with narcolepsy has been devastating for him. Which statement by the patient should the nurse focus on initially during the assessment?

"I sometimes wonder if it is worth living a life that has so many restrictions."

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 31-year-old woman who is trying to become pregnant has sought advice from the nurse regarding safe caffeine intake. The woman states that she has received conflicting advice from peers, books, and online sources about safe caffeine intake before and during pregnancy. Which of the following statements should underlie the nurse's response?

Pregnant woman should either eliminate caffeine from their diet or limit it to one or two servings per day.

A patient has been prescribed an amphetamine as part of obesity treatment. Which of the following interventions should the nurse perform before the dosage regimen starts?

Record the patient's weight.

A patient with obesity returns to the clinic and informs the nurse that she has not lost any weight even though she has been taking a stimulant drug for 6 weeks. What is the most important thing for the nurse to teach this patient at this time?

Reinforce prescribed dietary and exercise program for weight loss.

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 dextroamphetamine for narcolepsy. 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 client with dementia has been very agitated lately. What type of medication might the provider prescribe to help with the agitation?

Antipsychotic

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

The nursing student learned in anatomy and physiology class that the nervous system has how many divisions?

The nervous system has two main divisions: the central nervous system and the peripheral nervous system.

A patient with obesity comes to the clinic and informs the primary care provider (PCP) that he wants to have bypass surgery to lose 50 pounds. The patient does not have diabetes or high blood pressure, so the PCP informs the patient that as a first step, he wants the patient to try to diet and lose weight. Which of the following medications would the PCP then most likely order?

didrex Didrex, an anorexiant, depresses appetite.

A 10-year-old boy is taking dextroamphetamine (Dexedrine) 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 (specifically D2), alpha, serotonin, and histamine receptors

Which of the following CNS stimulants is used in the treatment of obesity? (Choose one)

Phentermine (Adipex-P)

Which of the following is usually administered before, during, and after CNS stimulant administration to a patient with respiratory depression? (Choose one)

Oxygen

A client, who has been diagnosed with schizophrenia 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?

The client may have undiagnosed diabetes.

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 clozapine?

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.

The analeptics are CNS stimulants that do which of the following? (Select all that apply)

• Stimulate the respiratory center of the brain • Stimulate the cardiovascular system