Pharm Final Exam

A male client has a history of hepatic dysfunction secondary to alcoholism. Based on the client's diagnostic history, what would the nurse expect his health care provider to order?

A lower dose of the antidepressant

A client admitted for alcohol withdrawal has been prescribed chlordiazepoxide. The nurse will point out during teaching that the client will need to cease alcohol consumption due to which potential adverse reaction?

CNS depression

A client with a history of schizophrenia has been receiving antipsychotic therapy for several years. Which would indicate to the nurse that the client is experiencing pseudoparkinsonism?

Cogwheel rigidity

The nurse is caring for a client who has been receiving a prescription for haloperidol for treatment of psychosis. The nurse suspects that the client is developing neuroleptic malignant syndrome. What assessments would support this? (Select all that apply.)

Confusion Dyspnea

In clients with acute psychosis, the treatment goal during the first week of treatment includes:

Decreasing the client's symptoms and normalizing the patterns of sleeping and eating.

A client is receiving haloperidol. The nurse would be especially alert for the development of which adverse effect?

Extrapyramidal

A 28-year-old woman has been diagnosed with schizophrenia. The health care provider has prescribed a typical antipsychotic, haloperidol. Which will the nurse include in the teaching related to the most common adverse effects?

Extrapyramidal symptoms

The nurse is caring for a client diagnosed with HIV. The nurse should question a new order for clozapine due to which currently prescribed drug? Select all that apply.

Immunologics

A nurse observing a client notices the client has developed muscle rigidity, altered mental status, tachycardia, and sweating. The nurse interprets these findings as suggesting which of the following?

Neuroleptic malignant syndrome (NMS)

The nurse is aware that brimonidine is used to produce what physiologic effect in clients with ocular hypertension?

Reduce aqueous humor production

Which antipsychotic medication classification has fewer extrapyramidal reactions?

Second generation

Which statement provides the rationale for the administration of lidocaine in preparation for an eye exam?

To produce a local anesthetic effect

When caring for a client with chronic glaucoma, the nurse sets the goal of drug therapy to slow disease progression by reducing IOP. What are the first-line drugs used to treat glaucoma?

Topical beta-blockers

Which test should be scheduled every week for a patient taking clozapine?

WBC count

What psychiatric client is most likely to have the lowest risk of extrapyramidal effects?

a client taking clozapine 25 mg PO t.i.d.

A client who began treatment with clozapine 2 weeks ago is now reporting worsening flulike symptoms, including a high fever. The nurse's assessment should be conducted with the goal of identifying signs and symptoms of what possible adverse medication reaction?

agranulocytosis

A client recently started on fluoxetine for the treatment of depression asks the nurse if there are any adverse effects to be aware of. The nurse should inform the client to be alert for what effects? Select all that apply.

anxiety insomnia nervousness

A nurse is working with a client who is taking an MAOI. What would be the most important instruction to the client?

avoid use of soy sauce in the diet.

A client's thought disorder has been treated with haloperidol. For what adverse effect should the nurse most closely monitor the client?

extrapyramidal effects

A client with type 1 diabetes mellitus has been dealing with feelings of depression for the last month, and the health care provider has elected to start this client on fluoxetine. What client teaching is most important for the nurse to share with this client?

"Increase your monitoring of your blood sugar because there is an increased chance of hypoglycemia."

The therapeutic range for lithium

0.6 to 1.2 mEq/L

A nurse is assigned to a patient who is taking lithium. Which of the following drug serum levels would indicate that the patient is at risk for adverse effects of the drug?

1.7 mEq/L

A client is taking a benzodiazepine. The nurse evaluates teaching as effective when the client makes which statement?

"I should not stop this drug without talking to my health care provider first."

A nursing student is studying medical terminology and identifies which of the following correctly to mean constriction of the pupil?

miosis

A client's medication has been changed to clozapine. What assessment should the nurse perform to identify a life-threatening adverse effect early?

vital signs monitoring