Practice pharm 2

SSRIs do not have anticholinergic or cardiovascular effects.

Which is the major advantage of using selective serotonin reuptake inhibitors (SSRIs) over tricyclic antidepressants in the treatment of depression?

Blood pressure

Which is the nurse's priority assessment when a patient taking an MAOI reports a severe occipital headache, stiff neck, sweating, nausea, and vomiting?

Grapefruit

Which kind of juice does the nurse teach the patient, prescribed buspirone (Buspar), to avoid?

Breast

Which location should be avoided when a patient applies a transdermal contraceptive?

They do not cause the anticholinergic and cardiovascular adverse effects.

Which major advantage exists with use of selective serotonin reuptake inhibitors (SSRIs) over other types of antidepressant therapy?

Diltiazem (Cardizem)

Which medication should be avoided when a patient is prescribed dutasteride (Avodart) for the treatment of benign prostatic hypertrophy?

Diazepam

Which medication would require the nurse to monitor for changes in hepatic function and blood dyscrasias?

Blood pressure and heart rate

Which nursing assessment is done before starting a patient on a beta-adrenergic blocking agent?

Erythromycin (Ilotycin)

Which ophthalmic ointment does the nurse anticipate will be given to a newborn immediately after birth?

Sips of water are tolerated without vomiting.

Which outcome indicates that hydroxyzine (Vistaril), ordered for a postoperative patient, is effective?

A 76-year-old with severe pain

Which patient is most at risk for a paradoxical response to a barbiturate characterized by excitement, restlessness, and confusion?

Use of oral contraceptives

Which characteristic places a patient taking alprazolam (Xanax) at risk for excessive sedation and impaired psychomotor function?

Dehydration

Which concern is the priority when a patient taking vilazodone has been vomiting persistently for 12 hours?

hromboembolic disease

Which condition would contraindicate the use of oral contraceptives?

Bipolar disorders

Which disorder diagnosed in a patient would the nurse expect the drug of choice to be lithium (Eskalith)?

Fluvoxamine (Luvox)

Which drug of choice is used to treat a patient with obsessive-compulsive disorder (OCD)?

Loss of deep tendon reflexes

Which effect of magnesium sulfate ordered for the treatment of preeclampsia does the nurse monitor for if the patient's magnesium level is 10.2 mg/dL?

Increases urinary flow.

Which explanation by the nurse is most accurate when a patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax), an alpha-1 adrenergic blocking agent, has been prescribed?

- Benzodiazepines allow for lower dosages of antipsychotic agents to be used, thereby decreasing serious adverse effects seen with high-dose therapy. - assist in calming the agitated psychotic patient

Which explanation(s) describe why a combination of antipsychotic agents with benzodiazepines useful in initial treatment of the agitated patient? (Select all that apply.)

Amount of vaginal bleeding

Which factor is most important for the nurse to assess when evaluating the effectiveness of methylergonovine maleate (Methergine)?

amount of vaginal bleeding.

Which factor is most important for the nurse to assess when evaluating the effectiveness of methylergonovine maleate (Methergine)?

Dinoprostone must be removed at the onset of labor or 12 hours after insertion.

Which factor must the nurse consider when planning care for the primipardum woman at term that has an order for dinoprostone (Cervidil) 10-mg vaginal insert to induce cervical ripening?

-beer -red wine -cheese -bannanas

Which food(s) containing significant amounts of tyramine will be contraindicated when a patient is on MAOI therapy? (Select all that apply.)

Headache

Which food(s) containing significant amounts of tyramine will be contraindicated when a patient is on MAOI therapy? (Select all that apply.)

St. John's wort

Which herbal supplement may reduce the effectiveness of oral contraceptives?

Risk of injury when using machinery

Which information is necessary to provide to a patient prescribed an azapirone antidepressant?

There is minimal potential for abuse.

Which information should be included in a teaching plan about buspirone (BuSpar)?

Agranulocytosis

Which potential complication of clozapine (Clozaril) requires weekly blood tests for the first 6 months of treatment?

Blocking their destruction

Which action applies to MAOIs on neurotransmitters?

Smokers may require larger doses to maintain the desired effect.

Which rationale explains how the effect of a benzodiazepine used for sedation differs in patients who smoke cigarettes from those who do not smoke?

Patient age and gender

Which rationale explains the basis of choosing to prescribe tricyclic antidepressants for treatment?

Life-threatening consequences can occur with cardiovascular disorders.

Which rationale explains why caution must be used when taking a phosphodiesterase inhibitor to enhance male sexual function?

Intramuscularly

Which route is the most appropriate route of administration for lorazepam with a patient experiencing nausea and vomiting as a result of alcohol withdrawal?

Ovulation, dysmenorrhea, and breakthrough bleeding

Which situation is more likely to be experienced by women taking the mini pill as an oral contraceptive?

"It is not necessary to take my temperature while taking this drug."

Which statement by the patient indicates a need for further teaching about the use of clomiphene citrate (Clomid)?

"I will stop taking this medication if I develop a headache."

Which statement by the patient indicates a need for further teaching about the use of tamsulosin (Flomax)?

"If I have the urge to smoke, I will take more medication."

Which statement by the patient would indicate the need for further teaching after being educated on bupropion (Wellbutrin) prescribed for smoking cessation?

It requires medical intervention to treat.

Which statement is true regarding psychological drug dependence?

-Alcohol, - antihistamines, - analgesics, -sedatives, -hypnotics

Which substance(s) may increase the toxic effects of benzodiazepines? (Select all that apply.)

Extrapyramidal symptoms

Which term refers to dystonic reactions, pseudoparkinsonism, akathisia, and tardive dyskinesia?

- Prevention of extrapyramidal adverse effects and tardive dyskinesia Hydroxyzine has sedative, antihistami Control of itching in allergic reactions Control of vomiting

Which therapeutic outcome(s), in addition to the relief of mild to moderate anxiety, apply(ies) to hydroxyzine (Vistaril)? (Select all that apply.)

Determine the client's vital signs

Which therapeutic outcome(s), in addition to the relief of mild to moderate anxiety, apply(ies) to hydroxyzine (Vistaril)? (Select all that apply.)

Yogurt

A hospitalized client is started on phenelzine sulfate for the treatment of depression. At lunchtime, a tray is delivered to the client. Which food item on the tray would the nurse remove?

If an anginal attack occurs, lie down and rest; do not take nitroglycerin.

Which instruction does the nurse give to a patient with angina who has just received a prescription for sildenafil (Viagra)?

Carrots, sweet potatoes, and squash

A client has begun taking phenelzine. At the initiation of therapy, the nurse teaches the client that which items are allowed in the diet?

Parkinson's disease

A client is admitted to the hospital because of complaints of vomiting and abdominal pain. During data collection, the client tells the nurse that he is taking entacapone. Based on this finding, the nurse elicits information from the client regarding the presence of which condition?

Symptomatology of MAOI toxicity includes headache, hypertension, and nausea and vomiting.

A client is taking a monoamine oxidase inhibitor (MAOI). The nurse plans care knowing which information?

2-3 weeks

A client with Parkinson's disease has begun therapy with carbidopa/levodopa. The nurse determines that the client understands the action of the medication if the client verbalizes that results may not be apparent for which length of time?

Sedation

A client with Parkinson's disease has begun therapy with carbidopa/levodopa. The nurse determines that the client understands the action of the medication if the client verbalizes that results may not be apparent for which length of time?

Triazolam orally at bedtime

A nurse in a provider's office is reinforcing teaching with a client who is taking multiple medications. The nurse should instruct the client to avoid performing hazardous activities while taking which of the following medications that can cause daytime sedation?

​Lorazepam

A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?

Decreased auditory hallucinations

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 having a therapeutic effect?

When the client last drank alcohol

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?

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

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?

I'll need to report weight loss or gain to my provider while taking this medication."

A nurse is reinforcing teaching for a client who is depressed and has a prescription for fluoxetine 20 mg PO twice daily. The nurse should identify that which of the following statements by the client demonstrates an understanding of the teaching?

Sodium

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?

1 cup (8oz) of applesauce

A nurse is reinforcing teaching with a client who has parkinsions disease. The client tells the nurse that he gets nausea when he takes his pill. Which foods should he use to supplement with when taking the medication

Difficulty voiding

A nurse is reinforcing teaching with a client who is taking benztropine to treat Parkinson's disease. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

You should change positions slowly while you are taking this medication."

A nurse is reinforcing teaching with a client who is to start taking perphenazine. Which of the following information should the nurse to include in the teaching?

Diazepam can cause drowsiness.

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

Ephedrine sulfate (Pretz-D)

A patient has been ordered oxytocin (Pitocin) to induce labor. Which medication currently taken by the patient would cause the nurse to hold oxytocin (Pitocin)?

In 14 days following the last dose of

A patient is admitted to a long-term psychiatric setting. The MAOI medication previously prescribed is discontinued by the physician. New orders are obtained to initiate imipramine therapy. Which time applies to when the nurse will provide the first dose of imipramine to the patient?

- The tremor and pacing exhibited on admission are reduced. - Patient is able to attend and actively participate in group sessions.

A patient is admitted to the adult psychiatric floor with a diagnosis of generalized anxiety disorder. Anxiolytic medications and group therapy have been prescribed. Which assessment(s) will measure evaluation of therapeutic outcomes related to this patient's acute stay? (Select all that apply.)

Neck stiffness

A patient who is taking an MAOI to treat depression admits to eating pickled herring and cheese and drinking red wine. Which assessment finding alerts the nurse to a potential complication?

Valerian

A patient who is taking an MAOI to treat depression admits to eating pickled herring and cheese and drinking red wine. Which assessment finding alerts the nurse to a potential complication?

Taking the medication with food will help prevent the nausea.

A primary health care provider initiates carbidopa/levodopa therapy for a client with Parkinson's disease. A few days after the client starts the medication, the client complains of nausea and vomiting. What would the nurse tell the client regarding how to avoid side effects when taking this combination medication?

"Insert the contraceptive ring on or prior to day 5 of the cycle."

Which instruction is correct to provide to a patient about the use the NuvaRing for birth control when she has not used a hormonal contraceptive within the past month?

Urine discoloration to dark yellow or orange

Entacapone is prescribed for a client with a diagnosis of Parkinson's disease. The nurse reinforces medication instructions to the client and instructs on which frequent side effect?

Rinse the ring in lukewarm water, reinsert, and use a non-hormonal backup contraceptive.

Which instruction will be relayed when a woman using the NuvaRing vaginal ring informs the nurse that the ring was accidentally expelled a day ago?

Explains the risk of serotonin syndrome and encourages the patient to stop taking St. John's wort

Which action is best for the nurse to implement when discovering that a patient taking sertraline (Zoloft) has also started taking St. John's wort?

-Akathisia -Acute dystonia -Tardive dyskinesia

Which adverse effect(s) may occur as a result of antipsychotic drug therapy? (Select all that apply.

Calcium gluconate

Which antidote does the nurse anticipate will be ordered by the healthcare provider when a pregnant woman receiving magnesium sulfate develops magnesium toxicity

Calcium gluconate

Which antidote does the nurse anticipate will be ordered by the healthcare provider when a pregnant woman receiving magnesium sulfate develops magnesium toxicity?

Respiratory depression

Which assessment is appropriate for the nurse to implement with an infant whose mother has been taking magnesium sulfate before delivery?

Extrapyramidal effects

Which cause is the most common reason for nonadherence to antipsychotic pharmacologic treatment?

Deep Sedation

The nurse is assessing a client who is sedated. The client displays no response to voice, no response to physical stimuli, and no eye-opening response. Under which sedation levels would the nurse categorize this response?

Increased triglyceride level

The nurse is assessing a client who is sedated. The client displays no response to voice, no response to physical stimuli, and no eye-opening response. Under which sedation levels would the nurse categorize this response?

Slow the infusion to a keep open rate.

The nurse is assessing a primipardum woman whose labor is being induced with oxytocin (Pitocin). Assessment findings include blood pressure 138/86, pulse 80, respirations 22, fetal heart rate (FHR) of 156, and strong 96-second contractions. Which action does the nurse implement?

Inability to urinate

The nurse is caring for a client diagnosed with Parkinson's disease who is prescribed benztropine mesylate daily. The nurse reinforces instructions to both the client and the spouse regarding the side effects of this medication and the need to report which side effect if it occurs?

Bradycardia

The nurse is caring for a patient who is taking a newly prescribed drug, nefazodone, for treatment of depression. Which physical assessment finding is most important for the nurse to report to the healthcare provider immediately?

Dementia

The nurse is collecting data from a client, and the client's spouse reports that the client is taking donepezil hydrochloride. Which disorder would the nurse suspect that this client may have based on the use of this medication?

1 week

The nurse is teaching a patient about medication treatment for depression. The patient asks how long it will take before sleep and appetite will begin to improve. Which response by the nurse is most accurate?

6 months

The nurse is teaching a patient beginning therapy with dutasteride (Avodart). Which time period is correct in explaining how long will it take before the patient can expect results?

Patient reports sleeping better and increased interest in activities.

The outcome statement for a patient suffering from anxiety disorder reads, "After 1 week on alprazolam (Xanax) therapy, patient will exhibit a manageable level of anxiety." Which assessment finding validates that this outcome is met?

"You may feel dizzy or unsteady when rising to a standing position."

What instruction is most important for the nurse to teach the patient who has recently been prescribed alprazolam (Xanax)?

Discuss the possible dependence associated with the medication at length to make sure the patient does not overuse the drug.

Which pertinent information should be included in a teaching plan about antianxiety medications

Morphine

Which postoperative narcotic analgesic will most likely be prescribed to a patient whose current medications include a monoamine oxidase inhibitor (MAOI), a thyroid hormone, and a multivitamin?

- Constipation - Dryness of mouth, nose, and throat - Blurred vision - Urinary retention

Which potential adverse effect(s) apply to the use of tricyclic antidepressants? (Select all that apply.)

Avacados

Which potential adverse effect(s) apply to the use of tricyclic antidepressants? (Select all that apply.)

During the 28th week of gestation and within 72 hours of delivery

Which time period accurately identifies when Rho(D) immune globulin (RhoGAM) is typically administered?

Phosphodiesterase inhibitors

Which type of drug is most effective in the treatment of erectile dysfunction (ED)?

K

Which vitamin does the nurse anticipate will be given to a newborn to prevent hemorrhage?