Study test

A pregnant client is treated with sertraline for depression. What can be inferred about the drug's action?

It will affect both the client and the fetus.

An agitated, acting-out, delusional client is receiving large doses of haloperidol, and the nurse is concerned because this drug can produce untoward side effects. Which clinical manifestations will alert the nurse to stop the drug immediately? Select all that apply.

Jaundice Tachycardia

A primary healthcare provider prescribes haloperidol for a client. What does the nurse teach the client to avoid while taking this medication?

Staying in the sun

A client who is receiving haloperidol, 5 mg three times a day, complains of twitching of the fingers. What is the best response by the nurse?

"I'll ask the primary healthcare provider to prescribe a medication that'll help overcome this. It's a side effect of the drug you're taking."

A client who is taking haloperidol has developed tardive dyskinesia. Which therapy is beneficial for the client?

Administering benzodiazepines

A client is prescribed sertraline, an antidepressant. What does the nurse include when preparing a teaching plan about the side effects of this drug?

Agitation

A client who has just started on a regimen of haloperidol is observed pacing and shifting weight from one foot to the other. What side effect does the nurse document in the client's chart?

Akathisia

On the psychiatric unit a client has been receiving high doses of haloperidol for 2 weeks. The client says, "I just can't sit still, and I feel jittery." Which side effect does the nurse suspect that the client is experiencing?

Akathisia

The nurse assesses a client with bipolar disorder. While reviewing the laboratory reports, the nurse finds the client's lithium levels are 1.3 mEq/L (1.3 mmol/L). Which nursing intervention would be appropriate in this client?

Continuing to administer the drug The normal range of lithium is below 1.5 mEq/L (1.5 mmol/L). Because the serum lithium level is 1.3 mEq/L (1.3 mmol/L), the nurse should continue administering the drug.

A client who takes insulin for type 1 diabetes has a psychosis and is to receive haloperidol. Which response does a nurse anticipate with this drug combination?

Decreased control of the diabetes

The primary healthcare provider is concerned that one of the clients receiving haloperidol may be developing neuroleptic malignant syndrome. When assessing the client for this syndrome, for which clinical manifestations does the nurse monitor the client?

Diaphoresis and hyperpyrexia

A client is admitted to the psychiatric hospital with a diagnosis of obsessive-compulsive disorder. The client's anxiety level is approaching a panic level, and the client's ritual is interfering with work and daily living. Which selective serotonin reuptake inhibitor (SSRI) does the nurse anticipate that the primary healthcare provider may prescribe?

Fluvoxamine

The primary healthcare provider notices that a client exhibits a period of mania followed by hypomania and depression and prescribes lithium carbonate. What is the mode of administration of the prescribed drug?

Oral Route

A primary healthcare provider prescribes lithium salts to a client. Which symptoms presented by the client necessitates the prescription of this drug?

Periodic swings of mania and depression

Which assessment finding alerts the nurse to stop administering haloperidol to a client until further laboratory work is done?

Yellow sclerae

A client is diagnosed with acute mania. The primary healthcare provider plans to prescribe lithium therapy to the client. After assessing the client's condition, the primary healthcare provider changes the therapy. Which client conditions would cause the provider to change course? Select all that apply.

-Pregnancy -Atherosclerosis -renal insufficiency -Severe dehydration

The primary healthcare provider informs the registered nurse that the client must be monitored on a regular basis because he or she is prescribed haloperidol. Which client conditions would warrant these instructions? Select all that apply.

Glaucoma adynamic ileus prostatic hypertrophy

Sertraline is prescribed for a depressed client. What information does the nurse include when teaching the client about this drug?

Several weeks may pass before the effects of the drug become evident.

A nurse teaches a client about the side effects and precautions associated with the antipsychotic haloperidol. The nurse concludes that the teaching has been understood when the client makes which statement?

"I'll avoid direct sunlight and make sure to use sunscreen when I go outside."

Which is the adverse effect of haloperidol?

Gynecomastia

Haloperidol 100 mg intramuscularly (IM) stat has been prescribed for a client who is battered and agitated after a street brawl. What does the nurse conclude after reviewing the prescription?

The dose is more than recommended.

A client who is obtunded has a blood pressure of 80/35 mm Hg after a blood transfusion. In an effort to support renal perfusion, the nurse administers dopamine at 2 mcg/kg/min as prescribed. What is the most relevant outcome indicating effectiveness of the medication for this client?

An increase in urinary output

A client who is on haloperidol therapy has developed akathisia and acute dystonia. Which drugs would be used to manage extrapyramidal effects? Select all that apply.

Benztropine Trihexphenidyl

A depressed client takes 50 mg of sertraline at bedtime. For which drug-related side effects will the nurse monitor the client? Select all that apply.

Dry mouth Weight gain Constipation

A client with a history of schizophrenia has recently begun reporting symptoms of depression and is now prescribed a selective serotonin reuptake inhibitor (SSRI). In light of the information in the client's chart, what is the nurse's priority?

Educating both the client and family on how to identify the early signs of extrapyramidal symptoms

A young adult client with schizophrenia is prescribed haloperidol. When the nurse administers the medication, the client asks, "What's this for?" The nurse responds that the medication has which effect?

Helps the client relax and think more clearly

A client is receiving haloperidol for agitation, and the nurse is monitoring the client for side effects. Which response identified by the nurse is unrelated to an extrapyramidal tract effect?

Hypertensive crisis

The nurse suspects serotonin syndrome in a client prescribed second-generation antidepressants for depression. Which assessment findings observed by the nurse would be beneficial in diagnosing the severity of the syndrome? Select all that apply.

Hyperthermia Rhabdomyolysis

A client has been in an acute care psychiatric unit for 3 days and is receiving haloperidol tablets orally to reduce agitation and preoccupation with auditory hallucinations. There has been no decrease in the client's agitation or preoccupation with auditory hallucinations since the medication was started. What is the nurse's priority intervention?

Making certain that the client is swallowing the medication

A nurse recalls that the blockage of dopamine by antipsychotic drugs can cause extrapyramidal side effects such as akathisia. Which client behaviors reflect the presence of akathisia?

Motor restlessness, foot tapping, and pacing

A client with the diagnosis of schizophrenia and type 1 diabetes has recently been receiving haloperidol as part of the treatment plan. When the client has a sudden change in health status, the nurse reviews the client's medical record and performs a physical assessment. What medical emergency does the nurse conclude that the client is experiencing?

Neuroleptic malignant syndrome

A nurse notes that haloperidol is most effective for clients who exhibit which type of behavior?

Overactive

A low-dose intravenous dopamine hydrochloride infusion drip is prescribed for a client in acute renal failure (ARF). Which method is most appropriate for the nurse to administer this medication to the client?

Peripherally inserted central catheter (PICC) line

The primary healthcare provider prescribed selective serotonin reuptake inhibitor therapy for a client who survived a bomb blast. During a follow-up visit, the nurse finds that the symptoms did not subside. Which other medications would be beneficial for the client? Select all that apply.

Phenelzine Mirtazapine Imipramine

A primary healthcare provider prescribes 10 mg of haloperidol by mouth twice a day for a client who is also receiving phenytoin for control of epilepsy. When planning the client's care, the nurse considers that, when anticonvulsants interact with haloperidol, what effect may occur?

Potentiation of haloperidol's central nervous system depressant effect

A client with an organic mental disorder becomes increasingly agitated and abusive. The primary healthcare provider prescribes haloperidol. For which potential adverse effects will the nurse monitor this client?

Pseudoparkinsonism and urinary retention

A client begins fighting and biting other clients. The primary healthcare provider prescribes a stat injection of haloperidol. How will the nurse implement this prescription?

Quickly, with an attitude of concern

A nurse is caring for a group of clients on the psychiatric unit. What clinical findings will alert the nurse that serotonin syndrome has developed in one of the clients?

Restlessness, tachycardia, fever, diarrhea, and altered mental status