ATI MH Pharm Antianxiety & Antidepressants
A nurse is teaching a client who has depression about a new prescription for fluoxetine 20 mg daily. Which of the following statements by the client indicates the understanding of the teaching?
"I should notify my provider if I develop a skin rash."
A nurse is preparing to administer fluoxetine 40 mg PO daily. The amount available is fluoxetine 20 m/5 mL. How many mL should the nurse administer?
10 mL
A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching?
Diazepam can cause drowsiness.
A nurse is caring for a client who is taking amitriptyline. The nurse should monitor for which of the following adverse effects?
Orthostatic hypotension
A nurse is evaluating teaching for a client who has newly diagnosed depression and a new prescription for bupropion. Which of the following statements indicates understanding of the teaching?
"I may not notice a lifting of my mood for at least 2 weeks."
A nurse is teaching a client who has a new prescription for fluoxetine to treat depression. Which of the following statements by the client indicates an understanding of the teaching?
"I'll take this med firs thing in the morning." (reduce risk of insomnia)
A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make?
"I'm glad you called, and I want to send an ambulance to help you."
A nurse is caring for a client who has schizophrenia and GAD. The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN. For which of the following client statements should the nurse consider administering alprazolam?
"My heart is pounding out of my chest."
A nurse is providing teaching to the parents of a teenager who has a depresive disorder and a new prescription for trazodone. Which of the following information should the nurse include in the teaching?
"Trazodone can cause suicidal thoughts in adolescents."
A nurse is teaching a female who has anxiety disorder about alprazolam. Which of the following information should the nurse include in teaching?
"Use a reliable form of contraception while taking this medication." (pregnancy category D med)
A nurse is teaching a client who has a depressive disorder about fluoxetine. Which of the following information should the nurse include in the teaching?
"You may experience a decreased sex drive while taking this medication."
A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should monitor the client for which of the following adverse effects of this medication?
Insomnia
A nurse is caring for a client who has GAD and is taking buspirone. Which of the following adverse effects should the nurse report to the provider?
Sweating (serotonin syndrome)
A nurse is developing a plan of care for a client who has a depressive disorder and is taking amitriptyline. Which of the following actions should the nurse include in the plan of care?
Weigh the client weekly. (weight gain is common)
A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?
Explain that antidepressants often take several weeks to be fully effective.