Chapter 22 Study Guide Questions

The parents of a child receiving a central nervous system stimulant for treatment of attention deficit disorder asks the nurse why they are stopping the drug for a time. Which of the statement by the nurse would be most appropriate?

"We need to check and see if he still has symptoms that require drug therapy"

A nurse is reviewing a patient's serum lithium level and determines that the level is therapeutic by which result?

0.8 mEq/L ranges from 0.6 - 1.2

The nurse administers chlorpromazine intramuscularly to a patient. The nurse would maintain the patient in bed for at least how long after administering the drug?

1/2 an hour to reduce the risk of orthostatic hypotension

A child with attention deficit hyperactivity disorder is to receive methylphenidate twice a day. The nurse would instruct the parents to administer the last down before which time?

6PM

Which of the following would a nurse identify as being used as treatment for mania as well as schizophrenia?

Aripiprazole

After reviewing information about antipsychotic agents, a group of students demonstrate understanding of the material when they identify which of the following as an atypical antipsychotic agent?

Clozapine

The nurse expects to monitor a patient's white blood count weekly when the patient is prescribed which of the following

Clozapine

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

Cogwheel rigidity muscle tremors, drooling, a shuffling gait, and slow movements.

A patient has a serum lithium level of 1.8 mEq/L. Which of the following would the nurse assess? Select all that apply

Elecrocardiogram changes Slurred speech polyuria

A patient is receiving haloperidol. Then nurse would be most especially alert for the development of which of the following adverse effect?

Extrapyramidal

Which of the following antipsychotics would the nurse identify as a highly potent agent?

Fluphenazine

Which drug would be indicated for the treatment of narcolepsy?

Modafinil

While caring for a patient who is receiving antipsychotic therapy, the nurse observes lib smacking, a darting tongue, and slow and aimless arm movements. The nurse interprets this as which of the following?

Tardive dyskinesia

The use of which of the following would a nurse identify as placing a patient receiving lithium therapy at increased risk for toxicity?

Thiazide diuretic

Which of the following would be important for a nurse to include in the teaching plan for a patient taking fluphenazine?

Urine turing pink to reddish-brown

A nurse is assessing a patient who is receiving an antipsychotic agent for possible anticholingeric affects. Which of the following would the nurse assess?

nasal congestion