Exam 6

Then nurse is caring for a client who has a diagnosis of schizophrenia. The nurse understands that the client's condition is thought to be most likely related to an increased level of activity of what neurotransmitter?

Dopamine

What client is being treated with a typical antipsychotic?

An agitated client who was given haloperidol during acute psychosis

Which system uses acetylcholine as a neurotransmitter?

Cholinergic

Which symptom should the nurse monitor for when caring for a client whose sinus bradycardia has been treated with large doses of atropine?

Flushing

A client prescribed phenytoin for a seizure disorder has recently run out of medication and has not obtained a refill. What is the client at risk for developing?

Status epilepticus

The usual goal of vasopressor drug therapy is to maintain tissue perfusion and a mean arterial pressure of at least what level?

80 to 100 mm Hg

The skeletal muscles during the use of the incentive spirometer are stimulated by which neurotransmitter?

Acetycholine

A patient is admitted to the emergency room after a car accident. Based on the experience of the emergency room nurse, what system will affect a response to the emergency?

Autonomic nervous system

A client is being treated for hypovolemic shock. Which assessment is most important in the client with hypovolemic shock?

Blood pressure and pulse

Which ion is required for neurotransmitter release from storage sites in the small sacs known as synaptic vesicles?

Calcium

A client has been prescribed an antipsychotic agent to relieve psychotic symptoms. Which symptom will be relieved most quickly with the onset of the drug regimen?

Combative behavior

A client is experiencing anaphylaxis. What drug will the nurse most likely administer?

Epinephrine

Norepinephrine has been prescribed for an older adult client for treatment of shock. The nurse should carefully monitor the client due to the increased risk of which side effect?

Exacerbation of chronic cardiovascular conditions

A client who was diagnosed with schizophrenia in 1962 was prescribed chlorpromazine. The client has been taking the medication for more than 40 years. What adverse effect will the client most likely experience?

Tardive dyskinesia

An adult client, diagnosed with depression several weeks ago, began taking citalopram 10 days ago. The client has told the nurse of the intent to stop taking the drug, stating, "I don't feel any less depressed than I did before I started taking these pills." How should the nurse best respond to the client's statement?

"I'd encourage you to continue with the drug; it can take several weeks before it improves your mood."

The nurse is educating a client diagnosed with Parkinson's disease about the dietary implications of prescribed treatment with levodopa/carbidopa. Which statement by the nurse demonstrated an understanding of the proper administration of this medication?

"It's important to take this medication on a full stomach so that it doesn't make you nauseous."

The nurse is reviewing serum levels of a client who is taking lithium. What range does the nurse interpret as appropriate?

0.5 to 1.2 mEq/L

An older adult client diagnosed with generalized anxiety disorder is prescribed a benzodiazepine. The nurse caring for the client knows to include what intervention in the client's care plan?

Fall risk assessment

A client presents to the ED status post-motor vehicle accident with hypotension, tachycardia, diaphoresis, pallor, and oliguria. Reports from the accident site indicate significant blood loss from the vehicle's only occupant. What type of shock does the nurse suspect is the client demonstrating?

Hypovolemic

The etiology of anxiety involves which physiologic process?

Increased activation of the autonomic nervous system

A client is receiving IV norepinephrine for treatment of shock. What is the goal of administration?

Increased blood pressure

A patient suffers from hypovolemic shock. What is the priority nursing diagnosis for the patient with hypovolemic shock?

Ineffective tissue perfusion

A client taking prescribed lithium reports being placed on dietary restrictions. The nurse understands that the client's dose of lithium carbonate should be reduced for what type of diet?

Low sodium

The nurse is preparing to provide education to a client who has been prescribed clozapine for schizophrenia. What is the most important aspect of client teaching?

Maintaining medication regimen

A client who diagnosed with Parkinson's disease is being treated with levodopa/carbidopa. Which disorder will result in the discontinuation of this drug based on a disease-related contraindication?

Narrow-angle glaucoma

A client is prescribed phenylephrine intravenously (IV) to treat paroxysmal atrial tachycardia. What effect is the medication producing?

Reflex bradycardia

A client has been prescribed phenelzine sulfate. When providing teaching, which food should the nurse instruct the client to avoid eating?

Salami

The nurse is administering norepinephrine intravenous (IV) to an adult client diagnosed with septic shock. The client suddenly develops redness and edema at the right forearm IV site. The client's systolic blood pressure (SBP) is 88 mm Hg. Which action would the nurse implement first?

Stop the infusion and administer diluted phentolamine.

The nurse is caring for a teenage client who has recently been prescribed a selective serotonin reuptake inhibitor. What assessment should the nurse prioritize?

Suicidal ideation

A client is experiencing stimulation of receptors in the parasympathetic nervous system. What symptoms does the nurse assess in this client?

Sweating

A graduate of a nursing program is scheduled to take the NCLEX today. The test-taker's heart is racing and pupils are dilated. What can the test-taker attribute to this reaction?

Sympathetic nervous system

A young client has been prescribed an antipsychotic agent to relieve psychotic symptoms. Which goal of care is the priority?

The client will remain safe.

The nurse should focus on what aspects of care when preparing a caregiver to address the needs of a client who demonstrates psychotic behaviors? Select all that apply.

Understanding the nature of the client's mental health illness Encouraging the client to be as independent as is possible Being familiar with the available social services in the community Keeping all follow-up mental health appointments

A patient is experiencing hallucinations. He is belligerent, loud, and abusive when you enter the room. What is the best response by the nurse during future interactions?

Use a calm, soft voice

A client is prescribed clozapine (Clozaril). The client and family should be instructed on the adverse effects of this medication. What laboratory test is most important in the first 6 months of the medication regime?

Weekly WBC counts