Mental Health: Exam 2 MEDS ONLY

A nurse is caring for a client who takes paroxetine to treat post-traumatic stress disorder. The client states, "I grind my teeth during the night, which causes pain in my mouth." The nurse should identify which of the following interventions as possible measures to manage the client's bruxism. (Select all that apply) A. Concurrent administration of buspirone B. Administration of a different SSRI C. Use of a mouthguard D. Changing to a different class of antianxiety medication E. Increasing the dose of paroxetine

A. Concurrent administration of buspirone C. Use of a mouth guard D. Changing to a different class of antianxiety medication

A nurse is teaching a client who has a new prescription for imipramine how to minimize anticholinergic effects. Which of the following instructions should the nurse include in the teaching? (Select all that apply) A. Void just before taking the medication B. Increase the dietary intake of potassium C. Wear sunglasses when outside D. Change positions slowly when getting up E. Chew sugarless gum

A. Void just before taking the medication C. Wear sunglasses when outside E. Chew sugarless gum

A nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? A. "I can expect to experience diarrhea while taking this medication." B. "I may feel drowsy for a few weeks after starting this medication." C. "I cannot eat my favorite pizza with pepperoni while taking this medication." D. "This medication will help me lose the weight that I have gained over the last year."

B. "I may feel drowsy for a few weeks after starting this medication."

A nurse is caring for a client who is prescribed lithium therapy. The client tells of the plan to take ibuprofen for osteoarthritis pain relief. Which of the following statements should the nurse make? A. "That is a good choice. Ibuprofen does not interact with lithium." B. "Regular aspirin would be a better choice than ibuprofen." C. "Lithium decreases the effectiveness of ibuprofen." D. "The ibuprofen will make your lithium level fall too low."

B. "Regular aspirin would be a better choice than ibuprofen."

A nurse is assessing a client who is currently taking perphenazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply) A. Decreasing LOC B. Drooling C. Involuntary arm movements D. Urinary retention E. Continual pacing

B. Drooling C. Involuntary arm movements E. Continual pacing

A nurse is assessing a client 4 hr after receiving an initial dose of fluoxetine. Which of the following findings should the nurse report to the provider as indications of serotonin syndrome? (Select all that apply) A. Hypothermia B. Hallucinations C. Muscular flaccidity D. Diaphoresis E. Agitation

B. Hallucinations D. Diaphoresis E. Agitation

A nurse working in an ED is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse's priority? A. Administer flumazenil B. Identify the client's level of orientation C. Infuse IV fluids D. Prepare the client for gastric lavage

B. Identify the client's level of orientation

A nurse is caring for a client who is taking phenelzine. Which of the following manifestations should the nurse monitor as an adverse effect of the medication? (Select all that apply) A. Elevated blood glucose level B. Orthostatic hypotension C. Priapism D. Hypomania E. Bruxism

B. Orthostatic hypotension D. Hypomania

A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. The nurse should include which of the following manifestations in the teaching? (Select all that apply) A. Constipation B. Polyuria C. Rash D. Muscle weakness E. Tinnitus

B. Polyuria D. Muscle weakness

A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription or iloperidone. Which of the following client statements indicates understanding of the teaching? A. "I will be able to stop taking this medication as soon as I feel better." B. "If I feel drowsy during the day, I will stop taking this medication and call my provider." C. "I will be careful not to gain too much weight while taking this medication." D. "This medication is highly addictive and must be withdrawn slowly."

C. "I will be careful not to gain too much weight while taking this medication."

A nurse is caring for a client who is to begin taking fluoxetine for the treatment of a panic disorder. Which of the following statements indicates the client understands the use of this medication? A. "I will take this medication at bedtime." B. "I will follow a low-sodium diet while taking this medication." C. "I will need to discontinue this medication slowly." D. "I will be at risk for weight loss with long-term use of this medication."

C. "I will need to discontinue this medication slowly."

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and flat affect. The nurse should expect a prescription for which of the following medications? A. Chlorpromazine B. Thiothixene C. Risperidone D. Haloperidol

C. Risperidone

A nurse is reviewing the medical record of a client who has a new prescription for bupropion for depression. Which of the following findings for the priority for the nurse to report to the provider? A. The client has a family history of seasonal pattern depression B. The client currently smokes 1.5 packs of cigarettes per day C. The client ad a motor vehicle crash last year and sustained a head injury D. The client has a BMI of 25 and has gained 10# over the last year

C. The client ad a motor vehicle crash last year and sustained a head injury

A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin lithium therapy. When collecting the medical history from the client's caregiver, which of the following statements is the priority to report to the provider? A. "Current medical conditions include diabetes controlled by diet." B. "Recent medications include a course of prednisone for acute bronchitis." C. "Current vaccinations included a flu vaccine last month." D. "Current medications include furosemide for congestive heart failure."

D. "Current medications include furosemide for congestive heart failure."

A nurse is teaching a client who has a new prescription for alprazolam for generalized anxiety disorder. Which of the following information should the nurse provide? A. Three to six weeks of treatment is required to achieve therapeutic benefits. B. Combining alcohol with alprazolam will produce a paradoxical response. C. Alprazolam has a lower risk for dependence than other antianxiety medications. D. Report confusion as a potential indication of toxicity.

D. Report confusion as a potential indication of toxicity.

A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding? A. "This medication increases the release of serotonin and norepinephrine." B. "I should tell the client about the likelihood of insomnia while taking this medication." C. "This medication is contraindicated for clients with an eating disorder." D. "Sexual dysfunction is a common adverse effect of this medication."

A. "This medication increases the release of serotonin and norepinephrine."

A nurse is discussing routine follow-up needs with a client with a new prescription for valproate. The nurse should let the client know about the need for routine monitoring of which of the following? A. AST/ALT and LDH B. Creatinine and BUN C. WBC and granulocyte count D. Blood sodium and potassium

A. AST/ALT and LDH

A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to the administration of lithium carbonate, the client's lithium blood level is 1.2 mEq/L. Which of the following actions should the nurse take? A. Administer the next dose of lithium carbonate as scheduled. B. Prepare for the administration of aminophylline. C. Notify the provider of a possible increase in the dose of lithium carbonate. D. Request a stat repeat of the client's lithium blood levels.

A. Administer the next dose of lithium carbonate as scheduled.

A charge nurse is discussing the manifestations of schizophrenia with a newly licensed nurse. Which of the following manifestations should the charge nurse identify as being effectively treated by first-generation antipsychotics? (Select all that apply) A. Auditory hallucinations B. Withdrawal from social situations C. Delusions of grandeur D. Severe agitation E. Anhedonia

A. Auditory hallucinations C. Delusions of grandeur D. Severe agitation

A nurse is caring for a client who takes ziprasidone. The client reports difficulty swallowing the oral medications and becomes extremely agitated with injectable administration. The nurse should contact the provider to discuss a change to which of the following medications? (Select all that apply) A. Olanzapine B. Quetiapine C. Aripiprazole D. Clozapine E. Asenapine

A. Olanzapine C. Aripiprazole D. Clozapine E. Asenapine