Pharm Ch 22
The nursing instructor is discussing psychosis with the nursing students. According to the instructor, what behaviors are exhibited by people with psychosis?
Disorganized and often bizarre thinking
A patient who was diagnosed with schizophrenia in 1962 was prescribed chlorpromazine (Thorazine). The patient has been taking the medication for more than 40 years. What adverse effect will the patient most likely experience?
Tardive dyskinesia
A patient is receiving clozapine. Which of the following would the nurse expect to monitor weekly?
White blood cell count
A patient expresses that being diagnosed with narcolepsy has been devastating for him. Which statement by the patient should the nurse focus on initially during the assessment?
"I sometimes wonder if it is worth living a life that has so many restrictions."
A dose of 60 mg Doxapram HCL has been prescribed for a patient to be administered intravenously. The drug is available in 20-mL vials containing 400 mg of the drug. How many ml of the available solution should be administered to the patient?
3
During an intake assessment, the nurse notes that the client cannot sit still and continually stands up and walks around the room. The nurse knows that the term for this behavior is which of the following?
Akathisia
The nurse expects to monitor a client's white blood count weekly when the client is prescribed which of the following?
Clozapine
Which of the following effects can be noticed in a patient who has been administered amphetamines?
Decreased appetite
Dexmethylphenidate has been prescribed to Scott, a 7-year-old boy who was diagnosed with ADHD. The mother asks how this medication will help her son. Which would be the most accurate description of the purpose of this medication?
Dexmethylphenidate will improve Scott's attention span so that he will be able to complete a task.
Moderate CNS depression is characterized by:
Drowsiness or sleep; decreased muscle tone; decreased ability to move; and decreased perception of sensations such as pain, heat, and cold.
A patient with narcolepsy is placed on a central nervous system stimulant for treatment of his narcolepsy. What is the central nervous system stimulant of choice to treat narcolepsy?
Modafinil (Provigil)
Which of the following would a nurse assess as an anticholinergic effect of antipsychotics?
Nasal congestion
Which of the following are true in regards to the effect of caffeine on the body? Select all that apply:
Respiratory stimulation • Central nervous system (CNS) stimulation • Diuresis
A client with a history of schizophrenia has been receiving antipsychotic therapy for several years. Which of the following would indicate to the nurse that the client is experiencing pseudoparkinsonism?
The client may have undiagnosed diabetes.
A client, who has been diagnosed with schizophrenia and is taking an antipsychotic medication, complains of constant thirst, frequent urination, and feeling nauseous. The nurse knows that which of the following is most likely his problem?
The client may have undiagnosed diabetes.
The main goal of therapy when using CNS stimulants is:
To relieve the symptoms for which they were prescribed.
Typical antipsychotics block dopamine receptors.
True
A pediatric patient has been admitted to the floor and began on ritalin therapy for AHDH. The nurse knows that an important daily intervention for this patient would be which of the following?
record a daily summary of child's behavior
A nurse works at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine?
A 48-year-old Caucasian man who has adult-onset diabetes
Serotonin abnormalities are thought to be involved in the following disorders:
Mental depression and sleep disorders.
For clients taking clozapine (Clozaril), it is necessary to monitor what lab test for the first 6 months?
White blood cells
A client has a serum lithium level of 1.8 mEq/L. Which of the following would the nurse assess? (Select all that apply).
• Electrocardiogram changes • Slurred speech • Polyuria
