Pharm Q's 10

A client with schizophrenia who has been taking clozapine is to be started on 10 mg of olanzapine instead. The nurse explains to the client, in terms that can be understood, that olanzapine is being substituted for clozapine because it does not produce which side effect? Hypotension Gastric upset Agranulocytosis Metabolic syndrome

Agranulocytosis

An antianxiety medication is prescribed for an extremely anxious client. The client says, "I'm afraid to take this medication because I heard they're addictive." The nurse teaches the client that antianxiety medications have what properties? Rarely cause dependence when the dosage is controlled May require increases in dosage but rarely cause dependence Usually result in psychological but not physiologic dependence Have the potential for physiologic and psychological dependence

Have the potential for physiologic and psychological dependence

A nurse notes that haloperidol is most effective for clients who exhibit which type of behavior? Depressed Overactive Withdrawn Manipulative

Overactive

A client reports to the primary healthcare provider with a complaint of becoming panicked and having irrational fear of public talking. Which drug does the nurse anticipate to be prescribed by the primary healthcare provider? Buspirone Alprazolam Diazepam Lorazepam

Alprazolam

A client is receiving haloperidol for agitation, and the nurse is monitoring the client for side effects. Which response identified by the nurse is unrelated to an extrapyramidal tract effect? Akathisia Opisthotonos Oculogyric crisis Hypertensive crisis

Hypertensive crisis

A client with a history of alcoholism is found to have Wernicke encephalopathy associated with Korsakoff syndrome. What does the nurse anticipate will be prescribed? Traditional phenothiazine Judicious use of antipsychotics Intramuscular injections of thiamine Oral administration of chlorpromazine

Intramuscular injections of thiamine

Which adverse effect is least likely to occur in a client who is prescribed clozapine? Seizures Sedation Akathisia Myocarditis

Myocarditis

A client has been taking 3 mg of risperidone twice a day for the past 8 days. At the follow-up appointment, the client reports tremors, shortness of breath, a fever, and sweating. What will the nurse do? Call 911 and have the client transported to the nearest psychiatric unit. Take the client's vital signs and arrange for immediate transfer to a hospital. Check the number of risperidone tablets left in the prescription bottle to see whether there was an overdose. Request a prescription for 2 mg of intramuscular benztropine stat and assess the client in 10 to 15 minutes for symptom relief.

Take the client's vital signs and arrange for immediate transfer to a hospital.

The nurse cares for a client with schizophrenia and who is receiving ziprasidone. Which conditions in the client may indicate discontinuation of the drug? Leukopenia Tachycardia Hypokalemia Hypermagnesemia Prolonged QT interval

Leukopenia Hypokalemia Prolonged QT interval

A registered nurse teaches a client about precautions to be taken before initiating lithium therapy. Which statements made by the client indicates effective learning? "I will take the medication with meals or milk." "I will maintain normal sodium intake levels in my diet." "I will discontinue therapy if I experience any signs of diarrhea." "I will swallow slow release tablets intact without crushing or chewing them." "I will notify my prescriber about the signs and symptoms without terminating the therapy."

"I will take the medication with meals or milk." "I will maintain normal sodium intake levels in my diet." "I will swallow slow release tablets intact without crushing or chewing them."

The laboratory calls to report that a hospitalized client's lithium level is 1.9 mEq/L (1.9 mmol/L) after 10 days of lithium therapy. How will the nurse respond to this information? By notifying the primary healthcare provider of the findings, because the level is dangerously high By monitoring the client closely, because the level of lithium in the blood is slightly high By continuing the administration of the medication as prescribed, because the level is within the therapeutic range By reporting the finding to the primary healthcare provider so the dosage can be increased, because the level is below the therapeutic range

By notifying the primary healthcare provider of the findings, because the level is dangerously high

During an interview and assessment, a 60-year-old client reports to the nurse, "I've been using St. John's wort to try to feel more like myself again. I'm not sure whether it's going to work." The nurse will pursue an assessment related to the client's report of which symptom? Depression Sleep disturbances Diminished cognitive ability Sensory-perceptual disturbances

Depression

The healthcare provider prescribes donepezil 5 mg by mouth once a day for a client exhibiting initial signs of dementia of the Alzheimer type. The client is already taking digoxin 0.125 mg in the morning and alprazolam 0.5 mg twice a day. What will the nurse teach the client's spouse to do? Hang a list of medications with the times at which the spouse should take them. Prefill a weekly drug box with the medications for the spouse to self-administer. Remind the spouse in the morning which medications must be taken during the day. Provide the spouse with the medications at the appropriate times they should be taken.

Prefill a weekly drug box with the medications for the spouse to self-administer.

A neuromuscular blocking agent is administered to a client before electroconvulsive therapy. At this time, the nurse will monitor the client for which adverse effect? Seizures Vomiting Loss of memory Respiratory difficulties

Respiratory difficulties

Sildenafil is prescribed for a man with erectile dysfunction. A nurse teaches the client about common side effects of this drug, which include what? Flushing Headache Dyspepsia Constipation Hypertension

Flushing Headache Dyspepsia

A client is started on fluphenazine. What will the nurse emphasize in the teaching about this drug? "Driving is forbidden while you're taking this drug." "You'll have a feeling of increased energy while taking this drug." "You should increase your fluid intake to help prevent constipation." "Your essential hypertension will be controlled indirectly by this drug." "You need to use sunscreen for any outdoor activity, no matter what time of year."

"You should increase your fluid intake to help prevent constipation." "You need to use sunscreen for any outdoor activity, no matter what time of year."

The nurse cares for a client diagnosed with bipolar disorder who was prescribed drug therapy. Laboratory reports reveal that the client's thyroxine levels are low. Which drug might have led to this condition? Lithium Fluoxetine Risperidone Carbamazepine

Lithium

Considering the anticholinergic-like side effects of many of the psychotropic drugs, the nurse will encourage clients taking these drugs to take which action? Restrict their fluid intake. Eat a diet high in carbohydrates. Suck on sugar-free hard candies. Avoid products that contain aspirin.

Suck on sugar-free hard candies.

After taking a typical antipsychotic medication for 1 month, a client reports, "I feel stiff, my hands shake, and I started drooling." The picture illustrates the client's physical status observed by the nurse in the clinic. What extrapyramidal side effect does the nurse conclude that the client has developed? Dystonia Akathisia Tardive dyskinesia Pseudoparkinsonism

Pseudoparkinsonism

A depressed client is receiving paroxetine. The nurse monitors this client for which side effects associated with this drug? Sexual dysfunction Depressed respiration Insomnia and restlessness Hypertension or hypotension Irregular menses or secondary amenorrhea

Sexual dysfunction Insomnia and restlessness