Pharm Q's 8

A client asks the nurse how psychotropic medications work. How does the nurse reply? "These medications decrease the metabolic needs of your brain." "These medications increase the production of healthy nervous tissue." "These medications affect the chemicals used in communication between nerve cells." "These medications regulate the sensory input received from the external environment."

"These medications affect the chemicals used in communication between nerve cells."

A client on duloxetine therapy ingests ibuprofen for pain relief. Which adverse effect does the nurse anticipate with this combination of medications? Bleeding Hepatotoxicity Serotonin syndrome Cardiac dysrhythmias

Bleeding

Which client may benefit from the administration of the herbal preparation of Hypericum perforatum? Client with dementia Client with schizophrenia Client with sleep disorder Client with Alzheimer disease

Client with sleep disorder

Which medications are used to treat generalized anxiety disorder (GAD)? Duloxetine Venlafaxine Clonazepam Escitalopram Clomipramine

Duloxetine Venlafaxine Escitalopram

The nurse is caring for a 60-year-old client who is diagnosed with dementia. Which antipsychotic drugs would be contraindicated for the client? Quetiapine Haloperidol Aripiprazole Risperidone Chlorpromazine

Haloperidol Chlorpromazine

Which statement about psychotherapeutic drugs in elderly clients requires correction? Tricyclic antidepressants may increase anxiety in elderly clients. Normal dosage of lithium may result in lithium toxicity in elderly clients. Elderly clients on antipsychotic drugs are susceptible to orthostatic hypotension. Low serum levels of the drug are reported in elderly clients on psychotherapeutic drugs.

Low serum levels of the drug are reported in elderly clients on psychotherapeutic drugs.

A nurse recalls that the blockage of dopamine by antipsychotic drugs can cause extrapyramidal side effects such as akathisia. Which client behaviors reflect the presence of akathisia? Acute muscle spasms and torticollis Bizarre facial and tongue movements Motor restlessness, foot tapping, and pacing Tremor, shuffling gait, drooling, and rigidity

Motor restlessness, foot tapping, and pacing

Which condition contraindicates the use of ginseng herbal therapy? Pregnancy Schizophrenia Bipolar depression Alzheimer disease

Pregnancy

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

A primary healthcare provider prescribes antipsychotic medication, and the nurse teaches the client about the possible side effects of the drug. The nurse concludes that the client needs further teaching about these side effects when the client reports plans to call the clinic if which problem occurs? Tremors Constipation Blurred vision Ringing in the ears

Ringing in the ears

A client with schizophrenia, undifferentiated type, is receiving a typical antipsychotic/neuroleptic. The nurse will assess for which extrapyramidal effects? Shuffling gait, tremors, and restlessness Nausea, vomiting, and muscle cramps Drowsiness, disorientation, and slurred speech Tachycardia, urine retention, and constipation

Shuffling gait, tremors, and restlessness

A client has been taking the prescribed dose of clozapine. The nurse will assess the client for which life-threatening side effect of this drug? Polycythemia Agranulocytosis Hypertensive crisis Pseudoparkinsonism

Agranulocytosis

A nurse teaches a client about the side effects and precautions associated with the antipsychotic haloperidol. The nurse concludes that the teaching has been understood when the client makes which statement? "I'll call my primary healthcare provider right away if I have any diarrhea or vomiting." "I won't eat anything containing tyramine while I'm taking this drug." "I'll avoid direct sunlight and make sure to use sunscreen when I go outside." "I'll be sure to drink enough fluids, because the drug may make me urinate more than usual."

"I'll avoid direct sunlight and make sure to use sunscreen when I go outside."

A client begins fighting and biting other clients. The primary healthcare provider prescribes a stat injection of haloperidol. How will the nurse implement this prescription? Quickly, with an attitude of concern Before the client realizes what is happening After the client agrees to receive the injection Quietly, without any explanation of the reason for it

Quickly, with an attitude of concern

Olanzapine is prescribed for a client who experienced agranulocytosis with clozapine. Which statements indicate that the nurse's teaching about olanzapine has been effective? "I've got to remember to take my benztropine." "I need to be careful not to gain too much weight." "I might feel restless while I'm taking this medication." "I need to be careful so I don't nick myself when I shave." "This medication should help me enjoy fun activities again."

"I need to be careful not to gain too much weight." "This medication should help me enjoy fun activities again."

A male client diagnosed with bipolar disorder is prescribed medication that has caused a decreased libido. Which drugs would be appropriate to be prescribed by the primary healthcare provider to treat this condition? Asenapine Quetiapine Haloperidol Aripiprazole Chlorpromazine

Asenapine Quetiapine Aripiprazole

A client with a diagnosis of schizophrenia is discharged from the hospital. At home the client forgets to take the medication, is unable to function, and must be rehospitalized. What medication may be prescribed that can be administered on an outpatient basis every 2 to 3 weeks? Lithium Diazepam Fluvoxamine Fluphenazine

Fluphenazine

A client with psychosis is receiving olanzapine. What special information about this drug does the nurse recall? It must be administered by Z-track administration. A special tyramine-free diet is required. It dissolves instantly after oral administration. An empty stomach increases its effectiveness.

It dissolves instantly after oral administration.

A client who is going to be discharged has been receiving 3 mg of risperidone three times a day. What will the nurse teach the client about the medication? May be reduced if the client feels better at home May be discontinued after the client is discharged May cause sedation if taken concurrently with alcohol Should be taken early in the day to be sure that it is not forgotten

May cause sedation if taken concurrently with alcohol

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.