Pharmacology PrepU; Chapter 22- Psychotherapeutic Agents #4

For clients taking clozapine, it is necessary to monitor what lab test for the first 6 months? PT/PTT Liver enzymes White blood cells Hemoglobin

White blood cells

The child is diagnosed with attention deficit hyperactivity disorder (ADHD). Which medication will most likely be administered in conjunction with treatment? ACE inhibitors selective serotonin reuptake inhibitors (SSRIs) monoamine oxidase inhibitors (MAOIs) central nervous system (CNS) stimulants

central nervous system (CNS) stimulants

A nurse is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an electroencephalogram (EEG). electrophysiologic study (EPS). electromyelogram (EMG). electrocardiogram (ECG).

electrocardiogram (ECG).

A black, male client routinely takes haloperidol to manage his psychosis. Recently, he presented to the health care provider's (HCP's) office with signs of tardive dyskinesia, and his HCP modified the drug regimen over time. The client will now take the drug olanzapine and discontinue the haloperidol. What will the nurse tell the client to help decrease his anxiety about the new drug regimen? "The signs of tardive dyskinesia will diminish over time." "Black clients always experience tardive dyskinesia with antipsychotics." "The olanzapine does not produce side effects in black males." "When compared with haloperidol, olanzapine has been associated with fewer extrapyramidal reactions in black clients."

"When compared with haloperidol, olanzapine has been associated with fewer extrapyramidal reactions in black clients."

A client with schizophrenia has been taking haloperidol for several years. The care team and the client have collaborated and chosen to transition the client to an atypical antipsychotic in an effort to reduce adverse effects and maximize therapeutic effects. In order to reduce the client's risk of extrapyramidal effects during the transition from haloperidol to an atypical antipsychotic, the care team should implement which intervention? Have a 2- to 3-week "drug holiday" between stopping the haloperidol and starting the atypical antipsychotic. Administer haloperidol and the atypical antipsychotic drug concurrently for 6 to 8 weeks. Gradually taper the dose of haloperidol. Arrange for weekly electroconvulsive therapy (ECT) during the time of transition.

Gradually taper the dose of haloperidol.

A client is being prescribed dextroamphetamine for the treatment of attention deficit hyperactivity disorder (ADHD). During health education, the nurse should make the client aware of the black box warning relating to what potential risk issue? Stroke with excessive doses Kidney failure Potential for abuse Unstable blood glucose levels

Potential for abuse

The nurse is caring for a patient who is taking an oral neuroleptic medication. What would be important to include in the patient teaching? Orthostatic hypotension Urge incontinence Bradycardia Tardive dyskinesias

Tardive dyskinesias

The nurse is caring for a patient who is receiving drug therapy for a psychotic disorder. Which goals should the nurse include in a care plan for the patient following discharge from the hospital? The patient will return for follow-up appointments when the patient believes they are necessary. The patient will take medications as prescribed. The patient will normalize sleeping and eating patterns. The patient will exhibit decreased symptoms of acute psychosis.

The patient will take medications as prescribed.

The nurse is providing education to an adolescent client who has been prescribed an amphetamine for attention deficit hyperactivity disorder. How does the nurse explain the purpose of a "drug holiday?" To prevent hyperthyroidism To allow electrolyte imbalances to resolve To minimize weight loss To slow bone resorption

To minimize weight loss

Serotonin abnormalities are thought to be involved in the following disorders: Severe anxiety and hyperactivity. Mental depression and sleep disorders. Attention deficit disorder. Epilepsy and strokes.

Mental depression and sleep disorders.