Pharmacology PrepU; Chapter 22- Psychotherapeutic Agents #5

The parents of a child receiving a central nervous system stimulant for treatment of attention deficit disorder asks the nurse why they are stopping the drug for a time. Which statement by the nurse would be most appropriate? "The drug should be used for a specified period of time and then switched to another." "He is prone to developing severe adverse effects if he stays on it any longer." "We need to check and see if he still has symptoms that require drug therapy." "He probably doesn't need the medication anymore since he is getting older."

"We need to check and see if he still has symptoms that require drug therapy."

A client reports insomnia during a routine visit. What should the nurse assess first regarding the most likely cause? The family history of insomnia and sleep The amount of exercise in which the client engages Daily intake of caffeine-containing products Possible use of amphetamines

Daily intake of caffeine-containing products

A client is prescribed risperidone for the treatment of schizophrenia. The client is voiding three times each night and is always thirsty. Based on the adverse effects of risperidone, what should the nurse suspect is triggering the client's reported polyuria and polydipsia? Urinary tract infection Diabetes mellitus Hyperthyroidism Renal calculi

Diabetes mellitus

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? Gradually taper the dose of haloperidol. Administer haloperidol and the atypical antipsychotic drug concurrently for 6 to 8 weeks. Arrange for weekly electroconvulsive therapy (ECT) during the time of transition. Have a 2- to 3-week "drug holiday" between stopping the haloperidol and starting the atypical antipsychotic.

Gradually taper the dose of haloperidol

What assessment finding should lead the nurse to suspect that a client receiving antipsychotic therapy is developing tardive dyskinesia? Abnormal eye movements Urinary incontinence Disorientation Lip smacking

Lip smacking

A nurse is providing care for a client diagnosed with attention deficit hyperactivity disorder (ADHD) who has been taking methylphenidate for several months. When monitoring for potential adverse effects, the nurse should include what assessments? sexual function orientation to person, place, and time pupillary response sleep patterns

Sleep patterns

A client who was diagnosed with schizophrenia in 1962 was prescribed chlorpromazine. The client has been taking the medication for more than 40 years. What adverse effect will the client most likely experience? Hypertension Urinary frequency Central nervous system agitation Tardive dyskinesia

Tardive dyskinesia

Methylphenidate has been prescribed to a child diagnosed with attention deficit hyperactivity disorder (ADHD). What information should the nurse provide both the child and the parents to ensure effective administration of the medication? Select all that apply. The child's first dose should be taken upon awakening. The last dose should be taken at least 6 hours before the child's bedtime. Administration should be scheduled at times when the symptoms are most severe. Dosing should occur every 6 hours around the clock. Administration should be coordinated with the timing of the child's meals.

The last dose should be taken at least 6 hours before the child's bedtime. The child's first dose should be taken upon awakening.

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 normalize sleeping and eating patterns. The patient will exhibit decreased symptoms of acute psychosis. The patient will take medications as prescribed. The patient will return for follow-up appointments when the patient believes they are necessary.

The patient will take medications as prescribed.

A nurse is caring for a patient who is taking haloperidol. The patient has orders for a new drug, and the nurse notes that it is highly protein bound. The nurse will plan care based on a(n): high drug efficacy of haloperidol. increased risk for toxic effects of haloperidol therapy. decreased risk for muscular contractions and spasms. decreased risk for toxic effects of haloperidol therapy.

increased risk for toxic effects of haloperidol therapy.