ATI pharmacology 4.0

a nurse is caring for a client who recently began taking chloroprozamine to treat schizophrenia and who was admitted to the emergency room w/ spasms of their face & back. which of the following adverse reactions should the nurse suspect?

- acute dystonia

a nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. which of the following instructions should the nurse include in the teaching? SATA

- apply gentle pressure to the nasolacrimal duct for 1 min - do not touch the tip - remove contact lenses prior to instill

a nurse is providing teaching to a client who has a prescription for chlorprozamine. which of the following instructions should the nurse include?

- wear sunscreen when exposed to sunlight Chlorpromazine, a conventional antipsychotic, can cause photosensitivity, or increased susceptibility to sunburn, when exposed to sunlight. Clients should limit their exposure to sunlight and wear sunscreen and protective clothing while outdoors.

a nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. the nurse should identify that which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine?

-Phenelzine

a nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine. which of the following laboratory values should the nurse monitor during and immediately after IV administration?

Blood Pressure Clients who receive chlorpromazine are at risk for hypotension during and immediately after IV administration. They should remain supine for 30 min while the nurse monitors their blood pressure. It is essential to infuse the chlorpromazine solution slowly and not to mix it with other drugs.

When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following?

Seasonal affective disorder -nicotine addiction -depression

a nurse is assessing a client who has been taking alprazolam for several days. which of the following findings should the nurse identify as an adverse drug reaction caused by alprazolam?

anxiety The client can experience a paradoxical effect when taking benzodiazepines or buspirone, indicated by increased anxiety rather than relief of anxiety. The nurse should report this to the provider, who might consider a different medication.

a nurse should identify timolol is contraindicated for client who has which of the following disorders?

asthma

a nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. which of the following instructions should the nurse include?

avoid taking NSAIDS NSAIDs increase renal reabsorption of lithium and sodium. Clients who take lithium should not take NSAIDs.

a nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. which of the following adverse effects should the nurse include in the teaching?

bradycardia

a nurse is caring for a client who has a prescription for fluoxetine and who reports self-administering St. John's wort daily for the past 2 weeks. which of the following findings should the nurse report to the provider as an indication of serotonin syndrome?

hallucinations

A nurse is providing teaching to a client who has a new prescription for fluoxetine. which of the following instructions should the nurse include?

if you have persistent headaches, let the provider know

a nurse is providing teaching to a client about adverse effects of drug therapy. the nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs?

imipramine

a nurse is caring for a client who was admitted to the emergency department with a head injury. the nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. for which of the following adverse effects is the client at increased risk?

seizure activity

a nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. which of the following instructions should the nurse include?

take a missed dose as soon as you remember Buspirone should be taken on a regular scheduled basis to be therapeutic. If a client misses a dose, then they should take one as soon as they remember, as long as it is not close to time for the next scheduled dose.

a nurse is caring for a client who is taking lithium bicarbonate to treat bipolar disorder. which of the following diagnostic tests should the nurse recommend that the client undergo periodically

thyroid function test

a nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. the nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects?

withdrawal symptoms

a nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. which of the following instructions should the nurse include? SATA

- change positions slowly -do not stop abruptly - take @ bedtime - increase fiber & fluid

a nurse is providing teaching for a client who has a prescription for phenelzine. the nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions?

- hypertensive crisis

a nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. the nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity? SATA

- tremors -confusion - nausea - muscle weakness

a nurse is caring for a client who has a prescription for alprazolam. for which of the following adverse effects should the nurse monitor? SATA Tolerance Anxiety Sedation Respiratory depression Constipation

-tolerance -anxiety -sedation -respiratory depression Tolerance is correct. Tolerance and dependence can develop with benzodiazepines, such as alprazolam. Clients should use these drugs only as needed and for short periods of time. Anxiety is correct. Paradoxical reactions, such as anxiety and insomnia, can develop when taking alprazolam, especially in older adults. Clients should report these findings.Sedation is correct. CNS depression, manifested as sedation and drowsiness, is an adverse effect of benzodiazepines, such as alprazolam. Clients should take a benzodiazepine 30 min prior to bedtime.Respiratory depression is correct. Benzodiazepines, such as alprazolam, can cause CNS depression when taken with other CNS depressants, especially for older adult clients. It is important to monitor for respiratory depression and recommend the lowest effective dose. Clients should avoid alcohol and other CNS depressants while taking a benzodiazepine.

a nurse is providing teaching to a client who has a prescription for buspirone. which of the following instructions should the nurse include?

-allow 2-4 weeks for full therapeutic effects

a nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. which of the following findings should indicate to the nurse to monitor for lithium toxicity?

-furosemide

a nurse is providing teaching to a client who has a new prescription for diazepam for anxiety disorders. which of the following client statements indicates an understanding of the teaching?

-if i become pregnant, it is important to let my healthcare provider know Diazepam can increase the risk of congenital malformations and is contraindicated for clients who are pregnant.

a nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. which of the following findings should indicate to the nurse the reason for the prescription modification?

-renal function impairment