Chapter 5 Practice Questions

A MAOI is prescribed. What should the nurse include in the teaching plan about what to avoid when taking this drug? A) ingesting aged cheeses B) prolonged exposure to the sun C) engaging in active physical expertise D) over the counter antihistamine drugs

A

A client has been receiving escitalopram for tx of a major depressive episode. On the fifth day of therapy, the client refuses to take the medication, "it doesn't help, so what's the use of taking it?". What's the nurses best response? A) sometimes it takes 1-4 weeks to see an improvement B) it takes 6-8 weeks for this medication to have an effect C) I'll take to your HCP about increasing the dose, that may help D) you should have felt a response by now. I'll notify your PCP immediately

A

A nurse is teaching client about dietary restrictions when taking a MAOI. What response does a nurse tell them to anticipate if they do not follow these restrictions? A) occipital headaches B) generalized urticaria C) sever muscle spasms D) sudden drop in blood pressure

A

A primary nurse observes that a client has become jaundiced after two weeks of antipsychotic drug therapy. The primary nurse continues to administer the antipsychotic until the healthcare provider can be consulted. What does the nurse manager conclude concerning the situation? A) jaundice is sufficient reason to discontinue the antipsychotic B) The blood level of antipsychotics must be maintained once established C) jaundice is a benign side effect of antipsychotics that has a little significance D) The prescribed dose for the antipsychotic should have been reduced by the nurse

A

Olanzapine is prescribed for a client with bipolar disorder, manic episode. What cautionary advisor the nurse give the client? A) sit up slowly B) report double vision C) expect increased salivation D) take medication on an empty stomach

A

Olanzapine is prescribed for a client who experienced agranulocytosis from clozapine. Which statements indicate that the nurse is teaching about Olanzopine has been effective? Select all that apply. A) I need to be careful that I do not gain too much weight B) I should be careful so I don't nick myself when I shave C) this medication should help me enjoy pleasurable activities D) I will have to remember to take my benztropine E) restlessness can occur when I'm taking this medications

A, C

A client has been receiving fluphenazine for several months. What side effects should the nurse assess the client for? Select all that apply. A) tremors B) excess saliva C) rambling speech D) reluctance to converse E) minimal nonverbal expression F) uncoordinated movement of extremities

A, F

Anti psychotic drugs can cause extrapyramidal side effects. Which responses should the nurse document as indicating pseudoparkinsonism? SATA A) rigidity B) tremors C) mydriasis D) photophobia E) Bradykinesia

A,B,E

A depressed client has been prescribed a tricyclic antidepressant. How long should the nurse informed the client it will take before noticing a significant change in the depression? A) 4-6 days B) 2-4 weeks C) 5-6 weeks D) 12-16 hours

B

A healthcare provider prescribes haloperidol for a client. What should the nurse teach the client to avoid while taking this medication? A) driving at night B) staying in the sun C) ingesting aged cheeses D) taking meds containing aspirin

B

Neuroleptic malignant syndrome is a potentially fatal reaction to antipsychotic therapy. What signs and symptoms of the syndrome should the nurse identify? Select all that apply. A) jaundice B) diaphoresis C) hyperrigidity D) hyperthermia E) photosensitivity

B,C,D

A client is receiving lithium. What is an important nursing intervention while this medication is being administered? A) restrict clients daily sodium intake B) test urine specific gravity weekly C) monitor clients drug blood level regularly D) withhold clients other meds for several days

C

A client with chronic undifferentiated schizophrenia is receiving an antipsychotic medication. For which potentially irreversible extrapyramidal side effect should the nurse monitor the client for? A) torticollis B) oculogyric crisis C) tar dive dyskinesia D) pseudoparkinsonism

C

A client with depression is to receive fluoxetine (Prozac). What precaution should the nurse consider when initiating treatment with this drug? A) it must be given with milk and crackers to avoid hyperacidity and discomfort B) eating cheese or pickled herring or drinking wine may cause a hypertensive crisis C) blood levels may not be sufficient to cause noticeable improvement for 2-4 weeks D) blood levels should be obtained weekly for 3 months to monitor for appropriate levels

C

A nurse is educating a client who is taking clozapine for paranoid schizophrenia. What should the nurse emphasize about the side effects of clozapine? A) risk for falls B) inability to sit still C) increase in temp D) dizziness upon standing

C

Client with type one diabetes is diagnosed with a psychosis and is to receive haloperidol. Which response to the nurse anticipate with this drug combination? A) depressed respiration's B) intensified action of both drugs C) decreased control of the diabetes D) intensified action of both drugs

C

A client in the hyperactive phase of a mood disorder, bipolar type, is receiving lithium. A nurse identifies that the clients lithium blood level is 1.8 mEq/L. What is most appropriate nursing action? A) continue the usual dose of lithium and note any adverse reactions B) discontinue the drug until the lithium serum level drops to 0.5 mEq/L. C) ask the health care provider to increase the dose of lithium because the blood lithium level is too low D) hold the drug and notify the health care provider immediately because the blood lithium level may be toxic

D

A client is scheduled for a 6 week ECT treatment program. What intervention is important during the 6 week course of treatment? A) provision of tyramine free meals B) avoidance of exposure to the sun C) maintenance of steady sodium intake D) elimination of benzodiazepines for nighttime sedation

D

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 re-hospitalized. What medication may be prescribed that could be administered on an outpatient basis every 2 to 3 weeks? A) lithium B) diazepam C) fluvoxamine D) fluphenazine

D

A nurse administers an antipsychotic to a client. For which common manageable side effects should the nurse assess the client? A) jaundice B) melanocytosis C) drooping eyelids D) unintentional tremors

D

A nurse is teaching clients in a medication education group about side effects of medications. Which drug will cause a heightened skin reaction to sunlight? A) lithium B) sertraline C) methylphenidate D) chlorpromazine

D

Imipramine 75 mg three times per day is prescribed. What nursing action is appropriate when administering this med? A) tell the client that barbiturates and steroids will not be prescribed B) warn the client not to eat cheese, fermenting products, and chicken liver C) monitor client for increased tolerance and report it of dosage is no longer effective D) monitor the client for S/S of glaucoma

D