Emotional and Mood 2

A nurse is providing discharge teaching to a client who is to begin taking fluoxetine (Prozac) for posttraumatic stress disorder. Which of the following statements is appropriate for the nurse to include in the teaching? Question 3 options: "You may have a decreased desire for intimacy while taking this medication." "You should take this medication at bedtime to help promote sleep." "You will have fewer urinary adverse effects if you urinate just before taking this medication." "You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication."

"You may have a decrease desire for intimacy while taking this medication."

A nurse is teaching a school-age child and his parents about a new prescription for lisdexamfetamine dimesylate (Vyvanse). Which of the following is appropriate for the nurse to include in the teaching? (Select all that apply.) Question 15 options: An adverse effect of this medication is CNS stimulation. Administer the medication 1 hr before breakfast. Monitor blood pressure while taking this medication. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop. This medication raises the levels of dopamine into the brain.

An adverse effect of this medication is CNS stimulation. Monitor blood pressure while taking this medication. This medication raises the levels of dopamine into the brain.

A nurse is providing follow-up dietary teaching for a client who recently was prescribed phenelzine (Nardil). When reviewing the client's dietary log, which of the following foods requires a need for further teaching? Question 2 options: Cottage cheese Banana bread Apple pie Grilled steak

Banana bread

A nurse is providing teaching to a client who has a new prescription for amitriptyline (Elavil) for treatment of depression. Which of the following should the nurse include in the teaching? (Select all that apply.) Question 5 options: Expect therapeutic effects in 24 to 48 hr. Discontinue the medication after a week of improved mood Change positions slowly to minimize dizziness. Decrease dietary fiber intake to control diarrhea. Chew sugarless gum to prevent dry mouth

Change position slowly to minimize dizziness Chew gum to prevent dry mouth

A nurse in a primary care clinic is assessing a client who takes lithium carbonate (Lithotabs) for the treatment of bipolar disorder. The nurse should recognize which of the following findings as a possible indication of toxicity to this medication? Question 8 options: Severe hypertension Coarse tremors Constipation Urinary retention

Coarse tremors

A nurse is teaching the parents of a child who has a new prescription for desipramine (Norpramin) about possible adverse effects. The nurse should instruct the parents that which of the following adverse effects is the highest priority to report to the provider? Question 11 options: Diaphoresis Confusion Blurred vision Dizziness

Confusion

A nurse is caring for a client who has been taking sertraline (Zoloft) for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing serotonin syndrome? Question 4 options: Bruising Fever Abdominal pain Rash

Fever

A nurse is caring for a client who has a new prescription for lithium carbonate (Lithobid). When teaching the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following? Question 7 options: Avoid the use of acetaminophen for headaches Restrict intake of foods rich in sodium. Decrease fluid intake to less than 1,500 mL daily Limit aerobic activity in hot weather.

Limit aerobic activity in hot weather.

A nurse is caring for a school-age child who recently began a prescription for atomoxetine (Strattera). For which of the following possible complications should the nurse monitor the child? Question 13 options: Renal toxicity Liver damage Seizure activity Adrenal insufficiency

Liver damage

A nurse is caring for a client who has a new prescription for phenelzine (Nardil) for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication? Question 1 options: Orthostatic hypotension Hearing loss Gastrointestinal bleeding Weight loss

Orthostatic hypotension

A nurse is reviewing laboratory findings and notes that a client's plasma lithium level is 2.1 mEq/L. Which of the following is an appropriate action by the nurse? Question 6 options: Perform immediate gastric lavage. Prepare the client for hemodialysis. Administer an additional oral dose of lithium. Request a stat repeat of the laboratory test.

Perform immediate gastric lavage.

A nurse is caring for a school-age child who has a new prescription for methylphenidate (Concerta) to treat ADHD. Which of the following should the nurse teach the client and family about this medication? Question 14 options: Apply the patch once daily at bedtime. Take the medication orally once daily in the morning. Take a second dose of the medication orally at bedtime. Apply the patch on awakening and remove at bedtime.

Take the medication orally once daily in the morning.

A nurse is teaching a female client who has bipolar disorder about her new prescription for lithium carbonate (Lithobid). Which of the following is appropriate for the nurse to include in the teaching? (Select all that apply.) Question 10 options: An adverse effect of this medication is amenorrhea. An antidepressant is combined with lithium therapy during phases of mania. Take this medication with food or a glass of milk Avoid pregnancy while taking this medication. Thyroid function is assessed prior to lithium therapy.

Take this medication with food or glass of milk Avoid pregnancy while taking this medication Have thyroid function tests prior to lithium therapy

A nurse is caring for a client who has a new prescription for valproic acid (Depakote). The nurse should instruct the client that while taking this medication he will need to have which of the following laboratory tests completed periodically? (Select all that apply.) Question 9 options: Thrombocyte count Hematocrit Amylase Liver function tests Potassium

Thrombocyte count Amylase Liver function test

A nurse is teaching an adolescent client who has a new prescription for clomipramine (Anafranil) for OCD. Which of the following should the nurse teach the client in order to minimize an adverse effect of his medication? Question 12 options: Wear sunglasses when outdoors. Check temperature daily while taking this medication. Take medication first thing in the morning before eating. Add extra calories to the diet as between-meal snacks.

Wear sunglasses when outdoors.