PHARM Exam Ch 22

A client's thought disorder has been treated with haloperidol. For what adverse effect should the nurse most closely monitor the client? a.) Bradycardia b.) Shortness of breath c.) Extrapyramidal effects d.) Hypoglycemia

c.) Extrapyramidal effects

The nurse is providing care for a 72-year-old female client whose diagnosis of bipolar disorder is treated with lithium. What nursing responsibility should be prioritized? a.) Teach the client how to safely adjust doses based on symptoms b.) Monitor the client's blood glucose levels and cognition c.) Monitor the client's fluid balance and sodium intake d.) Educate the client about the signs and symptoms of tardive dyskinesia

c.) Monitor the client's fluid balance and sodium intake

A client diagnosed with bipolar disorder is to be discharged home in 48 hours. The nurse has completed client teaching regarding the use of lithium. What statement by the client best indicates an understanding of drug therapy? a.) "I will make sure to stat out of the sun" b.) "I will make sure to drink plenty of fluids" c.) "I'll use OTC stool softeners if I get constipated" d.) "I'll come to the E.D if I have any questions."

b.) "I will make sure to drink plenty of fluids."

Parents bring a 15yo boy into the clinic. The parents tell the nurse that there is a family history of schizophrenia and they fear their son has developed the disease. What symptoms, if described by the family, would support their conclusion? a.) "He hears and interacts with voices no one else can hear." b.) "He is overactive and always so excitable." c.) "He falls asleep in the middle of a sentence." d.) "He cannon concentrate and his grades are suffering."

a.) "He hears and interacts with voices no one else can hear."

The parents of a child diagnosed with ADD receives a prescription for a central CNS stimulant to treat their child. One of the parents asks the nurse, "I don't understand why we're giving a stimulant to calm down our child?" What is the nurse's best response? a.) "It helps the reticular activating system, a part of the brain, to be more selective in response to incoming stimuli" b.) "It helps energize the child so they use up all of their available energy and then they can focus on quieter stimuli." c.) "No one truly understands why it works but it has been demonstrated to be very effective in treating ADD" d.) "The drugs work really well and you will see a tremendous change in your child within a few weeks without any other treatment."

a.) "It helps the reticular activating system, a part of the brain, to be more selective in response to incoming stimuli"

The nurse is caring for an adolescent client who began taking an antipsychotic drug last month to treat newly diagnosed schizophrenia. The client's symptoms have improved only slightly and the client's parents wonder if the client is "beyond hope". What is the nurse's best response? a.) "It's common for clients to have to try different drugs until the most effective one is identified." b.) "Some clients do not respond to antipsychotic drugs and have to rely solely on cognitive behavioral therapy." c.) "Do you feel like you've given the medication enough time to work?" d.) It might be necessary to take a combination of several antipsychotics before the benefits are seen."

a.) "It's common for clients to have to try different drugs until the most effective one is identified."

The nurse is caring for the client newly diagnosed with schizophrenia and whose medical history requires a typical antipsychotic. When explaining possible anticholinergic effects to the client, the nurse should address what potential problems related to these effects? Select all that apply. a.) Gum ulceration b.) Constipation c.) Urinary retention d.) Blurred vision e.) Ringing in the ears

a.) Gum ulceration b.) Constipation c.) Urinary retention d.) Blurred vision

The nurse admits a client newly diagnosed with schizophrenia to the inpatient mental health unit. What is the priority reason for why the nurse includes the family when collecting the history? a.) The client may not be able to provide a sufficient history. b.) The client may have a reduced level of consciousness. c.) The family will feel empowered by being included in the process. d.) The client will be less anxious if the family listens while he or she answers the questions

a.) The client may not be able to provide a sufficient history.

A 79yo client has been diagnosed with dementia. Haloperidol has been ordered for this client due to the client's worsening agitation. What nursing considerations should inform the nurse's administration of this medication? Select all the apply a.) It is classed as an atypical antipsychotic b.) A lowered dosage is indicated for older adult c.) It often has a hyperactive effect on clients. d.) It should not be used to control behavior with dementia. e.) It should only be given every other day

b.) A lowered dosage is indicated for older adult d.) It should not be used to control behavior with dementia.

The nurse is providing teaching about a typical antipsychotic newly prescribed for the client. The nurse cautions the clients against actions the may caused increased CNS depression. What should the nurse caution the client against? a.) Maintaining an inconsistent sleep schedule b.) Consumption of alcohol c.) Use of OTC NSAIDs d.) Tabacco use

b.) Consumption of alcohol