Phart 3

A client states that they were prescribed barbiturates many years ago for anxiety. The nurse explains that this is no longer done and should provide what rationales? Select all that apply.

- Adverse effects can be severe - There is a high risk of psychological dependence - Hypersensitivity reactions can sometimes be fatal

After seeking care for persistent exhaustion and sadness, a client has been diagnosed with depression. The nurse should be aware of what potential contributing factors? Select all that apply.

- Low levels of norepinephrine - Serotonin deficiency - Dopamine deficiency

A client with depression has been prescribed a MAOI. What education should the nurse provide to this client? Select all that apply.

- Monitor BP closely - DO NOT TAKE OTC-drugs w/o talking to physician - Avoid foods containing Tyramine

The nurse is preparing to perform a neurologic assessment of a new client. What provides required energy to the nerves? Select all that apply.

- Oxygen - Glucose

The nurse is caring fro a client diagnosed with generalized seizures and will appropriately administer what classifications of medications to this client? Select all that apply.

- Succinimides - hydantoins - Benzodiazepines

A group of clients are being screened to see which clients would be the best candidate for a psychotherapeutic drug trial for the treatment of bipolar disorder. Which client would be best suited for this trial?

A 28 year-old salesperson who alternates between overactivity and periods of depression

Which client should the nurse expect to receive a lower-than-usual dose of benzodiazepine?

A client with alcoholic liver disease

The nurse is caring for an older adult in the long-term care facility who has begun to display signs of anxiety and insomnia. What is the priority nursing action?

Assess the client for physical problems

The nurse is teaching a client taking a monoamine oxides inhibitor (MAOI) about dietary changes required to minimize adverse effects of the drug. The nurse determines the client understands a low tyramine diet when what meal is chosen?

Hamburger, fries, strawberry

A client presents at the ED with respiratory depression and excessive sedation. The family tells the nurse that the client has been taking medication throughout the evening and gives the nurse an almost empty bottle of benzodiazepines. The nurse addresses potential factors that could exacerbate the effects of the benzodiazepines with which assessment questions?

Has the client had any alcohol to drink?

An 11-year-old client has been hospitalized on the adolescent psychiatry unit with severe depression. For the past several weeks, the client has been prescribed a SSRI. What is the priority nursing action?

Implement suicide precautions

The nurse is caring for an adolescent client who began taking an antipsychotic drug last month to treat newly diagnosed schizophrenia. The clients symptoms have improved only slightly, and the clients parents wonder if the client is beyond hope. What is the nurses best response?

Its common for clients to have to try different drugs until the most effective one is identified

The nurse is caring for a resident in a long-term care facility who is African American with a history of an anxiety disorder. The client is receiving an oral benzodiazepine, lorazepam 2 mg t.i.d. What assessment should the nurse prioritize.

Level of Consciousness

The client presents to the ED with a headache in the back of the head, diaphoresis, and neck stiffness. The clients blood pressure measures 180/124 mmHG and heart rate is 168 bpm. The spouse says the client is currently prescribed something for depression and denies any history of cardiac disease. The nurse should suspect the use of what medication?

Monoamine Oxidase Inhibitor (MAOI)

The client is diagnosed with myasthenia gravis, a condition in which antibodies block, alter, or destroy the receptors for acetylcholine. What symptom should the nurse expect to be displayed?

Muscle dysfunction

The nurse is providing client education for a client newly prescribed a hydantoin anti-seizure medication. The nurse has taught the client about the need to taper down the dose of the drug slowly when the provider decides it should be discontinued. What benefit of tapering should the nurse describe?

Reduced risk of status epilepticus

The nurse is describing the structure and function of the two hemispheres of the brain to a recent graduate. What regulatory function should the nurse describe?

Regulation of communication between sensory and motor neurons

The nurse is teaching a client who has been prescribed a hypnotic drug about the mechanism of action. The nurse should make reference to that physiological system?

Reticular Activating System

The nurse is caring for a client who is taking lithium for the treatment of bipolar disorder. The clients most recent laboratory finding reveal a serum lithium level of 1.4mEq/L. What assessment findings should the nurse attribute to the clients lithium level?

The client is lethargic and weak

The nurse is providing client with bipolar disorder whose medication regimen includes lithium and who will soon be discharged. What health education should the nurse prioritize?

The need to have follow up blood samples drawn on schedule