Psychopharmacological Therapies

(23-3) A nurse is discussing routine follow up needs with a client who has a new prescription for valproate. The nurse should inform the client of the need for routine monitoring of which of the following? a. AST/ALT and LDH b. Creatinine and BUN c. WBC and granulocyte counts d. Blood sodium and potassium

a. AST/ALT and LDH

(23-4) A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to administration of lithium carbonate, the client's lithium blood level is 1.2 mEq/L. Which of the following actions should the nurse take? a. Administer the next dose of lithium carbonate as scheduled b. Prepare for administration of aminophylline c. Notify the provider for a possible increase in the dosage of lithium carbonate d. Request a stat repeat of the client's lithium blood level

a. Administer the next dose of lithium carbonate as scheduled

(24-3) A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Which of the following manifestations should the charge nurse identify as being effectively treated by first-generation antipsychotics? (Select all that apply) a. Auditory hallucinations b. WIthdrawal from social situations c. Delusions of grandeur d. Severe agitation e. Anhedonia

a. Auditory hallucinations c. Delusions of grandeur d. Severe agitation

(21-5) A nurse is caring for a client who takes paroxetine to treat post traumatic stress disorder. The client states, "I grind my teeth during the night, which causes pain in my mouth." The nurse should identify which of the following interventions as possible measures to manage the client's bruxism? (Select all that apply) a. Concurrent administration of buspirone b. Administration of a different SSRI c. Use of a mouth guard d. Changing to a different class of anti-anxiety medication e. Increasing the dose of paroxetine

a. Concurrent administration of buspirone c. Use of a mouth guard d. Changing to a different class of anti-anxiety medication

(25-2) A nurse is providing teaching to an adolescent client who has a new prescription for clomipramine for OCD. Which of the following information should the nurse provide? a. Eat a diet high in fiber b. Check temperature daily c. Take medication first thing in the morning before eating d. Add extra calories to the diet as between meal snacks

a. Eat a diet high in fiber

(26-5) A nurse is discussing the use of methadone with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) a. Methadone is a replacement for physical dependence to opioids b. Methadone reduces the unpleasant effects associated with abstinence syndrome c. Methadone can be used during opioid withdrawal and to maintain abstinence d. Methadone increases the risk for acetaldehyde syndrome e. Methadone must be prescribed and dispensed by an approved treatment center

a. Methadone is a replacement for physical dependence to opioids b. Methadone reduces the unpleasant effects associated with abstinence syndrome c. Methadone can be used during opioid withdrawal and to maintain abstinence e. Methadone must be prescribed and dispensed by an approved treatment center

(24-2) A nurse is caring for a client who takes ziprasidone. The client reports difficulty swallowing the oral medication and becomes extremely agitated with injectable administration. The nurse should contact the provider to discuss a change to which of the following medications? (Select all that apply) a. Olanzapine b. Quetiapine c. Aripiprazole d. Clozapine e. Asenapine

a. Olanzapine c. Aripiprazole d. Clozapine e. Asenapine

(25-1) A nurse is teaching the guardians of a child who has autism spectrum disorder about indications of imipramine toxicity. Which of the following should the nurse include in the teaching? (Select all that apply) a. Seizures b. Agitation c. Photophobia d. Dry mouth e. Irregular pulse

a. Seizures b. Agitation e. Irregular pulse

(22-5) A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding? a. This medication increases the release of serotonin and norepinephrine b. I should tell the client about the likelihood of insomnia while taking this medication c. This medication is contraindicated for clients who have an eating disorder d. Sexual dysfunction is a common adverse effect of this medication

a. This medication increases the release of serotonin and norepinephrine

(26-1) A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. Which of the following information should the nurse include in teaching? a. This medication will help prevent seizures during alcohol withdrawal b. Taking this medication will decrease your cravings for alcohol c. This medication maintains your blood pressure at a normal level during alcohol withdrawal d. Taking this medication will improve your ability to maintain abstinence from alcohol

a. This medication will help prevent seizures during alcohol withdrawal

(22-4) A nurse is teaching a client who has a new prescription for imipramine how to minimize anticholinergic effects. Which of the following instructions should the nurse include in teaching? (Select all that apply) a. Void just before taking the medication b. increase the dietary intake of potassium c. Wear sunglasses when outside d. Change positions slowly when getting up e. Chew sugarless gum

a. Void just before taking the medication c. Wear sunglasses when outside e. Chew sugarless gum

(25-5) A nurse is teaching a child who has intermittent explosive disorder about a new prescription for fluoxetine. Which of the following information should the nurse provide? (Select all that apply) a. An adverse effect of this medication is CNS depression b. Administer the medication in the morning c. Monitor for weight loss while taking the medication d. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop e. This medication blocks the synaptic reuptake of serotonin in the brain

b. Administer the medication in the morning c. Monitor for weight loss while taking the medication e. This medication blocks the synaptic reuptake of serotonin in the brain

(24-4) A nurse is assessing a client who is currently taking perphenazine. Which of the following findings should the nurse identify as extrapyramidal symptoms? (Select all that apply) a. Decreased level of consciousness b. Drooling c. Involuntary arm movements d. Urinary retention e. Continual pacing

b. Drooling c. Involuntary arm movements e. Continual pacing

(21-4) A nurse is assessing a client 4 hours after receiving an initial dose of fluoxetine. Which of the following findings should the nurse report to the provider as indications of serotonin syndrome (Select all that apply) a. Hypothermia b. Hallucinations c. Muscular flaccidity d. Diaphoresis e. Agitation

b. Hallucinations d. Diaphoresis e. Agitation

(22-1) A nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? a. I can expect to experience diarrhea while taking this medication b. I may feel drowsy for a few weeks after starting this medication c. I cannot eat my favorite pizza with pepperoni while taking this medication d. This medication will help me lose the weight that I have gained over the last year

b. I may feel drowsy for a few weeks after starting this medication

(21-2) A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse's priority? a. Administer flumazenil b. Identify the client's level of orientation c. Infuse IV fluid d. Prepare the client for gastric lavage

b. Identify the client's level of orientation

(22-2) A nurse is caring for a client who is taking phenelzine. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? (Select all that apply) a. Elevated blood glucose level b. Orthostatic hypotension c. Priapism d. Hypomania e. Bruxism

b. Orthostatic hypotension d. Hypomania

(23-2) A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. The nurse should include which of the following manifestations in the teaching? (Select all that apply) a. Constipation b. Polyuria c. Rash d. Muscle weakness e. Tinnitus

b. Polyuria d. Muscle weakness

(23-1) A nurse is caring for a client who is prescribed lithium therapy. The client tells of the plan to take ibuprofen for osteoarthritis pain relief. Which of the following statements could the nurse make? a. That is a good choice. Ibuprofen does not interact with lithium b. Regular aspirin would be a better choice than ibuprofen c. Lithium decreases the effectiveness of ibuprofen d. The ibuprofen will make your lithium level fall too low

b. Regular aspirin would be a better choice than ibuprofen

(26-3) A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. Which of the following statements by the client indicates an understanding of the teaching? a. Taking this medication will help reduce my craving for heroin b. While taking this medication, I should keep a pack of sugarless gum c. I can expect some diarrhea from taking this medication d. Each dose of this medication should be placed under my tongue to dissolve

b. While taking this medication, I should keep a pack of sugarless gum

(25-3) A nurse is providing teaching to an adolescent client who is to begin taking atomoxetine for ADHD. The nurse should instruct the client to monitor for which of the following adverse effects? (Select all that apply) a. Somnolence b. Yellowing skin c. Increased appetite d. Fever e. Malaise

b. Yellowing skin d. Fever e. Malaise

(26-4) A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. Which of the following information should the nurse include in the teaching? a. Chew the gum no more than 10 minutes b. Rinse out the mouth immediately before chewing the gum c. Avoid eating 15 minutes before chewing the gum d. Use of the gum is limited to 90 days

c. Avoid eating 15 minutes before chewing the gum

(26-2) A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse should expect prescriptions for which of the following medications to promote long-term abstinence from alcohol? (Select all that apply) a. Lorazepam b. Diazepam c. Disulfiram d. Naltrexone e. Acamprosate

c. Disulfiram d. Naltrexone e. Acamprosate

(24-5) A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for iloperidone. Which of the following client statements indicates understanding of the teaching? a. I will be able to stop taking this medication as soon as I feel better b. If I feel drowsy during the day, I will stop taking this medication and call my provider c. I will be careful not to gain too much weight while taking this medication d. This medication is highly addictive and must be withdrawn slowly

c. I will be careful not to gain too much weight while taking this medication

(21-3) A nurse is caring for a client who is to begin taking fluoxetine for treatment of panic disorder. Which of the following statements indicates the client understand the use of this medication? a. I will take the medication at bedtime b. I will follow a low sodium diet while taking this medication c. I will need to discontinue this medication slowly d. I will be at risk for weight loss with long term use of this medication

c. I will need to discontinue this medication slowly

(24-1) A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should expect a prescription for which of the following medications a. Chlorpromazine b. Thiothixene c. Risperidone d. Haloperidol

c. Risperidone

(22-3) A nurse is reviewing the medical record of a client who has a new prescription for bupropion for depression. Which of the following findings is the priority for the nurse to report to the provider? a. The client has a family history of seasonal pattern depression b. The client currently smokes 1.5 packs of cigarettes per day c. The client had a motor vehicle crash last year and sustained a head injury d. The client has a BMI of 25 and has gained 10 pounds over the last year

c. The client had a motor vehicle crash last year and sustained a head injury

(23-5) A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin lithium therapy. When collecting a medical history from the client's caregiver, which of the following statements is the priority to report to the provider? a. Current medical conditions include diabetes that is controlled by diet b. Recent medications include a course of prednisone for acute bronchitis c. Current vaccinations include a flu vaccine last month d. Current medications include furosemide for congestive heart failure

d. Current medications include furosemide for congestive heart failure

(25-4) A nurse is caring for a school age child who has conduct disorder and a new prescription for methylphenidate transdermal patches. Which of the following information should the nurse provide about the medication? a. Apply the patch once daily at bedtime b. Place the patch carefully in a trash can after removal c. Apply the transdermal patch to the anterior waist area d. Remove the patch each day after 9 hours

d. Remove the patch each day after 9 hours

(21-1) A nurse is teaching a client who has a new prescription for alprazolam for generalized anxiety disorder. Which of the following information should the nurse provide? a. Three to six weeks of treatment is required to achieve therapeutic benefit b. Combining alcohol with alprazolam will produce a paradoxical response c. Alprazolam has a lower risk for dependence than other anti-anxiety medications d. Report confusion as a potential indication of toxicity

d. Report confusion as a potential indication of toxicity