Ch 72 Psychiatric Medications

A client taking lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is 2.5 mEq/L. The nurse plans care based on which representation of this level? 1. toxic 2. normal 3. slightly above normal 4. excessively below normal

1. toxic

A client's medication sheet contains a prescription for sertraline. To ensure safe administration of the medication, how should the nurse administer the dose? 1. on an empty stomach 2. at the same time each evening 3. evenly spaced around the clock 4. as needed when the client complains of depression

2. at the same time each evening

The nurse is performing a follow-up teaching session with a client discharged 1 month ago. The client is taking fluoxetine. Which information would be important for the nurse to obtain during this client visit regarding the side and adverse effects of the medication? 1. cardiovascular symptoms 2. gastrointestinal dysfunctions 3. problems with mouth dryness 4. problems with excessive sweating

2. gastrointestinal dysfunctions

The nurse is teaching a client who is being started on imipramine about the medication. The nurse should inform the client to expect maximum desired effects at which time period following initiation of the medication? 1. in 2 months 2. in 2 to 3 weeks 3. during the first week 4. during the sixth week of administration

2. in 2 to 3 weeks

The nurse is describing the medication side and adverse effects to a client who is taking oxazepam. Which information should the nurse incorporate in the discussion? 1. consume a low-fiber diet 2. increase fluids and bulk in the diet 3. rest if the heart begins to beat rapidly 4. take antidiarrheal agents if diarrhea occurs

2. increase fluids and bulk in the diet

A client who has been taking buspirone for 1 month returns to the clinic for a follow-up assessment. The nurse determines that the medication is effective if the absence of which manifestation has occured? 1. paranoid thought processes 2. rapid heart beat or anxiety 3. alcohol withdrawal symptoms 4. thought broadcasting or delusions

2. rapid heart beat or anxiety

A hospitalized client has begun taking bupropion as an antidepressant agent. The nurse determines that which is an adverse effect, indicating that the client is taking an excessive amount of medication? 1. constipation 2. seizure activity 3. increased weight 4. dizziness when getting upright

2. seizure activity

The nurse notes that a client with schizophrenia and receiving an antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. The nurse determines that the client is experiencing which medication complication? 1. parkinsonism 2. tardive dyskinesia 3. hypertensive crisis 4. neuroleptic malignant syndrome

2. tardive dyskinesia

A client receiving tricyclic antidepressants arrives at the mental health clinic. Which observation would indicate that the client is following the medication plan correctly? 1. client reports not going to work for the past week 2. client complains of not being able to "do anything" anymore 3. client arrives at the clinic neat and appropriate in appearance 4. client reports sleeping 12 hours per night and 3 to 4 hours during the day

3. client arrives at the clinic neat and appropriate in appearance

A hospitalized client is started on phenelzine for the treatment of depression. The nurse should instruct the client that which foods are acceptable to consume while taking this medication? Select all that apply. 1. figs 2. yogurt 3. crackers 4. aged cheese 5. tossed salad 6. oatmeal raisin cookies

3. crackers 5. tossed salad

A client is scheduled for discharge and will be taking phenobarbital for an extended period. The nurse would place highest priority on teaching the client which point that directly relates to client safety? 1. take the medication only with meals 2. take the medication at the same time each day 3. use a dose container to help prevent missed doses 4. avoid drinking alcohol while taking this medication

4. avoid drinking alcohol while taking this medication

A client gives the home health nurse a bottle of clomipramine. The nurse notes that the medication has not been taken by the client in 2 months. Which behavior observed in the client would validate noncompliance with this medication? 1. complaints of insomnia 2. complaints of hunger and fatigue 3. a pulse rate less than 60 bpm 4. frequent hand washing with hot, soapy water

4. frequent hand washing with hot, soapy water

The nurse is administering risperidone to a client who is scheduled to be discharged. Before discharge, which instruction should the nurse provide to the client? 1. get adequate sunlight 2. continue driving as usual 3. avoid foods rich in potassium 4. get up slowly when changing positions

4. get up slowly when changing positions

A client with schizophrenia has been started on medication therapy with clozapine. The nurse should assess the results of which laboratory study to monitor for adverse effects from this medication? 1. platelet count 2. blood glucose level 3. liver function studies 4. white blood cell count

4. white blood cell count