Final 212

What medication do you give a patient going through alcohol withdrawal?

Chlordiazepoxide (Librium), vitamin b 12 and multivitamin

Which clinical manifestation should alert the nurse to lithium toxicity? a. increasingly agitated behavior b. markedly increased food intake c. sudden increase in blood pressure d. lethargy and weakness with vomiting

d

What two things need to be considered when elderly people are taking psychotropic meds?

decreased kidney function and polypharmacy

A client is on a MAOI and ingests aged cheese, the nurse suspects hypertensive crisis what symptoms might the nurse see?

Headache, stiff neck, nausea, vomiting, sweating, nose bleeds, dilated pupils, tachycardia and constricting chest pain

At an outpatient visit 3 months after discharge from the hospital, a client says he has stopped his olanzapine even though it controls his symptoms of schizophrenia better than other medications. "I have gained 20 lb (9.1 kg) already. I cannot stand anymore." Which response by the nurse is most appropriate? a. "I do not think you look fat; why do you think so?" b. "I can help you with a diet and exercise plan to keep your weight down." c. "You can be switched to another medicine." d. "Your weight gain will level off if you stay on the medication 3 more months."

b

For the client experiencing alcohol withdrawal delirium, which healthcare provider prescriptions should the nurse question? a. lorazepam, 2 mg PO every 4 hours PRN b. chlordiazepoxide, 50 mg PO every 4 hours PRN c.chlorpromazine, 100 mg PO every 4 hours PRN d. thiamine, 100 mg IM daily for 3 days

c

The health care provider (HCP) prescribes a serum lithium level tomorrow for a client with bipolar disorder, manic phase, who has been receiving lithium 300 mg PO three times daily for the past 5 days. At what time should the nurse plan to have the blood specimen obtained? a. before bedtime b. after lunch c. before breakfast d. during the afternoon

c

While a client is taking alprazolam, which food should the nurse instruct the client to avoid? a. Chocolate b. cheese c. alcohol d. shellfish

c

The nurse is teaching a client and family about phenelzine. Which food should the nurse instruct the client to avoid? a. eggs b. chicken c. peanut butter d. sour cream

d