HESI Pharm: Pysch

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Cause a severe reaction if alcohol is consumed Disulfiram is an aversion therapy; a person who consumes alcohol while taking disulfiram will experience a severe reaction consisting of nausea, vomiting, hypotension, headache, tachycardia, tachypnea, and flushing

A healthcare provider prescribes disulfiram for a client who abuses alcohol. The nurse teaches the client that disulfiram will have which action? Affect short-term memory Permit a healthier lifestyle Allow the client to tolerate small amounts of alcohol Cause a severe adverse reaction if alcohol is consumed

They combat the extrapyramidal side effects of the neuroleptic drug.

A nurse is administering medications to clients on a psychiatric unit. What does the nurse identify as the reason that so many psychiatric clients are given the drug benztropine or trihexyphenidyl in conjunction with the phenothiazine-derivative neuroleptic medications? They reduce postural hypotension. They potentiate the effects of the neuroleptic drug. They combat the extrapyramidal side effects of the neuroleptic drug. They ameliorate the depression that may accompany schizophrenia.

overactive

A nurse notes that haloperidol is most effective for clients who exhibit which type of behavior? Depressed Overactive Withdrawn Manipulativ

Withholding the next dose of lithium and drawing blood to test it for toxicity

An older adult living in a long-term care facility has been receiving 600 mg of lithium twice a day for 3 weeks to ease manic behavior. The client is experiencing nausea and vomiting, diarrhea, thirst, polyuria, slurred speech, and muscle weakness. What is the most appropriate nursing intervention? Withholding the next dose of lithium and drawing blood to test it for toxicity Obtaining a prescription for the antidote to lithium and administering it immediately Suggesting that the primary healthcare provider replace the lithium for an antiepileptic that will control the mania Assessing the client for coarse hand tremor and, if it is present, giving the daily dose of lithium with a bit of water

Paroxetine

Which drug is contraindicated in a pregnant client diagnosed with bipolar disorder?

Selegiline

MAOI used to treat Parkinsons

2-3 weeks`

Nortriptyline three times a day is prescribed for a depressed client. When does the nurse expect a therapeutic response?

Cheese, beer, and products with chocolate

The nurse is teaching a client who is receiving a monoamine oxidase inhibitor about dietary restrictions. The nurse plans to caution the client to avoid which foods? Pork, spinach, and fresh oysters Milk, grapes, and meat tenderizers Cheese, beer, and products with chocolate Leafy green vegetables, fresh apples, and ice cream

side effects First-generation antipsychotic drugs are also known as neuroleptics. The selection of these drugs is primarily based on side effects rather than therapeutic effects

The primary healthcare provider prescribes a neuroleptic drug to a client diagnosed with schizophrenia. On what basis would the primary healthcare provider choose the drug? Symptoms Side effects Therapeutic effects Underlying pathology

myocarditis

Which adverse effect is least likely to occur in a client who is prescribed clozapine? Seizures Sedation Akathisia Myocarditis


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