Quiz 4 Pharm
A client in an acute care mental health program refuses his morning dose of an oral antipsychotic medication and believes he's being poisoned. The nurse should respond by taking which action? a. Consulting the physician about the patient's refusal to take pills and changing his care plan. b. Omitting a dose and trying again the next day. c. Crushing the medication and giving it to him in his food. d. Administering the medication by injection.
a
Positive symptoms of schizophrenia include which of the following? a. Hallucinations, delusions, and disorganized thinking. b. Somatic delusions, echolalia, and a flat affect. c. Waxy flexibility, alogia, and apathy. d. Flat affect, avolition, and anhedonia.
a
When administering certain antipsychotic drugs, the nurse monitors for extrapyramidal effects such as: (select all that apply.) a. Tremors. b. Elation and a sense of well-being. c. Painful muscle spasms. d. Motor restlessness.
a,c,d
A client is being discharged from the unit. The nurse is asked to provide discharge education for client, including giving the client information about his medications. One of the medications is quetiapine (Seroquel). The nurse should educate the client that which food is contraindicated when taking this medication? a. Sugar. b. Grapes. c. Salt. d. Grapefruit.
d
A 23-year-old client in the manic phase of bipolar-disorder is admitted to the facility. Which agents would be most appropriate for this client? a. Bupropion (Wellbutrin) and lithium (Lithobid). b. Lithium (Lithobid) and valprioc acid (Depakote). c. Haloperidol (Haldol) and fluphenazine (Prolixin). d. Risperidone (Risperdal) and clozapine (Clozaril).
b
A client is admitted to the local psychiatric facility with bipolar disorder in the manic phase. The physician decides to start the client on lithium carbonate (Lithonate) therapy. One week after this therapy starts, the nurse notes that the client's serum lithium level is 1 mEq/L. What should the nurse do? Continue to administer the medication as ordered. Withhold the next dose and repeat the laboratory test. Observe the client closely for signs and symptoms of lithium toxicity. Call the physician immediately to report the laboratory result.
b
A client in the manic phase of bipolar disorder arrives at the outpatient psychiatric clinic. To help the client manage a manic episode, the nurse should suggest that she: a. Go shopping with a friend. b. Read a book in a quiet room. c. Reorganize a kitchen cabinet. d. Go with a friend to a movie.
c
The physician has ordered lithium carbonate (Lithonate) for a client who's in the manic phase of bipolar disorder. During lithium therapy, the nurse should watch for which adverse reactions? a. Weakness, tremor, and urine retention. b. Anxiety, restlessness, and sleep disturbance. c. Nausea, diarrhea, tremor, and lethargy. d. Constipation, lethargy, and ataxia.
c
