antipsychotics pharmacology ch. 23

23. A client is receiving antipsychotic therapy period as part of the client's plan of care, the nurse assesses that client for possible adverse reactions. Which of the following would lead the nurse to suspect that the client is experiencing extrapyramidal effects? Select all that apply a. mask like facial appearances b. increased motor activity c. facial grimacing d. delusions e. flat affect

a. mask like facial appearances b. increased motor activity c. facial grimacing

12. when administering antipsychotic drugs , the nurse would need to keep in mind that which of the following atypical antipsychotics are most commonly associated with weight gain? Select all that apply a. olanzapine b. risperidone c. ziprasidone d. quetiapine e. clozapine

a. olanzapine b. risperidone

20. a nurse is administering haloperidol to a client with schizophrenia. The nurse determines that the drug is effective when there is improvement in which of the following? Select all apply. a. Agitation b. Alogia c. concrete thinking d. delusions e. hallucinations

a. Agitation d. delusions e. hallucinations

1. A nurse would assess a client treated with an antipsychotic medication for which of the following behaviors if the antipsychotic medication was stopped? Select all that apply a. Allucination b. Anhedonia c. Delusions d. Dystonia e. Flattened affect

a. Allucination b. Anhedonia c. Delusions e. Flattened affect

13. the nurse is providing care to a client receiving clozapine. the nurse would be alert for an increased risk of bone marrow suppression if the client is also receiving which of the following? Select all that apply. a. Immunological agents b. Anticholinergics c. Opioids d. anti coagulants

a. Immunological agents

16. A nurse is caring for a client with schizophrenia. The physician has prescribed olanzapine in a disintegrating tablet form for the client. Which of the following points should the nurse include in the teaching plan for the client? a. Remove the tablet with dry hands b. take the tablet with a full glass of water c. add extra salt to food d. avoid tea or coffee

a. Remove the tablet with dry hands

2. After teaching a group of nursing students about antipsychotic drugs the instructor determines that the teaching was successful when the students identify aripirazole (abilify) has exerting its effects on which of the following in the brain? Select all that apply a. Serotonin b. Dopamine c. Norepinephrine d. Muscarinic e. Nicotinic

a. Serotonin b. Dopamine

6. When teaching a client who is to receive antipsychotic therapy, the nurse would include which of the following as a common skin reaction that might occur when initiating therapy? Select all that apply a. Urticaria b. Stevens Johnson syndrome c. photo sensitivity d. hyperpigmentation e. toxic epidermal necrolysis

a. Urticaria c. photo sensitivity

9. which of the following are reasons a nurse may need to contact the client's physician to administer an antipsychotic drug intramuscularly instead of orally? Select all that apply a. client is combative b. client refuses the medication c. client won't allow the nurse to inspect the oral cavity d. client has difficulty swallowing e. client is elderly

a. client is combative b. client refuses the medication c. client won't allow the nurse to inspect the oral cavity

11. When assessing a client receiving antipsychotic drugs, the nurse would suspect that the client is experiencing extra pyramidal syndrome (EPS) based on assessment of which of the following? Select all that apply a. find tremor b. hypo tension c. akathisia d. anhedonia e. dystonia

a. find tremor c. akathisia e. dystonia

25. the nurse is providing care to an older adult who is receiving antipsychotic therapy period the Primary Health care provider prescribes an oral liquid concentration. When administering the drug, the nurse would mix the drug with which of the following? Select all that apply a. fruit juice b. milk c. pudding d. soup e. green leafy vegetables

a. fruit juice b. milk c. pudding d. soup

8. before administering a prescribed antipsychotic drug to a client, the nurse observes a client for any behavior patterns that appear to be deviations from normal period which of the following would the nurse identify as a deviation? Select all that apply a. poor eye contact b. monotone speech pattern c. inappropriate laughter d. failure to answers questions completely e. inappropriate crying

all answers are correct

24. a nurse is required to administer an antipsychotic agent parenterally. after administering the drug, the nurse would ensure that the client remains lying down for which time frame? a. 15 minutes b. 30 minutes c. 45 minutes d. 60 minutes

b. 30 minutes

21. a client comes to the emergency Department and tells the nurse, "I've been hiccuping constantly for the past six or seven hours and nothing I do to stop them seems to work," the nurse would expect the Primary Health care provider prescribed which of the following? a. Prochlorperazine b. Chlorpromazine c. Haloperidol d. Olanzapine

b. Chlorpromazine

22. The caregiver of a client who is started on anti psychotic drug therapy ask the nurse when the client symptoms will improve. Which response by the nurse would be most appropriate? a. You should notice an improvement in the next day or two. b. It might take about six weeks or so before the drug is most effective. c. There's no way to tell but usually it takes about a week. d. Look for movements of his face, mouth, or jaw and that's the sign.

b. It might take about six weeks or so before the drug is most effective.

7. when describing tardive dyskinesia (TD) associated with the use of antipsychotic medication, which of the following would the nurse integrate into the teaching plan? Select all that apply a. TD is an early appearing adverse reaction b. TD involves rhythmic, involuntary movements of the facial structures c. TD is a reversible adverse effect of antipsychotic drugs d. TD is less likely to occur when the use of atypical psychotics e. TD can occur after discontinuation of antipsychotic drug therapy

b. TD involves rhythmic, involuntary movements of the facial structures d. TD is less likely to occur when the use of atypical psychotics e. TD can occur after discontinuation of antipsychotic drug therapy

4. And there should be able to differentiate between the typical and atypical anti psychotics. Which of the following would the nurse identify as a typical antipsychotic? Select all that apply a. lithium b. aripirazole c. chlorpromazine d. prochlorperazine e. clozapine

b. aripirazole e. clozapine

26. a client with schizophrenia is prescribed antipsychotic therapy period when developing the planet care for the client, the nurse integrates understanding that the client is at risk for extrapyramidal syndrome. The nurse would expect to assess the client for this adverse reaction at which time? a. Once a week b. at the initiation of therapy c. when the dose is reduced d. every three months e. when the dose is increased

b. at the initiation of therapy c. when the dose is reduced e. when the dose is increased

10. a nurse caring for a client receiving clozapine needs to be mindful of the symptoms that indicate bone marrow suppression. Assessment of which of the following would lead the nurse to suspect that the client is experiencing bone marrow suppression? Select all that apply a. hypertension b. sore throat c. fever d. chills e. weakness

b. sore throat c. fever d. chills e. weakness

18. a client is prescribed clozapine. the nurse instructs the client on the need for weekly laboratory tests for which of the following? a. Serum lithium b. white blood count c. blood glucose d. PH levels

b. white blood count

5. After teaching a group of nursing students about anti psychotics, the instructor determines that the teaching was successful when the students identify which of the following is an typical antipsychotic? Select all that apply a. Lithium b. Aripiprazole c. Chlorpromazine d. Haloperidol e. Fluphenazine

c. Chlorpromazine d. Haloperidol e. Fluphenazine

3. The client is prescribed an antipsychotic drug that also has an antiemetic effect. Which of the following would the nurse identify as having this effect? Select all that apply a. Lithium b. Aripiprazole c. Chlorpromazine d. Prochlorperazine e. Clozapine

c. Chlorpromazine d. Prochlorperazine

14. a nurse assesses a client receiving antipsychotic drugs for which of the following adverse reactions? a. Hypertension b. skin dryness c. dry mouth d. Brady cardia

c. dry mouth

17. after administering an antipsychotic to a client, the nurse would immediately report which of the following? a. orthostatic hypotension b. Dry mouth c. rigidity d. drowsiness

c. rigidity

19. antipsychotic therapy with a conventional antipsychotic has been started for a client with schizophrenia. Assessment reveals that the client is experiencing drowsiness that is affecting his ability to function. The nurse notes that the client needs assistance with his activities of daily living and ambulating. Which nursing diagnosis would the nurse most likely identify? a. Risk for infection b. risk for unstable blood glucose levels c. risk for injury d. impaired physical mobility

c. risk for injury

15. a nurse observes rhythmic, involuntary facial movements in a client who has been receiving antipsychotic drugs. The client also makes chewing movements and, at times, his tongue protrudes. The nurse interprets these findings which of the following? a. Stevens Johnson syndrome b. Neuroleptic malignant syndrome c. Tardive dyskinesia d. Extrapyramidal syndrome

d. Extrapyramidal syndrome