Ch. 22 Psychotherapeutic Agents
A bipolar client is being discharged home in 48 hours. What statement by the client indicates an understanding of treatment with lithium? "I will increase my salt intake." "I will decrease my salt intake." "I will decrease my fluid intake." "I will increase my fluid intake."
"I will increase my fluid intake."
The nurse is caring for a client who has been prescribed lithium. Which nursing interventions are related to this medication? (Select all that apply.)
Administer lithium with food. Monitor client for drowsiness. Increase fluid intake to approximately 3000 mL/day.
A high-school-age client, brought to the emergency department (ED) by friends after taking a "whole handful of dextroamphetamine," is now lapsing in and out of consciousness. The ED nurse should prioritize what assessment related to dextroamphetamine overdose? Blood glucose monitoring Cardiac monitoring Cognitive assessment Lung function testing
Cardiac monitoring
A client reports insomnia during a routine visit. What should the nurse assess first regarding the most likely cause? The amount of exercise in which the client engages The family history of insomnia and sleep Daily intake of caffeine-containing products Possible use of amphetamines
Daily intake of caffeine-containing products
The school nurse is conducting a screening of kindergarten students. The nurse will assess the children for what characteristics of ADHD? (Select all that apply.) Improved retention Playing well with others Short attention span Impulsivity Hyperactivity
Hyperactivity Impulsivity Short attention span
A client, prescribed dextroamphetamine for attention deficit hyperactivity disorder (ADHD) has developed a common adverse effect of the medication since beginning therapy. Which initial intervention should the client be encouraged to implement? Increase fiber intake. Take an over-the-counter (OTC) laxative daily. Take metronidazole. Take diphenoxylate hydrochloride.
Increase fiber intake.
A nurse is reviewing a bipolar client's serum lithium level, which is 1.8 mEq/L. What is the nurse's best action?
Inform the prescriber and monitor for GI and CNS effects
When participating in care planning for a child who has been diagnosed with schizophrenia, the nurse should be aware of what fact? Cognitive-behavioral therapy is the most effective intervention for schizophrenia in children. It is not clear which drugs are safest and most effective in children with schizophrenia. Schizophrenia is self-limiting in children, and treatment is focused on psychosocial support. Pharmacologic treatment is contraindicated in children who have schizophrenia.
It is not clear which drugs are safest and most effective in children with schizophrenia.
A child with attention deficit hyperactivity disorder has been receiving methylphenidate for several years. The prescriber has explained a plan to temporarily discontinue the drug. What rationale for this action should the nurse explain? The drug likely needs to be switched to another agent that is less toxic. The drug must be occasionally stopped to prevent anticholinergic effects The risk for cumulative adverse effects is greater if the child doesn't have a break. It needs to be determined if the child still has symptoms that require treatment.
It needs to be determined if the child still has symptoms that require treatment.
The nurse is preparing to give prescribed haloperidol to an acutely dehydrated client. After administration, the nurse should prioritize what nursing assessment? deep tendon reflexes blood pressure visual acuity core body temperature
blood pressure
A nurse is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an electromyelogram (EMG). electrocardiogram (ECG). electrophysiologic study (EPS). electroencephalogram (EEG).
electrocardiogram (ECG).
Antipsychotic drugs are contraindicated in clients with: liver damage, coronary artery disease, severe hypertension, bone marrow depression, or cerebrovascular disease. kidney damage, chronic obstructive lung disease, mild hypotension, and chronic bone pain. nausea, severe hypotension, or intractable hiccups. peptic ulcer disease, mild hypertension, chronic joint pain, and kidney failure.
liver damage, coronary artery disease, severe hypertension, bone marrow depression, or cerebrovascular disease.
The nurse is planning care for a client who has been prescribed a CNS stimulant. What should the nurse establish as the primary goal of therapy? increase productivity and work longer hours. relieve the symptoms for which they were prescribed. use the drugs as they are ordered. increase the ability to study for long periods of time.
relieve the symptoms for which they were prescribed.
A nurse is providing care for a client diagnosed with attention deficit hyperactivity disorder (ADHD) who has been taking methylphenidate for several months. When monitoring for potential adverse effects, the nurse should include what assessments? sleep patterns sexual function pupillary response orientation to person, place, and time
sleep patterns
The nurse is providing health education to a client who has been newly diagnosed with schizophrenia. What subject should be the primary focus? the importance of adherence to prescribed treatment potential therapeutic effects of medication the need for weekly blood coagulation testing maintenance of adequate nutrition
the importance of adherence to prescribed treatment
