Ch 22 Psychotherapeutics Agents
The community health nurse is conducting a class for parents of preschoolers. One of the parents asks if a child with ADHD will always have problems with hyperactivity. What is the nurse's best response?
"ADHD usually starts in childhood and may persist through adulthood."
Which client statement reflects an understanding of typical length of antipsychotic medication therapy?
"I may always have to take this medication."
The peditric client has been prescribed mehtylphenidate. Which statement should be included in the teaching plan for a client receiving methylphenidate?
"Adverse effects include hypertension and nervousness."
A parenteral form of an antipsychotic is prescribed for a client who has become aggressive. When administering the drug, which site would be most appropriate for the nurse to use?
Gluteus
The nurse on the unit has several clients taking clozapine. For which client is clozapine, an antipsychotic, contraindicated? The 16-year-old with an upper respiratory infection The 23-year-old with diabetes insipidus The 32-year-old with osteoarthritis The 45-year-old with bone marrow depression
The 45-year-old with bone marrow depression
The nurse knows the medication methylphenidate is used to treat attention deficit hyperactivity disorder(ADHD). What type of medication is methylphenidate?
a central CNS stimulant.
After administration of haloperidol to an acutely dehydrated client, the nurse should prioritizewhat nursing assessment?
blood pressure
A client, who has been diagnosed with schizophrenia and is taking an antipsychotic medication, reports constant thirst, frequent urination, and feeling nauseous. The nurse knows that the client may:
have undiagnosed diabetes
A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the nurse must assess the child. The priority assessment since he is on this medication would be which?
height and weight
A nurse is caring for a patient who is taking haloperidol. The patient has orders for a new drug, and the nurse notes that it is highly protein bound. The nurse will plan care based on a(n):
increased risk for toxic effects of haloperidol therapy.
A psychiatric nurse is discussing the advantages of atypical antipsychotics with the parents of a teenager who has been diagnosed with schizophrenia. When comparing these drugs with the older, typical antipsychotics, what advantage should the nurse cite?
reduced adverse effects
A black, male client routinely takes haloperidol to manage his psychosis. Recently, he presented to the health care provider's (HCP's) office with signs of tardive dyskinesia, and his HCP modified the drug regimen over time. The client will now take the drug olanzapine and discontinue the haloperidol. What will the nurse tell the client to help decrease his anxiety about the new drug regimen?
"When compared with haloperidol, olanzapine has been associated with fewer extrapyramidal reactions in black clients."
A nurse caring for an elderly client should monitor the client for what as older clients are more sensitive to the side effects of CNS depressants? (Select all that apply.) Anxiety Insomnia Bradycardia Confusion Hypotension
-anxiety -insomnia -confusion
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 effectsInform the prescriber and perform a focused respiratory assessment Contact the prescriber and request a supplementary dose of lithium Facilitate a transfer to the intensive care unit
Inform the prescriber and monitor for GI and CNS effects
What assessment finding should lead the nurse to suspect that a client receiving antipsychotic therapy is developing tardive dyskinesia? Lip smacking Disorientation Abnormal eye movements Urinary incontinence
Lip smacking
A client who was diagnosed with schizophrenia in 1962 was prescribed chlorpromazine. The client has been taking the medication for more than 40 years. What adverse effect will the client mostlikely experience?
Tardive dyskinesia
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
A nurse observes rhythmic, involuntary facial movements in a patient who has been administered antipsychotic drugs. The patient also makes chewing movements and, at times, his tongue protrudes. What is the most likely reason for the patient's behavior?
Tardive dyskinesia
A client is prescribed olanzapine for the treatment of schizophrenia. The client is voiding three times each night and is always thirsty. Based on the adverse effects of olanzapine, what should the nurse suspect is triggering the client's reported polyuria and polydipsia?
diabetes mellitus
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
electrocardiogram (ECG)
