Chapter 10 NCLEX Review (website)
A client with bipolar disorder has been taking lithium for the past 2 years. Recently, the client has been experiencing a recurrence of manic symptoms approximately once a month. The psychiatrist has added clonazepam (Klonopin) to help manage the client's mood swings. Which of the following statements should the nurse include in medication teaching?
"This medication will help to steady your moods by reducing the overstimulation of chemical messengers in your brain."
A client has been on antipsychotic medication for 20 years with little control of schizophrenic symptoms. The client was recently switched to clozapine (Clozaril). Which of the following behaviors would indicate a positive therapeutic response to this medication? (Select all that apply.)
A decrease in hallucinations An increase in motivation
A teenage female has been taking fluoxetine (Prozac) for the past week. The client's mother is concerned that her daughter is not showing any signs of improvement and may be having increased suicidal thoughts. Which of the following statements would the nurse include when replying to the mother's concern?
Antidepressants can take two to four weeks before any improvement in symptoms occur.
A client is taking thioridazine (Mellaril) and is exhibiting restlessness, muscle rigidity, Involuntary movements, and drooling. Which of the following medications would be most helpful in treating these side effects?
Benztropine (Cogentin)
The mother of an 8 year old boy with attention deficit hyperactivity disorder (ADHS) is concerned about the effects of atomoxetine (Strattera) on her son. Which of the following statements would the nurse use as basis for providing the mother the information she is requesting?
Children taking Strattera may exhibit an increase in suicidal behavior
A client presents to the emergency department (ED) with the following symptoms: nausea, vomiting, a sudden headache, and a stiff neck. Vital signs upon admission to the ED are: temperature 98.8 F; pulse 120; respirations 12; and blood pressure 220/148. Currently the client is taking phenelzine (Nardil). Which of the following conditions should the nurse suspect?
Hypertensive crisis
A 29-year-old female client is worried that she may be pregnant. She has been taking lithium for the past year and is concerned about the effects of lithium on her unborn child. Which of the following statements is true?
Lithium should be avoided during the latter part of the first trimester if possible.
A recent lab report on a client taking olanzapine (Zyprexa) reveals a triglyceride level of 300 mg/dL, high-density lipoprotein (HDL) cholesterol level of 30 mg/dL, and a fasting blood glucose level of 215 mg/dL. In addition, the client has an abdominal girth of 41 inches. Which of the following syndromes does the client exhibit?
Metabolic syndrome
The nurse is developing a care plan for the diagnosis: Knowledge deficit: medication compliance related to unpleasant side effects caused by antipsychotic medications. Which of the following goals would be appropriate to include? (Select all that apply.)
The client will recognize side effects that should be reported to the doctor. The client will engage in exercise for 30 minutes three times a week. The client will identify three ways to avoid sunburn and heatstroke. The client will name specific strategies for remembering to take medications.
A client is taking a Lithium carbonate (Lithobid). The client asks for explanations of the reason regular blood tests are needed. The nurse explains that it is to detect Lithium toxicity. The nurse will further explain that toxicity is:
Too much medication in the blood serum
A 62 year old male client with depression is taking citalopram (Celexa). Which one of the following side effects would be least problematic in older men?
Weight loss
