NCLEX PN content area /pharmacology
The nurse is collecting data from a client, and the client's spouse reports that the client is taking donepezil hydrochloride. Which disorder would the nurse suspect that this client may have based on the use of this medication?
dementia
Fluoxetine is prescribed, and the nurse reinforces instructions to the client regarding the administration of the medication. Which statement by the client indicates an understanding about the administration of this medication?
"I should take the medication in the morning when I first arise."
The nurse is reinforcing instructions to the spouse of a client who is taking tacrine for the management of moderate dementia associated with Alzheimer's disease. The nurse would tell the spouse which information?
"If a change in the color of the stools occurs, notify the primary health care provider."
The nurse is reinforcing instructions to the family of a client with Alzheimer's disease regarding tacrine. Which statement by the family would indicate an understanding of the side/adverse effects related to this medication?
"Increased urination may be an indication of an adverse effect."
Fluoxetine hydrochloride is prescribed for a client being treated for depression, and the nurse reinforces instructions to the client regarding the medication. Which statement by the client would indicate that the client understands this medication therapy?
"It takes approximately 2 to 4 weeks before improvement is noted."
A client's medication sheet contains a prescription for sertraline hydrochloride. To ensure safe administration of the medication, which action would the nurse take?
Administer at the same time each evening.
A client receiving a tricyclic antidepressant arrives at the mental health clinic. Which observation indicates that the client is correctly following the medication plan?
Arrives at the clinic neat and appropriate in appearance
The nurse is reinforcing medication discharge instructions for a client who has just begun taking isocarboxazid for depression and knows that the client needs further teaching after stating that which foods are safe to eat? Select all that apply.
Avocado bolognia
The nurse would instruct the client taking atomoxetine to avoid foods containing which substance?
Caffeine
A client has begun taking phenelzine. At the initiation of therapy, the nurse teaches the client that which items are allowed in the diet?
Carrots, sweet potatoes, and squash
A client has a history of seizures. The primary health care provider has prescribed amitriptyline three times daily. The nurse seeks clarification of the prescription, knowing that the client is at risk for injury because of which adverse effect of the amitriptyline?
Decreased seizure threshold
When teaching a client who is being started on imipramine hydrochloride, when would the nurse tell the client that the medication would have the desired effects?
Desired effects do not occur for 2 to 3 weeks of administration.
The nurse is caring for a client who has been prescribed citalopram and checks the client for which signs/symptoms of serotonin syndrome? Select all that apply.
Diarrhea increased blood pressure
A client admitted to the hospital gives the nurse a bottle of clomipramine. The nurse notes that the medication has not been taken by the client in 2 months. Which behavior observed in the client would validate noncompliance with this medication?
Frequent hand washing with hot, soapy water
The nurse is performing a follow-up teaching session with a client discharged 1 month ago who is taking fluoxetine. Which information would be important for the nurse to gather regarding the adverse effects related to the medication?
Gastrointestinal dysfunctions
A client is being treated for depression with amitriptyline hydrochloride. During the initial phases of treatment, which is the most important nursing intervention?
Getting baseline postural blood pressures before administering the medication and each time the medication is administered
A client receiving an anxiolytic medication complains that he feels very "faint" when he tries to get out of bed in the morning. The nurse explains to the client that which side effect is associated with this type of medication?
Postural hypotension
A tricyclic antidepressant is administered to a client daily. The nurse plans to alleviate the common side effects of the medication and includes which in the plan of care?
Offer hard candy or gum periodically.
A client is taking a monoamine oxidase inhibitor (MAOI). The nurse plans care knowing which information?
Symptomatology of MAOI toxicity includes headache, hypertension, and nausea and vomiting.
The parent of a client taking atomoxetine asks how the medication works to control attention deficit hyperactivity disorder (ADHD). The nurse's correct explanation is based on which fact?
The medication inhibits norepinephrine (NE) transport and reuptake.
A hospitalized client is started on phenelzine sulfate for the treatment of depression. At lunchtime, a tray is delivered to the client. Which food item on the tray would the nurse remove?
yogurt
A hospitalized client is prescribed phenelzine sulfate for the treatment of depression. The nurse reinforces instructions to the client and tells the client to avoid consuming which foods while taking this medication? Select all that apply.
yogurt figs aged cheese
