NU 334 medication quiz

Jareth has a diagnosis of generalized anxiety disorder. His physician has prescribed buspirone 15 mg daily. Jareth says to the nurse, "Why do I have to take this every day? My friend's doctor ordered Xanax for her, and she only takes it when she is feeling anxious." Which of the following would be an appropriate response by the nurse?

"Buspirone must be taken daily in order to be effective"

The nurse is teaching the depressed client about bupropion (Wellbutrin). Which statement by the client indicates effective teaching?

"I will not take two pills if i miss a dose"

The nurse is caring for a suicidal client who began taking an antidepressant two weeks before attempting suicide. The nurse knows that first-line antidepressants that have the fewest side effects are which of the following?

(SSRI) selective serotonin reuptake inhibitors

A client with depression is taking Phenelzine (Nardil). The nurse advises the client to avoid consuming which foods while taking the medication?

Aged cheeses

Clozapine compared to other antipsychotic drugs produces lower side effects. Which of the following is considered as the fatal side effect of clozapine?

Agranulocytosis

What is the greatest priority when a patient is experiencing laryngeal dystonia?

Airway clearance

Which of the following is important when administering medications?

All of these answers are correct

What is another name for second-generation antipsychotics?

Atypical antipsychotics

A nurse is giving instructions to a client receiving lithium citrate. The nurse tells the client to do which of the following to prevent lithium toxicity:

Avoid becoming dehydrated during exercise

A client who has been taking Chlorpromazine (Thorazine) for several months presents in the emergency department with EPS of restlessness, drooling, and tremors. What medications will the nurse expect the physician to order?

Benztropine (Cogentin)

Medications like Clozapine, quetiapine, and risperidone that prolong the QT interval increase the risk of?

Cardiac dysrhythmias

All second generation antipsychotics especially Clozapine (Clozaril) and Olanzapine (Zyprexa) can promote weight gain which leads to?

Diabetes

A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client?

Do not skimp on diary sodium intake

Which symptom of a serious reaction if identified in a patient who is receiving Haldol should the nurse report immediately?

Fainting

Antipsychotic drugs can cure schizophrenia if taken as prescribed?

False

Benzodiazepines do not require a taper for discontinuation, patients can stop abruptly with no withdrawal concerns.

False

Complementary meds: Kava, St. John's Wort, and Parsley can always be taken with antidepressants.

False

It is only the prescribing provider's responsibility to teach about the effects and side effects of the medication.

False

A client who has been taking Buspirone (Buspar) for two months returns to the clinic for follow-up. The nurse determines that the medication is effective if there is an absent display of?

Feelings of anxiety, fear, and uneasiness

Benzodiazepine Antagonist is

Flumazenil

A nurse is providing discharge teaching to a client taking a benzodiazepine. Which client statement would indicate a need for further follow-up instructions?

I will need scheduled blood work in order to monitor for toxic levels of this drug

A client who is admitted to the inpatient psychiatric unit and is taking Chlorpromazine (Thorazine) presents to the nurse with severe muscle rigidity, tachycardia, and a temperature of 105°F (40.5°C). The nurse identifies these symptoms as which of the following conditions?

Neuroleptic malignant syndrome

As a nurse, if you notice a mistake with a patient's medication, what should you do?

Report the error

A client is diagnosed with schizophrenia. A physician orders Haloperidol (Haldol), 50 mg bid, Benztropine (cogentin) 1mg prn, and Zolpidem (Ambien) 10mg HS. Which client behavior would warrant the nurse to administer benztropine?

Restlessness and muscle rigidity

Symptoms such as a significantly elevated temperature, agitation, muscle rigidity, and seizures may be signs of?

Serotonin syndrome

A client diagnosed with schizophrenia is prescribed clozapine. Which client symptoms related to the side effects of this medication should prompt a nurse to intervene intermediately?

Sore throat, fever, and malaise

A client diagnosed with schizophrenia, who has been taking antipsychotic medications for the last 5 months, presents to the ED with uncontrollable tongue movements, stiff neck, and difficulty swallowing. The nurse should expect the physician to recognize which condition and implement which treatment?

Tardive dyskinesia and treat by discontinuing antipsychotic medications

A client diagnosed with schizophrenia takes an antipsychotic medication daily. Which assessment finding should a nurse immediately report to the clients attending psychiatrist?

Temperature of 104°F

A newly admitted client has taken Olanzapine (Zyprexa) for 2 years, with good symptom control. Symptoms exhibited on admission included paranoia and hallucinations. The nurse should recognize which potential cause for the return of these symptoms?

The client has not taken the medication as prescribed

When teaching about the tricyclic group of antidepressant medications, which information should the nurse include?

The full therapeutic potential of tricyclics may not be reached for 4 weeks

A client has been diagnosed with major depression. The psychiatrist prescribes Paroxetine (Paxil). Which of the following medication information should the nurse include in discharge teaching?

The medication should not be discontinued abruptly

When a patient begins Fluoxetine (Prozac), what information should be included in the plan for patient education?

The onset of action is 2-6 weeks

The nurse is caring for a patient with schizophrenia. Orders from the physician include Haloperidol (Haldol) 5 mg IM STAT and then 3 mg PO tid, 2 mg benztropine PO bid prn. Why is haloperidol ordered?

To decrease psychotic symptoms

Agranulocytosis is extremely low levels of white blood cells that symptoms of include fever, malaise, and sore throat.

True

Atypical antipsychotics improve positive symptoms of schizophrenia.

True

Benzodiazepines like Lorazepam (ativan) and Clonazepam (klonopin) are addictive?

True

Extrapyramidal side effects can contribute to patient nonadherence with medication treatment.

True

Extrapyramidal symptoms usually can be prevented or minimized, this includes tardive dyskinesia, which when treated will not remain.

True

Second generation antipsychotics have less risk for EPS than first generation antipsychotics.

True

To minimize gastrointestinal upset it may be recommended to take medication with food.

True

When interacting with patients a nurse should be sensitive to feedback from the patient concerning how the medication makes the patient feel.

True

When taking MAOIs the patient should avoid foods and medications high in tyramine.

True

Education for the patient who is taking an MAOI should include which of the following?

Tyramine-restricted diet, prohibitive concurrent use of over-the-counter medications without physician notification

A patient hospitalized 3 weeks ago with major depressive disorder presented with suicidal ideations but no suicide plan. Sertraline (Zoloft) was prescribed, and the patient now reports that the feeling of depression has somewhat lessened. The guiding factor the nurse considers when planning care is that there is:

an increased risk of suicide as the depression lifts

Which of the following symptoms is classified as a mild lithium toxicity:

apathy and lethargy

Antipsychotic drugs such as the phenothiazines are used to help treat schizophrenia by:

blocking the brain's dopamine receptor sites and so reducing dopamine

A client is prescribed Sertraline (Zoloft). To guarantee a safe administration of medication, a nurse would administer the dose:

evening or bedtime

A client taking lithium carbonate (Lithobid) started complaining of nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, blurred vision, and ringing in the ears. The lithium level is 2 mEq/L. The nurse interprets this value as:

toxic level

Initial symptoms of lithium toxicity include:

vomiting and diarrhea

Atypical antipsychotic medications can result in metabolic syndrome. Signs of metabolic syndrome include:

weight gain dyslipidemia diabetes