PathoPharm Neuro
Which side effect would the nurse monitor for when administering a selective serotonin reuptake inhibitor (SSRI)? Select all that apply. One, some, or all responses may be correct.
Anxiety Nausea Sedation Restlessness Suicidal ideation Increased energy level
When the client taking haloperidol has a sudden change in health status, the nurse reviews the client's medical record and performs a physical assessment. Which medical emergency would the nurse conclude that the client is experiencing?
Neuroleptic malignant syndrome
A client with a new diagnosis of bipolar disorder is prescribed lithium carbonate. Which teaching(s) would the nurse provide to the client after reviewing the information below?
The client's thyroid function will require frequent assessments while taking lithium. Hyponatremia could lead to lithium toxicity, so the primary health care provider must be notified of the level.
A client is diagnosed with neuroleptic malignant syndrome (NMS). The nurse trains the nursing student on providing supportive care. Which actions by the nursing student indicate effective education? Select all that apply. One, some, or all responses may be correct.
Increasing the client's fluid intake Providing the client with cooling blankets Withdrawing the neuroleptic medication immediately
A client with a seizure disorder is receiving phenytoin and phenobarbital. Which client statement indicates that the instructions regarding the medications are understood?
"Stopping the medications can cause continuous seizures and I may die."
Which manifestation is an adverse effect of intravenous lorazepam? Select all that apply. One, some, or all responses may be correct.
Amnesia Drowsiness Sleep driving Blurred vision Respiratory depression
An admission assessment is conducted for a young adult client being admitted for suicidal ideation. Considering this information, which intervention must be performed promptly?
Assessing the client for confusion and hyperreflexia
A client develops extrapyramidal effects after taking a neuroleptic medication, and the nurse notes extrapyramidal effects. Which medication can limit these side effects?
Benztropine mesylate
A client is treated with lorazepam for status epilepticus. Which effect of lorazepam is the reason it is given?
Depresses the central nervous system (CNS)`
Which medication class is preferred for managing anxiety disorders?
Selective serotonin reuptake inhibitors
The nurse teaches a client about the side effects and precautions associated with the antipsychotic haloperidol. The nurse concludes that the teaching has been understood when the client makes which statement?
"I'll avoid direct sunlight and make sure to use sunscreen when I go outside."
Which is the best response by the nurse to a client prescribed phenelzine who makes the selections listed below for tomorrow's menu?
"You've made wise selections that are healthy and appropriate for your medication."
The client with a seizure disorder receives intravenous (IV) phenytoin. The nurse will monitor closely for which condition?
Cardiac dysrhythmias
Which medication would the nurse expect to be added to the plan of care of a schizophrenic client exhibiting repetitive tongue smacking and restlessness? Select all that apply. One, some, or all responses may be correct.
Clozapine
Two weeks after starting phenobarbital sodium, the client develops new symptoms. Which symptom is probably caused by the medication?
Cognitive impairment
Which medication acts as an antidote to benzodiazepine?
Flumazenil
Methylphenidate has been prescribed with meals for a child with attention-deficit/hyperactivity disorder (ADHD). Which rationale would the nurse provide for the parents about the timing of the medication administration?
Ritalin depresses the appetite.
A client diagnosed with depression is prescribed phenelzine. The nurse understands that which foods, if consumed along with this medication, may cause a hypertensive crisis? Select all that apply. One, some, or all responses may be correct.
Red wine Aged meat Aged cheese
A client is lonely and extremely depressed, and the health care provider prescribes a tricyclic antidepressant. The client asks the nurse what the medication will do. Which response is the best would the nurse provide?
"The medication will make you feel better."
The nurse teaches the parents of a child prescribed long-term phenytoin therapy about care. Which statement indicates the teaching has been effective?
"We'll have her massage her gums and floss her teeth frequently."
A client is to be discharged on a regimen of lithium carbonate. Which instruction will the nurse include in the discharge teaching plan?
Encouraging the client to have the lithium blood level tested regularly
Which nursing intervention will be priority when caring for a client with status epilepticus?
Establish an airway.
Which emergency treatments are the priority for a client who intentionally took an overdose of a tricyclic antidepressant? Select all that apply. One, some, or all responses may be correct.
Gastric lavage with activated charcoal Support of physiological function Cardiac monitoring for arrhythmias or electrocardiogram (ECG) changes
Which nursing intervention would be the first priority for a client hospitalized with an overdose of benzodiazepines and presenting with a respiratory rate less than 10 breaths per minute?
Give oxygen (O 2).
Sertraline is prescribed for a depressed client. Which information would the nurse include when teaching the client about this medication?
Several weeks may pass before the effects of the medication become evident.
