Pharm 2 Unit 2
Which food(s) containing significant amounts of tyramine will be contraindicated when a patient is on MAOI therapy?
Beer, Aged cheeses, Bananas
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
Which medication would require the nurse to monitor for changes in hepatic function and blood dyscrasias?
Diazepam
Which medication should be avoided when a patient is prescribed dutasteride (Avodart) for the treatment of benign prostatic hypertrophy?
Diltiazem (Cardizem)
Which effect of magnesium sulfate ordered for the treatment of preeclampsia does the nurse monitor for if the patient's magnesium level is 10.2 mg/dL?
loss of deep tendon reflex
Which factor must the nurse consider when planning care for the primipardum woman at term that has an order for dinoprostone (Cervidil) 10-mg vaginal insert to induce cervical ripening?
Dinoprostone must be removed at the onset of labor or 12 hours after insertion.
Which pertinent information should be included in a teaching plan about antianxiety medications
Discuss the possible dependence associated with the medication at length to make sure the patient does not overuse the drug.
A patient has been ordered oxytocin (Pitocin) to induce labor. Which medication currently taken by the patient would cause the nurse to hold oxytocin (Pitocin)?
Ephedrine sulfate
Which ophthalmic ointment does the nurse anticipate will be given to a newborn immediately after birth?
Erythromycin
Which action is best for the nurse to implement when discovering that a patient taking sertraline (Zoloft) has also started taking St. John's wort?
Explains the risk of serotonin syndrome and encourages the patient to stop taking St. John's wort
Which term refers to dystonic reactions, pseudoparkinsonism, akathisia, and tardive dyskinesia?
Extrapyramidal symptoms
Which instruction does the nurse give to a patient with angina who has just received a prescription for sildenafil (Viagra)?
If an anginal attack occurs, lie down and rest; do not take nitroglycerin
A nurse is administering risperidone to a client who has schizophrenia. For which of the following adverse effects should the nurse monitor?
Increased triglyceride level
Which explanation by the nurse is most accurate when a patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax), an alpha-1 adrenergic blocking agent, has been prescribed?
Increases urinary flow
A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?
Lorazepam
A client is admitted to the hospital because of complaints of vomiting and abdominal pain. During data collection, the client tells the nurse that he is taking entacapone. Based on this finding, the nurse elicits information from the client regarding the presence of which condition?
Parkinson's
The outcome statement for a patient suffering from anxiety disorder reads, "After 1 week on alprazolam (Xanax) therapy, patient will exhibit a manageable level of anxiety." Which assessment finding validates that this outcome is met?
Patient reports sleeping better and increased interest in activities.
Which instruction will be relayed when a woman using the NuvaRing vaginal ring informs the nurse that the ring was accidentally expelled a day ago?
Rinse the ring in lukewarm water, reinsert, and use a non-hormonal backup contraceptive
Which is the major advantage of using selective serotonin reuptake inhibitors (SSRIs) over tricyclic antidepressants in the treatment of depression?
SSRIs do not have anticholinergic or cardiovascular effects.
Which outcome indicates that hydroxyzine (Vistaril), ordered for a postoperative patient, is effective?
Sips of water are tolerated without vomiting
Which information should be included in a teaching plan about buspirone (BuSpar)?
There is minimal potential for abuse
Which substance(s) may increase the toxic effects of benzodiazepines?
Alcohol ,Antihistamines ,Analgesics , Sedatives, Hypnotics
A nurse in a provider's office is reinforcing teaching with a client who is taking multiple medications. The nurse should instruct the client to avoid performing hazardous activities while taking which of the following medications that can cause daytime sedation?
Triazolam orally at bedtime
Entacapone is prescribed for a client with a diagnosis of Parkinson's disease. The nurse reinforces medication instructions to the client and instructs on which frequent side effect?
Urine discoloration to dark yellow or orange
Which characteristic places a patient taking alprazolam (Xanax) at risk for excessive sedation and impaired psychomotor function?
Use of oral contraceptives
Which statement by the patient would indicate the need for further teaching after being educated on bupropion (Wellbutrin) prescribed for smoking cessation?
"If I have the urge to smoke, I will take more medication."
Which instruction is correct to provide to a patient about the use the NuvaRing for birth control when she has not used a hormonal contraceptive within the past month?
"Insert the contraceptive ring on or prior to day 5 of the cycle."
What instruction is most important for the nurse to teach the patient who has recently been prescribed alprazolam (Xanax)?
"You may feel dizzy or unsteady when rising to a standing position."
Which explanation(s) describe why a combination of antipsychotic agents with benzodiazepines useful in initial treatment of the agitated patient? (Select all that apply.)
-Benzodiazepines allow for lower dosages of antipsychotic agents to be used, thereby decreasing serious adverse effects seen with high-dose therapy. -it assists in calming the psychotic patient.
Which statement(s) is/are true regarding the pharmacologic actions of certain antidepressant drugs? (Select all that apply.)
-SSRIs inhibit the destruction and reuptake of serotonin at the synaptic cleft. -Monocyclic antidepressants such as bupropion (Wellbutrin) have an unknown mechanism of action. -SNRIs prolong the action of neurotransmitters by decreasing the destruction of serotonin and norepinephrine
The nurse is assessing a primipardum woman whose labor is being induced with oxytocin (Pitocin). Assessment findings include blood pressure 138/86, pulse 80, respirations 22, fetal heart rate (FHR) of 156, and strong 96-second contractions. Which action does the nurse implement?
-Slow the infusion to a keep open rate
Which drug(s) interact(s) with SSRI agents? (Select all that apply.)
-Tranylcypromine (Parnate) -Lithium (Eskalith) -Warfarin (Coumadin) -Propranolol (Inderal)
Which therapeutic outcome(s), in addition to the relief of mild to moderate anxiety, apply(ies) to hydroxyzine (Vistaril)? (Select all that apply.)
-control of vomiting -control of itching in allergic reactions -reduce need for sedation and analgesia after surgery
The prenatal nurse is educating a woman regarding preconception care. The patient informs the nurse that she is currently taking a benzodiazepine drug for management of anxiety. Which information is appropriate to include when providing patient education? (Select all that apply.)
-readily cross into breast milk -enter fetal circulation
A nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?
1 cup of applesauce
The nurse is teaching a patient about medication treatment for depression. The patient asks how long it will take before sleep and appetite will begin to improve. Which response by the nurse is most accurate?
1 week
A client with Parkinson's disease has begun therapy with carbidopa/levodopa. The nurse determines that the client understands the action of the medication if the client verbalizes that results may not be apparent for which length of time?
2-3 weeks
Which rationale explains why caution must be used when taking a phosphodiesterase inhibitor to enhance male sexual function?
life threatening consequences can occur with cardiovascular disorders
The nurse is teaching a patient beginning therapy with dutasteride (Avodart). Which time period is correct in explaining how long will it take before the patient can expect results?
6 months
Which patient is most at risk for a paradoxical response to a barbiturate characterized by excitement, restlessness, and confusion?
A 76 year old with severe pain
Which adverse effect(s) may occur as a result of antipsychotic drug therapy? (Select all that apply.
Acute dystonia Akathisia Neuroleptic malignant syndrome Tardive dyskinesia
Which potential complication of clozapine (Clozaril) requires weekly blood tests for the first 6 months of treatment?
Agranulocytosis
A nurse is collecting data from a client admitted to an inpatient mental health unit and has a new prescription for disulfiram. Which of the following information is most important for the nurse to obtain before administering this medication?
When the client last drank alcohol
Which factor is most important for the nurse to assess when evaluating the effectiveness of methylergonovine maleate (Methergine)?
amount of vaginal
Which factor is most important for the nurse to assess when evaluating the effectiveness of methylergonovine maleate (Methergine)?
amount of vaginal bleeding
A nurse is reinforcing dietary teaching for a client who is to start taking a monoamine oxidase inhibitor (MAOl). Which of the following food choices should the nurse identify as having the highest tyramine content?
avocado
Which disorder diagnosed in a patient would the nurse expect the drug of choice to be lithium (Eskalith)?
bipolar disorder
Which action applies to MAOls on neurotransmitters?
blocking their destruction
Which is the nurse's priority assessment when a patient taking an MAOl reports a severe occipital headache, stiff neck, sweating, nausea, and vomiting?
blood pressure
Which nursing assessment is done before starting a patient on a beta-adrenergic blocking agent?
blood pressure and heart rate
The nurse is caring for a patient who is taking a newly prescribed drug, nefazodone, for treatment of depression. Which physical assessment finding is most important for the nurse to report to the healthcare provider immediately?
bradycardia
Which location should be avoided when a patient applies a transdermal contraceptive?
breast
Which antidote does the nurse anticipate will be ordered by the healthcare provider when a pregnant woman receiving magnesium sulfate develops magnesium toxicity?
calcium gluconate
Which situation is more likely to be experienced by women taking the mini pill as an oral contraceptive?
decreased auditory hallucinations
Which concern is the priority when a patient taking vilazodone has been vomiting persistently for 12 hours?
dehydration
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
nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse the nurse include?
diazepam can cause drowsiness
nurse is reinforcing teaching with a client who is taking benztropine to treat Parkinson's disease. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?
difficulty voiding
Which time period accurately identifies when Rho(D) immune globulin (RhoGAM) is typically administered?
during the 28th week of gestation and and within72 hours of delivery
Which cause is the most common reason for nonadherence to antipsychotic pharmacologic treatment?
extrapyramidal effects
nurse is preparing to administer buspirone to a client who has generalized anxiety disorder. The nurse should plan to monitor the client for which of the following adverse reactions?
headache
A patient who is taking an MAOl to treat depression admits to eating pickled herring and cheese and drinking red wine. Which assessment finding alerts the nurse to a potential complication?
hypertension crisis- head stiff
Which statement by the patient indicates a need for further teaching about the use of clomiphene citrate (Clomid)?
i don't need to take my temp before the medication
A patient is admitted to a long-term psychiatric setting. The MAOI medication previously prescribed is discontinued by the physician. New orders are obtained to initiate imipramine therapy. Which time applies to when the nurse will provide the first dose of imipramine to the patient?
in 14 days following the last dose
The nurse is caring for a client diagnosed with Parkinson's disease who is prescribed benztropine mesylate daily. The nurse reinforces instructions to both the client and the spouse regarding the side effects of this medication and the need to report which side effect if it occurs?
inability to urinate
which statement is true regarding psychological drug dependence
it requires medical attention to treat
Which postoperative narcotic analgesic will most likely be prescribed to a patient whose current medications include a monoamine oxidase inhibitor (MAOl), a thyroid hormone, and a multivitamin?
morphine
Which situation is more likely to be experienced by women taking the mini pill as an oral contraceptive?
ovulation, dysmenorrhea, and breakthrough bleeding
Which type of drug is most effective in the treatment of erectile dysfunction (ED)?
phosphodiesterase inhibitors
Which assessment is appropriate for the nurse to implement with an infant whose mother has been taking magnesium sulfate before delivery?
respiratory depression
Which information is necessary to provide to a patient prescribed an azapirone antidepressant?
risk for injury when using machinery
A nurse is collecting data from client who has just begun therapy with alprazolam to treat anxiety. The nurse should observe the client for which of the following adverse effects of this medication?
sedation
Which rationale explains how the effect of a benzodiazepine used for sedation differs in patients who smoke cigarettes from those who do not smoke?
smokers may require larger dose to maintain the desired effect
A nurse is reinforcing teaching with a client who has a new prescription for lithium carbonate to treat bipolar disorder. The nurse should make sure the client understands that he must maintain consistency in his intake of which of the following dietary elements?
sodium
A client is taking a monoamine oxidase inhibitor (MAOl). The nurse plans care knowing which information?
symptoms of MAOI toxicity includes headache, hypertension, nausea and vomiting
A primary health care provider initiates carbidopa/levodopa therapy for a client with Parkinson's disease. A few days after the client starts the medication, the client complains of nausea and vomiting. What would the nurse tell the client regarding how to avoid side effects when taking this combination medication?
taking medication with food can help prevent nausea
Which major advantage exists with use of selective serotonin reuptake inhibitors (SSRls) over other types of antidepressant therapy?
they do not cause the anticholinergic and cardiovascular adverse effects
Which condition would contraindicate the use of oral contraceptives?
thromboembolic disease
A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. Which of the following instructions should the nurse give the client?
watch for drowsiness and light headedness while taking alprazolam
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 nurse is reinforcing teaching with a client who is to start taking perphenazine. Which of the following information should the nurse to include in the teaching?
you should change positions slowly while you are taking this medication.
