Pharm mod 4
When describing the action of antidepressants, the nursing instructor would include the belief that they exert their effect by causing slow adaptive changes to which receptor systems? Select all that apply.
Norepinephrine Serotonin
A client admitted for insomnia related to stress is prescribed a sedative. Which actions would the nurse include in the plan of care to promote the effectiveness of the drug?*
Provide back rubs.
A nurse is preparing a teaching session for a client with narcolepsy. Which instruction should the nurse prioritize if teaching about modafinil?
Record number of periods of sleepiness.
After teaching a group of nursing students about CNS stimulants, the instructor determines that the teaching was successful when the students correctly choose which factor as a contraindication?
Severe hypertension
A nursing instructor determines a class discussion on the topic of the action ofcholinesterase inhibitors is successful when the students correctly choose which as actionsof this drug class? Select all that apply.*
Slow neural destruction. ✓Inhibit the breakdown of acetylcholine.
A client who is receiving a benzodiazepine tells the nurse that their mouth feels really dry. Which suggestion would the nurse include in the teaching plan for this client?
Sucking on hard sugarless candy might help you.
A client who has been receiving treatment for psychosis presents to the clinic for follow up. On assessment the nurse discovers the client is currently displaying rhythmic, involuntary facial movements to include chewing-like movements and tongue protrusion. The nurse interprets these findings as an indication of which disorder?
Tardive dyskinesia
A client is reporting diarrhea, rigidity and spasm after receiving pyridostigmine. Which medication is appropriate to suggest to the prescriber?*
The client is exhibiting a cholinergic crisis. An antidote of *atropine* 0.4 to 0.6 mg intravenously should be administered.
The nurse is preparing to teach a caregiver of a client with AD about the newly prescribed rivastigmine. The nurse determines the teaching is successful when the caregiver correctly chooses which routes of administration? Select all that apply
Transdermally Orally
A nurse emphasizes the need to avoid caffeine and caffeinated beverages with a client undergoing treatment for insomnia based on which known caffeine effect?
Wakefulness
A client who is obese is to start receiving amphetamine as part of the treatment. Which factor should the nurse prioritize in the preadministration assessment?
Weight
After administering an anxiolytic, the nurse assesses the client for adverse reactions. Which would the nurse identify as a common early reaction to this group of drugs? Select all that apply.*
sedation ✓dizziness ✓lightheadedness ✓headache
The selective serontonin reuptake inhibitors (SSRIs) inhibits the uptake of what CNS neurotransmitter?
serontonin
A client who reports they are unable to sleep is prescribed a hypnotic. The nurse explains that the insomnia may be related to which factors? Select all that apply.*
stress ✓chronic pain ✓hospitalization ✓
A nurse is caring for a client who has been prescribed a monoamine oxidase inhibitor (MAOI). Which food should the nurse instruct the client to avoid?
yogurt
A client with anxiety has informed the nurse they no longer want to take the benzodiazepine. What is the best response from the nurse?
"Be sure to gradually decrease the dosage over time."
A nurse is teaching a client how to use an auto-injector as treatment for an allergic reaction. The nurse determines additional teaching is necessary when the client makes which statement?*
"I should administer the dose and then call 9-1-1 if I'm alone."
The caregiver of a client who is started on antipsychotic drug therapy asks the nurse when the client's symptoms will improve. Which response by the nurse would be most appropriate?
"It might take about 6 weeks or so before the drug is most effective."
A nursing instructor has finished teaching a session about the different types of CNS stimulants. The instructor determines the session was successful when the students correctly place drugs used for narcolepsy in which category?
Analeptic
The nurse is performing an ongoing assessment on a client who received rivastigmine for AD. Which noted assessment finding should the nurse prioritize?
Anorexia and nausea
A nursing student has explained CNS stimulants and their uses in a class presentation. After completing the presentation, the student determines that additional explanation is necessary when the class chooses which category as a CNS stimulant?
Antipsychotic
The nurse discovers a client has been taking a CNS stimulant. The nurse will anticipate noting which potential disorder in the client's history? Select all that apply.
Attention-deficit hyperactivity disorder (ADHD) Sleep apnea Drug-induced respiratory depression
Which medications are capable of CNS depression, hypnosis, deep coma, respiratory depression, and prescribed infrequently?
Barbiturates
A client is receiving lithium and informs the nurse that they are also taking antacids for heartburn. The nurse would be alert for which reaction?*
Decreased effectiveness of lithium
In addition to facilitating sleep, what is another benefit of sedatives?
Decreased patient anxiety
A client with depression has been prescribed amitriptyline. Which drug action should the nurse integrate into the teaching session for the client?*
Decreased reuptake of norepinephrine
After teaching a group of nursing students about central nervous stimulants, the instructor determines that the teaching was successful when the students correctly choose which as an effect of caffeine on the body? Select all that apply.
Diuresis Central nervous system (CNS) stimulation Respiratory stimulation
Dystonic reactions, pseudoparkinsonism, akathisia, and tardive dyskinesia are types of which effect?
Extrapyramidal symptoms
The nurse is assessing a client for depression. Which symptom would the nurse prioritize?*
Extreme sadness
A client with anxiety is prescribed anxiolytic therapy. Before administering the drug, which symptoms of anxiety would the nurse expect to find on the preadministration assessment?
Increased blood pressure
A client with anxiety is prescribed anxiolytic therapy. Before administering the drug, which symptoms of anxiety would the nurse expect to find on the preadministration assessment?*
Increased blood pressure
