Pharm Q's 6

Which drugs may lead to a prolongation of the QT interval in a client who is on drug therapy for schizophrenia? Loxapine Haloperidol Thiothixene Thioridazine Chlorpromazine

Haloperidol Thioridazine Chlorpromazine

The nurse teaches a client receiving isocarboxazid that failure to adhere to the necessary dietary restrictions can result in which complication? Syncope Bradycardia Hypertensive crisis Hyperglycemic episodes

Hypertensive crisis

A nurse is caring for a client with the diagnosis of schizophrenia who is started on fluphenazine decanoate. What is the primary advantage of this medication? There are no side effects. It has a long-lasting effect. It is safe to use during pregnancy. There is less need for laboratory monitoring.

It has a long-lasting effect.

The nurse cares for a client with bipolar disorder who is receiving drug therapy. The laboratory report reveals that the client's serum sodium level is 132 mEq/L (132 mmol/L). Which drug might have led to this condition? Lithium Bupropion Fluoxetine Nortriptyline

Fluoxetine

A client with a diagnosis of bipolar I disorder, manic episode, is started on a regimen of an antipsychotic agent and lithium carbonate. The nurse explains to the client that the rationale behind this regimen is that the antipsychotic has which action? Potentiates the action of lithium for more effective results Interacts with lithium to prevent progression to the depressive phase Helps decrease the risk of lithium toxicity in the first week of therapy Acts to quiet the client while allowing time for the lithium to reach a therapeutic level

Acts to quiet the client while allowing time for the lithium to reach a therapeutic level

A client who is on haloperidol therapy has developed akathisia and acute dystonia. Which drugs would be used to manage extrapyramidal effects? Bupropion Duloxetine Benztropine Amitriptyline Trihexyphenidyl

Benztropine Trihexyphenidyl

An agitated, acting-out, delusional client is receiving large doses of haloperidol, and the nurse is concerned because this drug can produce untoward side effects. Which clinical manifestations will alert the nurse to stop the drug immediately? Jaundice Dizziness Tachycardia Lethargic behavior Extrapyramidal symptoms

Jaundice Tachycardia

Which drug may lead to bruxism? Vilazodone Isocarboxazid Clomipramine Levomilnacipran

Levomilnacipran

A client on antidepressant therapy develops hyponatremia. Which drug may be responsible for the client's electrolyte imbalance? Phenelzine Paroxetine Imipramine Amitriptyline

Paroxetine

Which drugs are used as the first-line treatment for posttraumatic stress disorder (PTSD)? Sertraline Paroxetine Phenelzine Venlafaxine Amitriptyline

Sertraline Paroxetine

A client with schizophrenia is receiving intramuscular injections of fluphenazine decanoate. After therapy is initiated, dystonia develops. What clinical manifestations does the nurse document during the assessment? Akathisia Torticollis Shuffling gait Masklike facies Oculogyric crisis

Torticollis Oculogyric crisis

A client with schizophrenia who has type II (negative) symptoms is prescribed risperidone. Which outcomes indicate that the medication has minimized these symptoms? There is less agitation. There are fewer delusions. More interest is shown in unit activities. The client reports that the hallucinations have stopped. The client performs activities of daily living independently.

3.More interest is shown in unit activities. 5.The client performs activities of daily living independently

A registered nurse teaches a nursing student about antipsychotic drugs. Which statements made by the nursing student need a correction? SELECT ALL THAT APPLY "Antipsychotic drugs only benefits clients with psychotic symptoms." "Atypical antipsychotics carry a lower risk of extrapyramidal side effects." "Only second-generation antipsychotics are used to treat bipolar disorder (BPD)." "Antipsychotic drugs are always used in combination with lithium and valproate." "Antipsychotic drugs are used acutely to control symptoms during manic episodes."

"Antipsychotic drugs only benefits clients with psychotic symptoms." "Antipsychotic drugs are always used in combination with lithium and valproate."

A nurse administers prescribed anxiolytics to clients with severe emotional disorders. What is the goal of this treatment? Reduces antisocial symptoms Limits secondary complications Prevents destructiveness by the client Makes the client more amenable to psychotherapy

Makes the client more amenable to psychotherapy

A client is receiving a monoamine oxidase inhibitor (MAOI). What does the nurse teach the client? It is necessary to avoid the sun. Drowsiness is an expected side effect of this medication. The therapeutic and toxic levels of the drug are very close. Many prescribed and over-the-counter drugs cannot be taken with this medication.

Many prescribed and over-the-counter drugs cannot be taken with this medication.

Antipsychotic drugs can cause extrapyramidal side effects. Which responses does the nurse document as indicating pseudoparkinsonism? Rigidity Tremors Mydriasis Photophobia Bradykinesia

Rigidity Tremors Bradykinesia

While caring for a client on antidepressant therapy, the nurse observes hyperthermia and seizures. Upon a further assessment, the nurse finds that the client's heart rate is 200 beats per minute. Which medication might be responsible for the condition? Sertraline Asenapine Risperidone Fluphenazine

Sertraline

A client with a known history of opioid addiction is treated for multiple stab wounds to the abdomen. After surgical repair the nurse notes that the client's pain is not relieved by the prescribed morphine injections. The nurse realizes that the failure to achieve pain relief indicates that the client is probably experiencing what phenomenon? Tolerance Habituation Physical addiction Psychological dependence

Tolerance

A client with alcohol dependence is admitted to the detoxification unit. Which class of medication does the nurse anticipate that the healthcare provider will prescribe? Opiate Antipsychotic Antidepressant Benzodiazepine

Benzodiazepine

A depressed client is given 50 mg of sertraline at bedtime. For what drug-related side effects will the nurse monitor the client? Dry mouth Weight gain Constipation Photosensitivity Projectile vomiting

dry mouth constipation