Pharm Q's 7
A client who is taking haloperidol has developed tardive dyskinesia. Which therapy is beneficial for the client? Administering benzodiazepines Providing anticholinergics therapy Administering nonsteroidal antiinflammatory drugs Switching to other first-generation antipsychotic drugs
Administering benzodiazepines
Which class of drugs is frequently prescribed for a client with bipolar disorder to induce sedation? Antipsychotics Antidepressants Benzodiazepines Mood stabilizers
Benzodiazepines
Lithium carbonate, 600 mg by mouth three times a day, is prescribed for a client. The nurse concludes that the teaching about its side effects is understood when the client says that the primary healthcare provider will be notified immediately if what condition occurs? Difficulty urinating Sensitivity to bright light or sun Fine hand tremor or slurred speech Sexual dysfunction or breast enlargement
Fine hand tremor or slurred speech
A young adult client with schizophrenia is prescribed haloperidol. When the nurse administers the medication, the client asks, "What's this for?" The nurse responds that the medication has which effect? Helps the client relax and think more clearly Fights "the blues" and helps keep thoughts together Maintains an even mood and controls the client's temper Raises the client's seizure threshold by letting the client think more clearly
Helps the client relax and think more clearly
The nurse is to administer a muscle relaxant just before a client undergoes electroconvulsive therapy. The major disadvantage of this drug is that it inhibits which muscles? Biceps and triceps muscles Facial and thoracic muscles Intercostal and diaphragmatic muscles Sternocleidomastoid and abdominal muscles
Intercostal and diaphragmatic muscles
A client has become increasingly depressed, and the primary healthcare provider prescribes an antidepressant. After 20 days of therapy, the client returns to the clinic. The client appears relaxed and smiles at the nurse. What is the most significant conclusion that the nurse can draw from this behavior? Wants to please the staff Has resolved the conflicts May be in denial of the problems Is responding to the antidepressant therapy
Is responding to the antidepressant therapy
A primary healthcare provider prescribes divalproex. What does the nurse consider an appropriate indication for the use of this drug? Control of acute agitation of schizophrenia Treatment of the agitated phase of a paranoid state Management of manic episodes of bipolar disorder Modification of the depressive phase of major depression
Management of manic episodes of bipolar disorder
A client with the diagnosis of schizophrenia and type 1 diabetes has recently been receiving haloperidol as part of the treatment plan. When the client has a sudden change in health status, the nurse reviews the client's medical record and performs a physical assessment. What medical emergency does the nurse conclude that the client is experiencing?
Neuroleptic malignant syndrome
Which atypical antipsychotics are approved for long-term use to prevent the recurrence of mood episodes in clients with bipolar disease? Olanzapine Quetiapine Ziprasidone Risperidone Aripiprazole
Olanzapine Ziprasidone Aripiprazole
A client is to take an antipsychotic drug twice a day. Two-thirds of the daily dose is given in the evening and one-third in the morning. What will the nurse tell the client is the rationale for this schedule? To facilitate dreaming To maintain the daily sleep rhythm To reduce sedation during the daytime To decrease assaultiveness in the evening
To reduce sedation during the daytime
The nurse cares for a client who has schizophrenia and is taking chlorpromazine. The nurse instructs the family members to inform the nurse if any adverse effects develop. Which side effects are considered late extrapyramidal side effects? Tremors Restless movements Muscle spasms of neck Worm-like tongue movements
Worm-like tongue movements
A nurse is educating a client who is taking clozapine for paranoid schizophrenia. What will the nurse emphasize about the side effects of clozapine? Risk for falls Inability to sit still Increase in temperature Dizziness upon standing
Increase in temperature
A nurse is caring for a client who has abruptly stopped taking a barbiturate. What withdrawal complication does the nurse anticipate that the client may experience? Ataxia Seizures Diarrhea Urticaria
Seizures
A client in the hyperactive phase of a mood disorder, bipolar type, is receiving lithium. A nurse sees that the client's lithium blood level is 1.8 mEq/L (1.8 mmol/L). What is the most appropriate nursing action? Continuing the usual dose of lithium and noting any adverse reactions Discontinuing the drug until the lithium serum level drops to 0.5 mEq/L (0.5 mmol/L) Asking the primary healthcare provider to increase the dose of lithium, because the blood lithium level is too low Holding the drug and notifying the primary healthcare provider immediately, because the blood lithium level may be toxic
Holding the drug and notifying the primary healthcare provider immediately, because the blood lithium level may be toxic
A client is started on chlorpromazine. To prevent life-threatening complications from the administration of this medication to an anxious, restless client, it is important that the nurse take which action? Provide adequate restraint. Monitor the client's vital signs. Protect against exposure to direct sunlight. Watch the client for extrapyramidal side effects.
Monitor the client's vital signs.
A healthcare provider diagnoses attention deficit hyperactivity disorder (ADHD) in a 7-year-old child and prescribes methylphenidate. The nurse discusses the child's treatment with the parents. What does the nurse emphasize as important for the parents to do? Monitor the effect of the medication on their child's behavior. Increase or decrease the dosage, depending on the child's behavior. Avoid imposing too many rules, because this will frustrate the child. Point out to their child that behavior can be controlled.
Monitor the effect of the medication on their child's behavior.
The primary healthcare provider prescribed selective serotonin reuptake inhibitor therapy for a client who survived a bomb blast. During a follow-up visit, the nurse finds that the symptoms did not subside. Which other medications would be beneficial for the client? Buspirone Phenelzine Trazodone Mirtazapine Imipramine
Phenelzine Mirtazapine Imipramine
A primary healthcare provider prescribes oxazepam for a client who is beginning to experience withdrawal symptoms while undergoing detoxification. What are the primary reasons that oxazepam is given during detoxification? Prevents injury and protects the client when seizures occur Enables the client to sleep and eat better during periods of agitation Encourages the client to cooperate with and accept treatment for alcoholism Reduces the anxiety-tremor state and prevents more serious withdrawal symptoms
Reduces the anxiety-tremor state and prevents more serious withdrawal symptoms
A client has been taking 3 mg of risperidone twice a day for the past 8 days. At the follow-up appointment, the client reports tremors, shortness of breath, a fever, and sweating. What will the nurse do? Call 911 and have the client transported to the nearest psychiatric unit. Take the client's vital signs and arrange for immediate transfer to a hospital. Check the number of risperidone tablets left in the prescription bottle to see whether there was an overdose. Request a prescription for 2 mg of intramuscular benztropine stat and assess the client in 10 to 15 minutes for symptom relief.
Take the client's vital signs and arrange for immediate transfer to a hospital.
A client with depression is to be given fluoxetine. What precaution will the nurse consider when initiating treatment with this drug? It must be given with milk and crackers to prevent hyperacidity and discomfort. Eating cheese or pickled herring or drinking wine may cause a hypertensive crisis. The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks. The blood level should be checked weekly for 3 months to monitor for an appropriate level.
The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks.
