Psych pharm Q's

After taking a typical antipsychotic medication for 1 month, a client reports, "I feel stiff, my hands shake, and I started drooling." The nurses notices they are stooped over. What extrapyramidal side effect does the nurse conclude that the client has developed? Dystonia Akathisia Tardive dyskinesia Pseudoparkinsonism

Pseudoparkinsonism

A client is diagnosed with diabetic ketoacidosis. Which insulin should the nurse expect the health care provider to prescribe? NPH insulin Inhaled insulin Regular insulin Insulin glargine

Regular insulin

A neuromuscular blocking agent is administered to a client before electroconvulsive therapy. At this time, the nurse will monitor the client for which adverse effect? Seizures Vomiting Loss of memory Respiratory difficulties

Respiratory difficulties

The nurse cares for a client with schizophrenia who is prescribed chlorpromazine. The nurse finds that the client experiences involuntary choreoathetotic movements of the tongue and face. Which action should be avoided in the client? Administering benzodiazepine Administering diphenhydramine Reducing the dose of chlorpromazine Switching to aripiprazole in severe conditions

Administering diphenhydramine

On the first day of the month a primary healthcare provider prescribes an antipsychotic medication for a client with schizophrenia. The initial dosage is 25 mg once a day, to be titrated in increments of 25 mg every other day to a desired dosage of 175 mg daily. On what day of the month will the client reach the desired daily dose of 175 mg? Day 7 Day 9 Day 13 Day 15

Day 13

Which medications are used to treat generalized anxiety disorder (GAD)? Duloxetine Venlafaxine Clonazepam Escitalopram Clomipramine

Duloxetine Venlafaxine Escitalopram

What should the nurse monitor when a client is receiving a platelet aggregation inhibitor such as clopidogrel? Nausea Epistaxis Chest pain Elevated temperature

Epistaxis (bleeding from the nose)

Prolonged chemotherapy may slow production of

leukocytes in bone marrow, thus suppressing the immune system

A client is hospitalized with social anxiety disorder. The client has a history of exhibiting intense, irrational fear of being scrutinized by others. Which primary anxiolytic medications would be prescribed to the client? Select all that apply Sertraline Paroxetine Alprazolam Venlafaxine Clonazepam

Alprazolam Clonazepam

A client with a diagnosis of acquired immunodeficiency syndrome (AIDS) has a protozoal infection and is receiving pentamidine. The nurse should monitor the client for which common side effects? Leukocytosis Hypokalemia Hypoglycemia Increased serum calcium Decreased blood pressure

Hypoglycemia Decreased blood pressure

A nurse in the surgical intensive care unit is caring for a client with a large surgical incision. The nurse reviews a list of vitamins and expects that which medication may be prescribed because of its major role in wound healing? Vitamin A (retinol) Vitamin K (phytonadione) Vitamin C (ascorbic acid) Vitamin B 12 (cyanocobalamin)

Vitamin C (ascorbic acid)

A client receiving chemotherapy asks the nurse why an antibiotic was prescribed. Which tissue affected by chemotherapy should the nurse consider when formulating a response? a) Liver b) Blood c_) Bone marrow d) Lymph nodes

c_) Bone marrow

A client diagnosed with depression is prescribed phenelzine. Which foods consumed along with this drug would cause a hypertensive crisis? Yogurt Soy sauce Cream cheese Soybean paste Over-ripened bananas

Soy sauce Soybean paste Over-ripened bananas

The nurse provides discharge medication education to a client who has been switched from a prescription for heparin to a prescription for warfarin sodium. Which client statement indicates to the nurse that teaching was effective? "I will avoid taking aspirin and NSAIDs." "I will avoid exercise and will spend most of the day working at my desk." "I will need to have regular complete blood counts to guide warfarin dosage." "Before going to the dentist, I will ask my healthcare provider for antibiotics."

"I will avoid taking aspirin and NSAIDs."

An adult reports anxiety, palpitations, and a feeling of impending doom. After a thorough physical examination, the healthcare provider diagnoses a panic attack. Oral lorazepam 1.5 mg stat is prescribed. The lorazepam is available in 0.5-mg tablets. How many tablets will the nurse administer?

3

An admission assessment is conducted for a young adult client being admitted for suicidal ideation. He is taking a SSRI and St. John's wort, in light of this information, what does the nurse recognize as the priority intervention?

Assessing the client for confusion and hyperreflexia

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 client with type 1 diabetes receives 30 units of NPH insulin at 7 am. At 3:30 pm the client becomes diaphoretic, weak, and pale. What does the nurse determine that these physiologic responses are associated with? Diabetic coma Somogyi effect Diabetic ketoacidosis Hypoglycemic reaction

Hypoglycemic reaction

The primary healthcare provider prescribes thioridazine and assigns the nurse to assess the client for orthostatic hypotension. Which interventions would the nurse perform? Measuring the blood pressure before dosing Reducing the dose if the blood pressure is low Measuring the blood pressure one hour after dosing Measuring the blood pressure one or two minutes after the client sits or stands Avoiding the measurement of blood pressure when the client is lying down

Measuring the blood pressure before dosing Measuring the blood pressure one hour after dosing Measuring the blood pressure one or two minutes after the client sits or stands

A client who is taking an oral hypoglycemic daily for type 2 diabetes develops the flu and is concerned about the need for special care. What should the nurse advise the client? Avoid solid food. Take the oral medication. Drink fluids throughout the day. Monitor capillary glucose levels. Do not take medication until tolerating food.

Take the oral medication. Drink fluids throughout the day. Monitor capillary glucose levels.

A nurse is planning to administer a prescribed intravenous solution that contains potassium chloride. What assessment should be brought to the healthcare provider's attention before administration of the intravenous line? a) Uncharacteristic irritability b) Poor tissue turgor with tenting c) Urinary output of 200 mL during the previous 8 hours d) Oral fluid intake of 300 mL during the previous 12 hours

c) Urinary output of 200 mL during the previous 8 hours

The healthcare provider prescribes enoxaparin to be administered subcutaneously daily to a client who had a total knee replacement. To ensure client safety, which measure would the nurse take when administering this medication? a) Remove air pocket from prepackaged syringe before administration. b) Rub the injection site after administration for 30 seconds. c) Administer medication over 2 minutes. d) Administer in the abdomen area only.

d) Administer in the abdomen area only.

Which drug is contraindicated in a pregnant client diagnosed with bipolar disorder? Sertraline Paroxetine Venlafaxine Despramine

Paroxetine

A registered nurse provides dietary instructions to a client who is prescribed isocarboxazid for depression. Which statements made by the client indicates a need for further education? "I will limit my intake of fish." "I will limit my intake of yogurt." "I will limit my intake of bananas." "I will limit my intake of beer." "I will limit my intake of chocolate."

"I will limit my intake of fish." "I will limit my intake of yogurt." "I will limit my intake of beer."

A nurse is caring for a client after a total knee replacement who is requesting hydrocodone/acetaminophen in addition to the patient-controlled analgesia (PCA). The client reports having taken two hydrocodone/acetaminophen tablets every 4 hours for several weeks before surgery. If each tablet contains 500 mg of acetaminophen, how much acetaminophen had the client been ingesting per day?

6000 mg

A client with newly diagnosed rapid-cycling bipolar disorder will be meeting with the nurse for an educational session about the pharmacological approach that is planned. Which classification of medication does the nurse expect to discuss? Antianxiety medication Antiparkinson medication Antidepressant medication Anticonvulsant medication

Anticonvulsant medication

A client with schizophrenia who has been taking clozapine is to be started on 10 mg of olanzapine instead. The nurse explains to the client, in terms that can be understood, that olanzapine is being substituted for clozapine because it does not produce which side effect? Hypotension Gastric upset Agranulocytosis Metabolic syndrome

Agranulocytosis

The nurse is preparing to administer an intravenous piggyback antibiotic that has been newly prescribed. Shortly after initiation, the client becomes restless and flushed and begins to wheeze. The nurse determines the that appropriate priority action will be to stop the antibiotic infusion and then do what? Notify the physician immediately about the client's condition. Take the client's blood pressure. Obtain the client's pulse oximetry. Assess the client's respiratory status.

Assess the client's respiratory status.

A health care provider prescribes vancomycin peak and trough levels for a client who is receiving vancomycin intravenous piggyback (IVPB). When should the nurse have the laboratory obtain a blood sample to determine a peak level of the antibiotic? Halfway between two doses of the drug Between 30 and 60 minutes after a dose Immediately before the medication is administered Anytime it is convenient for the client and the laboratory

Between 30 and 60 minutes after a dose

A healthcare provider prescribes clozapine to a client with schizophrenia. Which parameters should be assessed before initiating the drug? Select all that apply Prolactin levels Body mass index White blood cell count Serum potassium levels Absolute neutrophil count

Body mass index White blood cell count Absolute neutrophil count

The primary healthcare provider suspects agranulocytosis in a client with a history of bipolar disorder (BPD). Which drug used to treat BPD is responsible for this condition? Clozapine Olanzapine Risperidone Aripiprazole

Clozapine

A client is admitted to the emergency department with burns to the anterior trunk, entire right arm, and anterior right leg. The practitioner prescribes morphine sulfate for pain. What route of administration should the nurse expect to administer this medication? a) Orally b) Intravenously c) Subcutaneously d) Intramuscularly

Intravenously

A client with multiple myeloma who is receiving the alkylating agent melphalan returns to the oncology clinic for a follow-up visit. For which side effect should the nurse monitor the client? Hirsutism Leukopenia Constipation Photosensitivity

Leukopenia

A nurse is monitoring a client who is receiving an intravenous (IV) infusion of normal saline. What is a serious complication of IV therapy? Bleeding at the infusion site Shortness of breath with crackles Feeling of warmth throughout the body Infiltration at the catheter insertion site

Shortness of breath with crackles

A client has been receiving lithium for the past 2 weeks for the treatment of bipolar disorder, manic phase. What will the nurse include in the teaching plan for this client? A diuretic is necessary for anyone taking lithium. Lithium must be taken for the rest of the client's life. The blood level of lithium must be checked every month. A low-sodium diet must be followed while lithium is being taken.

The blood level of lithium must be checked every month.

Selegiline is prescribed for a client with Parkinson disease who is having an inadequate response to levodopa therapy. What information does the nurse include when teaching the client about the addition of this drug to the regimen? a) Primary healthcare provider should be contacted immediately if a severe headache occurs. b) Therapeutic blood level of the drug should be monitored each month. c) Dosage of the drug can be adjusted daily depending on the client's response that day. d) Side effects of levodopa will decrease when the selegiline and levodopa are taken concurrently.

a) Primary healthcare provider should be contacted immediately if a severe headache occurs.

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

A client is taking furosemide. At each clinic visit, the nurse should assess for what adverse effect? Rapid weight loss Xanthopsia Hyporeflexia Bronchospasm

Hyporeflexia

A nurse administers an intravenous solution of 0.45% sodium chloride. In what category of fluids does this solution belong? Isotonic Isomeric Hypotonic Hypertonic

Hypotonic

A 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 call my primary healthcare provider right away if I have any diarrhea or vomiting." "I won't eat anything containing tyramine while I'm taking this drug." "I'll avoid direct sunlight and make sure to use sunscreen when I go outside." "I'll be sure to drink enough fluids, because the drug may make me urinate more than usual."

"I'll avoid direct sunlight and make sure to use sunscreen when I go outside."