Psych Pharm Q's 5
A client with a history of methamphetamine use is admitted to the medical unit. What clinical manifestation does the nurse expect when assessing the client? Constricted pupils Intractable diarrhea Increased heart rate Decreased respirations
Increased heart rate
Which drug is contraindicated in clients with blood dyscrasias? Duloxetine Bupropion Mirtazapine Chlorpromazine
Chlorpromazine
A client with mild Alzheimer disease has been taking galantamine, and the primary healthcare provider prescribes paroxetine for depression. For what effect will a nurse assess the client when these medications are taken concurrently? Allergic Dystonic Additive Extrapyramidal
Additive
An adolescent with a major depressive disorder is prescribed venlafaxine. What signs or symptoms related to the medication will the nurse communicate immediately to the prescribing provider? Blurred vision Suicidal ideation Difficult urination Tardive dyskinesia Transient hypoglycemia
Blurred vision Suicidal ideation Difficult urination
A client with schizophrenia is started on a regimen of chlorpromazine. After 10 days a shuffling gait, tremors, and some rigidity are apparent. Benztropine mesylate 2 mg by mouth daily is prescribed. What does the nurse remember when administering these medications together? Both medications are cholinesterase inhibitors. Both medications have a cholinergic-blocking action. The antipsychotic effects of chlorpromazine will be decreased. The synergistic effect of these medications will cause drooling.
Both medications have a cholinergic-blocking action.
A client is receiving carbamazepine for the treatment of a manic episode of bipolar disorder. What does the nurse include when planning client teaching about this medication? "You have to eat a low-sodium diet every day." "You'll have to take a diuretic with this medication." "You'll have to take this medication for the rest of your life." "You may want to suck on sugar-free hard candy when you get a dry mouth." "We'll need to test your blood often during the first few weeks of therapy."
"You may want to suck on sugar-free hard candy when you get a dry mouth." "We'll need to test your blood often during the first few weeks of therapy."
Which adverse effect is least likely to occur in a client who is prescribed clozapine? Seizures Sedation Akathisia Myocarditis
Myocarditis
Which drug is a high-potency medication used to treat schizophrenia? Loxapine Thioridazine Fluphenazine Perphenazine
Fluphenazine
Which clients with schizophrenia should not be prescribed chlorpromazine? Clients with glaucoma Clients with dynamic ileus Clients with Parkinson disease Clients with severe hypertension Clients with prostatic hypertrophy
Clients with Parkinson disease Clients with severe hypertension
Upon assessment, the primary healthcare provider finds that the client is experiencing weight gain as well as elevated lipid and blood glucose levels. Which drugs in the client's prescription list are most likely to cause these metabolic side effects? Clozapine Asenapine Quetiapine Olanzapine Ziprasidone
Clozapine Olanzapine
A client has recently started taking a new neuroleptic drug, and the nurse notes extrapyramidal effects. Which drug does the nurse anticipate will be prescribed to limit these side effects? Zolpidem Hydroxyzine Dantrolene Benztropine mesylate
Benztropine mesylate
A client is prescribed a monoamine oxidase inhibitor. What foods does nurse teach the client to avoid when taking this medication? Fresh fish Citrus fruits Aged cheese Ripe avocados Delicatessen meats
Aged cheese Ripe avocados Delicatessen meats
A healthcare provider prescribes disulfiram for a client who abuses alcohol. The nurse teaches the client that disulfiram will have which action? Affect short-term memory Permit a healthier lifestyle Allow the client to tolerate small amounts of alcohol Cause a severe adverse reaction if alcohol is consumed
Cause a severe adverse reaction if alcohol is consumed
Which second-generation antidepressant can worsen uncontrolled angle closure glaucoma? Trazodone Bupropion Duloxetine Mirtazapine
Duloxetine
The nurse cares for a client with schizophrenia and who is receiving ziprasidone. Which conditions in the client may indicate discontinuation of the drug? Leukopenia Tachycardia Hypokalemia Hypermagnesemia Prolonged QT interval
Leukopenia Hypokalemia Prolonged QT interval
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.
A client who is being treated for schizophrenia, paranoid type, arrives at the clinic demonstrating a shuffling gait and tilting the head toward one shoulder. What does the nurse conclude about these clinical manifestations? Expected characteristics of this illness Consistent with an acute exacerbation of the illness Possible side effects of the antipsychotic medication Life threatening and requiring immediate intervention
Possible side effects of the antipsychotic medication
A client begins fighting and biting other clients. The primary healthcare provider prescribes a stat injection of haloperidol. How will the nurse implement this prescription? Quickly, with an attitude of concern Before the client realizes what is happening After the client agrees to receive the injection Quietly, without any explanation of the reason for it
Quickly, with an attitude of concern
A client is prescribed the benzodiazepine alprazolam for the management of panic attacks. The nurse is confident that the medication information discussed has been understood when the client takes which action? Removes the pepperoni from a pizza Asks for an extra bottle of flavored water to drink with dinner Requests a prescription for oral birth control before being discharged States that chewable antacids may be taken to relieve heartburn
Requests a prescription for oral birth control before being discharged
A nurse is caring for a group of clients on the psychiatric unit. What clinical findings will alert the nurse that serotonin syndrome has developed in one of the clients? Continuous involuntary movement of the tongue and jaw Extremely high blood pressure with headache and flushing Blurred vision, urine retention, dry mouth, and constipation Restlessness, tachycardia, fever, diarrhea, and altered mental status
Restlessness, tachycardia, fever, diarrhea, and altered mental status
A pediatric client with a history of chickenpox is undergoing treatment for mental illness with psychotherapeutic drugs. Which is the expected adverse effect of the psychotherapeutic drug in the pediatric client? Reye's syndrome Serotonin syndrome Orthostatic hypotension Extrapyramidal symptoms
Reye's syndrome
The mother of a client reports, "My son is afraid of every small thing and has a fear of dying." Upon assessment, the nurse finds palpitations, racing heartbeat, and sweating. Which first-line medications would be beneficial for the client? Sertraline Fluoxetine Phenelzine Alprazolam Imipramine
Sertraline Fluoxetine
Which drugs are considered neuroleptics? Asenapine Lurasidone Aripiprazole Thioridazine Chlorpromazine
Thioridazine Chlorpromazine
A client with depression was prescribed fluoxetine. After two days, the client arrives at the hospital and reports restlessness, confusion, and poor concentration. Upon assessment, the nurse finds an elevated body temperature. Which intervention by the healthcare provider would be beneficial to the client? Withdrawing the drug Administering isocarboxazid Reducing the dose of the drug Informing the client that these are expected side effects
Withdrawing the drug
A client who has schizophrenia is receiving a phenothiazine antipsychotic medication. Which serious client responses to the medication will the nurse immediately report to the primary healthcare provider? Akathisia Shuffling gait Yellow sclerae Photosensitivity Involuntary tongue movements
Yellow sclerae Involuntary tongue movements
A client with schizophrenia who is receiving an antipsychotic medication begins to exhibit a shuffling gait and tremors. The primary healthcare provider prescribes the anticholinergic medication benztropine, 2 mg daily. What will the nurse assess the client for daily when administering these medications together? Constipation Hypertension Increased salivation Excessive perspiration
Constipation
Antipsychotic drugs can cause extrapyramidal side effects. Which responses does the nurse document as indicating pseudoparkinsonism? Rigidity Tremors Mydriasis Photophobia Bradykinesia
Rigidity Tremors Bradykinesia
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
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 prescribes lithium carbonate for a client with bipolar disorder, depressive episode. What instructions will the nurse include when teaching the client about lithium? Take the medication with food. Adjust the dosage if your mood improves. Have a snack with milk before going to bed. It may take several weeks for beneficial results to occur. You do not have to restrict your intake of dietary sodium.
Take the medication with food. It may take several weeks for beneficial results to occur. You do not have to restrict your intake of dietary sodium.
