Pharma Quiz 10 (Psych Meds)

Front 1

Anxiolytics are believed to...

Back 1

increase an inhibitory neurotransmitter called GABA

Front 2

Which drug category, if ordered PRN, would a nurse administer to a client reporting feelings of dread, pacing with the jaw clenched, and hyperventilating?

Back 2

Anxiolytics

Front 3

a sedative-hypnotic medication used to treat insomnia

Back 3

zolpidem (Ambien)

Front 4

Align PCP with

Back 4

unpredictability or instability

Front 5

After a client ingested phencyclidine (PCP)

Back 5

Prevent injury to self and others for 48 hours

Front 6

an anesthetic drug used by veterinarians resulting in sensations that extend from euphoria, to peace, to violence, to coma

Back 6

phencyclidine (PCP)

Front 7

risk of agranulocytosis

Back 7

clozapine (Clozaril)

Front 8

When taking clozapine (Clozaril)

Back 8

WBC count needs to be monitored weekly during the first 6 months because of the risk for severe agranulocytopenia

Front 9

the full effect of this drug may not occur for 1-4 weeks.

Back 9

sertraline (Zoloft)

Front 10

an antidepressant of the selective serotonin reuptake inhibitor (SSRI) type

Back 10

sertraline (Zoloft)

*usually reaches an initial therapeutic effect within 1 to 4 weeks

Front 11

the commonly seen symptoms of withdrawal from alcohol or other CNS depressants

Back 11

diaphoresis
confusion
fever of 100° F
insomnia
anxiety/unable to sit still

Front 12

Valerian root has a primary action of

Back 12

sedation with agitation, headache, and insomnia as common side effects

Front 13

to avoid the use of Valerian root when taking

Back 13

alprazolam (Xanax)

Front 14

The most serious side effect of carbamazepine (Tegretol) is

Back 14

agranulocytosis (low white blood cell count)

Front 15

the most common extrapyramidal side effect of haloperidol (Haldol)

Back 15

Akathisia (inability to sit)

Front 16

an atypical antidepressant that is used more for insomnia than for depression

Back 16

trazodone (Desyrel)

*increases total sleep time

Front 17

Librium causes

Back 17

deeper sleep during stage 4 and increases total sleep time

Front 18

antidote for a benzodiazepine overdose

Back 18

Flumazenil (Romazicon)

Front 19

to alleviate the seizures that often accompany alcohol withdrawal syndrome

Back 19

Valium (Diazepam)

Front 20

given to a pt admitted to an alcohol detox unit 12 hours ago

Back 20

Lorazepam (Ativan)

Front 21

common side effects of imipramine (Tofranil)

Back 21

Orthostatic hypotension and cardiac dysrhythmias

*measure blood pressure and assess cardiac status

Front 22

a common side effect of thioridazine (Mellaril), an antipsychotic

Back 22

Urinary retention

Front 23

commonly prescribed to reduce or eliminate psychotic signs/symptoms (ie. cocaine addiction)

Back 23

Haloperidol (Haldol)

Front 24

known to reduce the cravings for cocaine although this is an unlabeled use of the drug.

Back 24

Bromocriptine mesylate (Parlodel)

**Cocaine depletes dopamine and bromocriptine increases the release of dopamine

Front 25

for a client taking risperidone (Risperdal)...

Back 25

Seizure precautions
Measure blood pressure q 4 hours
Avoid performing activities requiring precision
Measure capillary glucose (temporary hyperglycemia)

Front 26

for a client on this drug, assess every 6 months with the Abnormal Involuntary Movement Scale

Back 26

fluphenazine HCL (Prolixin)

Front 27

Tardive dyskinesia, which results in irreversible damage, is a prominent side effect of

Back 27

fluphenazine HCL (Prolixin)

**Utilization of the AIM scale can provide early detection and prevent the severity of the problem

Front 28

common side effects in females who are abusing testosterone

Back 28

Deepening of the voice, male pattern baldness, and edema

Front 29

for a client on this drug, serum levels should be drawn to prevent toxicity, which could result in peripheral circulatory collapse, edema, and weight gain

Back 29

lithium carbonate (Lithane)

Front 30

given to prevent the effects of alcohol withdrawal

Back 30

chlordiazepoxide (Librium)

Front 31

Associate haloperidol (Haldol) with

Back 31

neuroleptic malignant syndrome (NMS)

Front 32

Associate antipsychotic drugs with

Back 32

variable therapeutic outcomes

**monitor drug effectiveness to determine whether a good "fit" exists between the client's needs and the prescribed drug

Front 33

Drowsiness, hypotension, tachycardia, and dyspnea can occur after administration of the drug especially in the older adult

Back 33

alprazolam (Xanax)

Front 34

Because the drug has an onset of 15-45 minutes, the client should fall asleep within 1 hour

Back 34

flurazepam (Dalmane)

Front 35

Severely restrict foods containing tyramine when taking

Back 35

phenelzine (Nardil)
[monoamine oxidase inhibitor (MAOI)]

**could lead to severe hypertension and other complications

Front 36

When taking an MAOI

Back 36

no tyramine

(coffee, chocolate, wine, cheese, beer, tomato, avocado, banana...)