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70 Cards in this Set

  • Front
  • Back
Patient is prescribed haloperidol (Haldol). The nurse should instruct the patient to
Use a suncreen because the drug increases photosensitivity.
A patient may abuse or develop a dependency on which of the following drugs?
Alprazolam (Xanax) and penobarbital (Nembutal)
Which of the following instructions should the nurse incorporate into her teaching plan for a patient taking chlordiazepoxide (Libium)?
Don't mix chlordiazepoxide with other CNS depressents or alcohol.
Antiparkinsonian drugs can be indicated for which of the following?
To relieve the neurologic adverse effects of anti-psychotic drugs
An elderly patient who take lithium daily tells the nurse that shes feeling nauseous and has diarrhea. The nurse suspects that the patient is experiencing lithium toxicity. The nurse should also determine if the patient has
Ataxia
Clients who are recieving both an MAO Inhibitor and valporate (Depakote, Depakene, Depacon) may experience which of the following?
The seizure threshold may be lowered and the effectiveness of valproate decreased
Mellaril (Thioridazine) is most commonly given for which of the following reasons?
To decrease symptoms of agitation
Triazolam (Halcion) is used to treat which of the following?
Insomnia
Lithium toxicity may be seen when the client also used which of the following medications?
Indomethacin
The client treated for anorexia may recieve which of the following medications?
Periatin (cyproheptadine)
Which of the following drugs is categorized as a hallucinogen?
Mescaline
Cimetadine or Tagamet may lead to drug toxicity if given with which of the following classes of drugs?
Benzodiazephines
Anticholingergic agents reduce the side effect of antipsychotic medication in which of the following ways?
By decreasing the amount of acetylcholine that is available
The client is being treated with ReVia (naltrexone HCL). The PT would need to include which of the following in the client teaching?
Severe overdose will be experienced if the client attempts to over ride the opioid-blocking effects (need to be fee of opioids)
The use of Demerol is contraindicated if the client is also using which of these drugs?
MAO Inhibitors
The client should be instructed to do which of the following if a dose of Prozac is missed?
Omit that dose and return to the regular dosing schedule. Do not make up the missed dose.
The client recieving treatment with hypnotics should be instructed to avoid which of the following drugs, which provide additive CNS depression?
Vitamin C
The client receiving lorazepam (Ativan) should be monitored for which of these side effects?
Drowsiness
The client reports he has ingested a entire bottle of extra strength Tylenol earlier that day. Which of the following medications might be given as an antidote?
Acetlycystine (Mucosil)
The client recieving alprazolam (Xanax) is most likely being treated for which of these?
Anxiety
The client presenting with severe symptoms of delirium tremens might receive which of the following medications?
Magnesium sulfate
The client recieving dopamine for parkinsonian syndrome should be assessed for parkinsonian and extrapyramindal symptoms:
Throughout the course of therapy
Which of the following instructions is part of particular importance for the client receiving drug therapy for HIV?
Medications vary as to whether or not they are to be taken with food and what medications cannot be taken with each other
Which of the following is the main reason why antiviral drugs are limited in their ability to inhibit viral replication in the HIV client?
The virus develops a resistance to the drugs
The PT would administer medication order "a.c." at:
before meals
Which medication would you expect to see lab work ordered as long as the client was taking it?
Tegretol (carbamazepine)
Which medication would you expect to see ordered to counteract extrapyramindal side effects?
Cogentin (benztropine mesylate)
A consumer is given a placebo that controls her maladaptive behaviors. The PT knows that a placebo is:
An inactive substance given to satisfy the patients demand for medication
If a client experienced constipation related to inactivity a stool softener called_____ may be prescribed:
Colace
A Client may be given which medication to reduce stomach acidity?
Maalox
A Client with a history of petit mal seizures might receive
Depakane
Antipsychotic agents administered PO should be given:
With milk, food or a full glass of water.
After teaching a client and family about the use of psychoactive medications, which of the following statements from family members indicates successful teaching?
The drugs help the symptom but may lead to other problems
After teaching a client who is prescribed phenelzine sulfate (nardil) about dietary restrictions, which of the following client statement indicates the need for additional teaching?
Im going to have tacos with sour cream and guacomole tonight.
Which of the following side effects would most likely pose the greatest risk for client adherence to therapy with an SSRI?
Sexual dysfunction
Which of the following instructions would the nurse include in a teaching plan for a client who is receiving lithium?
Avoid getting overheated when you are outside
A client who has been receiving haloperidol (haldol) for a long time exhibits fine worm-like movements of the tongue. What is happening?
TD
Which of the following would the nurse expect to assess in a client who is receiving fluphenazine (Prolixin) and is admitted to the hospital with neuroleptic malignant syndrome?
Hyperpyrexia
Which of the following would be most important for the nurse to monitor for in a client recieving clozapine (clozaril)?
Decrease WBC
Which of the following is the most frequent reason for a client not adhering to the medication regimen?
Debilitating or difficult side effects
The psychiatrist diagnoses Doe with anxiety disorder. Which of the following medication is prescribed for anxiety?
Valium
Which of the following data would suggest that caution is necessary in prescribing a benzodiazepine to an anxious client?
The client has a history of alcohol dependence
The Psychiatrist prescibes imipramine (Tofranil) for his major depression client. What information is specifically related to this class of antidepressants and should be included in client and family education?
Dry mouth, constipation, photosensitivity
A psychiatrist prescribes a monoamine oxidase inhibitor for a client. When teaching the client about the effects of tyramine, which of the following foods and/or medications will the nurse caution the client not to consume?
Pepperoni pizza and red wine
Which of the following medications would most likely be prescribed for EPS effects of antipsychotic medications?
Benztropine (Cogentin)
Julie is on lithium carbonate and she is coming to the health clinic because she has had the flu for over a week. She has a temp of 100.09 F She is complaining of blurred vision and ringing in the ears. What is going on?
She may have become toxic on the lithium carbonate
John, age 8, take methylphenidate for ADHD. His mother complains to the nurse that John has a poor appetite, and she struggles to help him gain weight. which of the following should the mother be advised to do?
Administer Johns medication after meals
When a physician prescribes an additional medication for a client on antipsychotic medication, with the order for it to be administered PRN for EPS. When should the nurse give this medication?
When the client exhibits tremors and shuffling gait
Symptoms of toxicity of lithium carbonate are mostly to appear if the serum level exceeds 1.5 mEq/l.
True
the client states he has an allergy to phenothiazines. which of the following physicians prescriptions should the nurse question?
thioridazine (mellaril) 50mg po tid
a client on the unit suddenly cries out with fear. the nurse notices the clients head is twisted to one side, his back is arched and his eyes have rolled back in their sockets. the client has recently begun drug therapy with haloperidol. based on this assessment the first action of the nurse would be to?
give a prn dose of benztropine (cogentin) IM
one week after beginning therapy with thiothixene (navane), the client demonstrates muscle rigidity, a temp of 103f, ad elevated serum creatinine phosphokinase (cpk) level, stupor, and incontinence. the nurse should notify the physician because these symptoms are indicative of?
neuroleptic malignant syndrome
persons receiving any of the mao inhibitors would be cautioned about avoiding foods containing tyramine because they can precipitate?
hypertensive crisis
a client with bipolar has been taking lithium and today the serum blood level is 2.0mEq/L. what effects would the nurse expect to see?
nausea, diarrhea, and confusion
benstropine (cogentin) is frequently given concurrently with haloperidol. cogentin can?
reduce the extrepyramidal side effects of haldol
The nurse has completed health teachin about dietary restrictions for a client taking an MAO Inhibitor. The nurse will know that teaching has been effective by which of the following statement?
It will be difficult for me to avoid pepperoni.
Tricyclic antidepressents can produce anticholinergic side effects. Which of the following is a common anticholinergic side effect?
Dry mouth
When teaching a client about restrictions for tranylcypromine (parnate), the nurse will tell the client to avoid which of the following foods?
Broad beans
For a client taking clozpine (Clozaril), which of the following symptoms should the nurse report to the physician immediately?
Sore throat and malaise
A client has a lithium level of 1.2 mEq/L. Which of the following interventions by the nurse is indicated?
None
A client is prescribed clozapine (Clozaril) 300 mg/day. Before giving the medication, the nurse anticipates the need for which of the following?
WBC count
The nurse is teaching a client about fluoxetine (Prozac). The client asks if the medication will cause side effects. Which of the following statements best answers the clients questions?
SSRI antidepressents like Prozac cause fewer side effects than other antidepressents.
A client who is taking paroxetine (Paxil) reports to the nurse that he has been nauseated since the beginning the medication. Which of the following actions is indicated initially?
Suggest that the client take the medication with food.
The nurse is assessing a client who is taking haloperidol (Haldol) 2 mg po BID. The nurse must monitor for what common side effect of this drug?
EPS
A client with severe and persistent mental illness will be starting to take clozapine (Clozaril). In teaching about this medication, the nurse must caution that:
Blood work will be required regularly.
When teaching a client about taking lithium, the nurse must include the necessity of maintaining an adequate diet, especially the importance of:
Salt
An important principle about antipsychotic meds is that
Low-potency drugs tend to be sedating
The nurse must be aware that the side effects of alprazolam (Xanax) include which of the following?
Dependency
In planning for a clients discharge, the nurse must know that the greatest risk for the client taking a tricyclic antidepressant is which of the following?
Suicide by overdose
A 50 yr old client with severe and persistent illness has been taking antipsychotic meds for 20 yrs. The nurse observes that the clients behavior includes repetitive movements of the mouth and tongue, facial grimacing, and rocking back and forth, The nurse recognizes these behaviors as indicative of:
Tardive dyskinesia