ATI Medication Flashcards
A new prescription for olanzapine.
What priority interventions should the nurse take?
a)Advise the client to take frequent sips of water.
b)Instruct the client to avoid driving during initial therapy
c)Consult a dietitian for a calorie-controlled diet plan
d) Recommend that the client exercise regularly
A: b
Risk for drowsiness or dizziness. Treatment of behavior disorders in older adults with dementia
Not approved by FDA
a Yes, d/t dry mouth but not priority intervention
b Yes, d/t weight loss but this is not priority intervention
c Yes, d/t weight gain but this is not priority intervention
Administer chlorpromazine 0.55mg/kg PO to an adolescent who weighs 110lb. Available is chlorpromazine syrup 10mg/5mL. How many mL should the nurse administer?
110lb=50kg
0.55mg* 50kg=27.5mg
27.5 mg * 5mL
10mg =14 (13.75) mL
A client who is experiencing alcohol withdrawal. Which medication should administer first?
a) Diazepam 5mg IV bolus
b) Clonidine 0.1 mg patch
c) Naltrexone 380mg IM
d) Bupropion 150mg PO
A: a
The great risk to the client who is experiencing alcohol withdrawal is seizures, an elevated HR, and increased BP.
Diazepam rapidly works that problem and decreases the intensity of withdrawal manifestations.
Bipolar disorder pt reports that they stopped taking lithium 2 weeks ago. The nurse should recognize which of the expecting ADR?
a) Sore throat
b) Photophobia
c) Hand tremors
d) Constipation
c
Teaching a depressive disorder pt about fluoxetine. Which one should nurses include in the teaching?
a)“you might notice an increase in saliva while taking this medication.”
b)“you might experience difficulties with sexual functioning while taking this med.”
c)“you should expect an improvement in symptoms of depression in 3 to 4 days.”
d)“you may notice a temporary ringing in the ears when starting this medication.”
A: b
a dry mouth i
c Ttakes 1 to 3 weeks or longer
d Visual disturbances, not ear
A client who has schizophrenia and began taking a conventional antipsychotic medication yesterday. Which of the following findings indicates the nurse should administer benztropine 2mg IM?
a) Shuffling gait
b) Hypotension
c) Decreased WBC count
d) Blurred vision
A: a
b, c, d
They are ADRs but they cannot be treated with benztropine
A pt who has schizophrenia and is taking clozapine.
Which of the following findings is the priority to notify the provider?
a)The pt’s chart indicates a 1.36-kg weight gain in 1month.
b)The pt reports an inability to breathe easily
c)The pt’s laboratory results indicate a fasting blood glucose level 130mg/dL
d) The pt reports having recently started smoking cigarettes
A: b
Serious ADR such as heart failure, myocarditis, and pulmonary embolism.
a,b, c These are one of ADRs but the not first things to notify
A pt who reports experiencing a headache and heart palpitations after having a glass of wine 1 hr ago.
The client has a history of depression and a BO 210/105. Which action does the nurse take first?
a)administer phentolamine 5mg IV to the pt
b)Apply a hypothermic blanket to the pt
c)Determine the pt’s prescribed medication regimen 薬物投与計画
d)Initiate IV access for the pt
A: c
The first thing nurse should do is assess the pt. By determining the pt prescribed meds, the nurse can determine the cause of the HTN such as the pt taking an MAOI to treat depression
MAOI’s ADRs are HTN crisis if consumed with tyramine-containing food, including wine tyramine-
containing food, =kimchi, pickled beets, pickled cucumbers, and pickled peppers
A nurse is planning discharge for a pt who has bipolar disorder and has a prescription for lithium. Which statements indicate understanding the teaching?
a)“I should eat a regular diet with normal amount of salt and fluid”
b)“I should discontinue the lithium when I begin to feel better”
c)“I need to be careful to avoid becoming addicted to the lithium”
d)“I can skip a dose of medication if my stomach is upset”
A: a
Normal levels of sodium and fluid need to be maintained to ensure adequate excretion of lithium.
If sodium is low, the body
compensated by decreasing lithium excretion which can lead to toxicity
b bipolar disorder is a chronic illness and is not cured with medication, the pt should continue taking lithium after manifestations improves
c Lithium is not cause physical dependency or addiction
d With a meal can decrease stomach upset, but not skipping because of ADR
A nurse is caring for a pt who is undergoing electroconvulsive therapy (ECT) and will receive succinylcholine. The pt asks the nurse about the medication and what to respond?
a)Succinylcholine will enhance the therapeutic effects of this treatment
b)Succinylcholine is given to reduce muscle movements during therapy
c)Succinylcholine will decrease the anxiety level that you might experience with this treatment
d)Succinylcholine is used as a general anesthetic to make sure you are sleeping during the procedure
A: b
Succinylcholine is a muscle-paralyzing agent that will decrease muscle movement during the procedure so pt is less likely to be injured
a:The purpose of Succinylcholine is not to increase the therapeutic effect of ECT
c:Succinylcholine is not an antianxiety agent
d:Succinylcholine is not a general anesthetic
A nurse is a provider’s office is collecting health history from the guardian of a school-age child who has been taking atomoxetine. Which of the following adverse effects reported by the guardian is the priority for the nurse to report to the provider?
a) Reduce appetite
b) Fatigue
c) Dark urine
d) Sweating
A: c
The greatest risk for the pt is liver damage from atomoxetine
a, b, d are also ADRs, but c is more serious and have to report first
Paroxetine (SSRI)
a)initial effect takes?
b)Optimal effect?
c) Should not take for?
a) 4 weeks to develop
b) in 8 – 12 weeks
c) Should NOT be taken PRN. Treatments should continue for a least 1 year
Withdrawal frequently brings anxiety back
Pressured speech?
Fast, ranging from rapid to frenetic
Usually LOUD, incoherent, and false sense of urgency
Seen is manic episode
Circumstantial speech?
Occurs when client adds unnecessary and lengthy details but eventually gets to the point
What medication is a contraindication for pt with Alzheimer’s disease?
Antipsychotics
These meds are not for treatment of agitation.
Chlorpromazine used for?
Schizophrenia reduced hallucinations
First gen antipsychotic
decreases delusions, hallucinations, and agitation.
Can treat manic behavior in clients with bipolar disorder. ADR: sedation.
