Chap 16 (exam 2) Flashcards
The nurse is administering the antipsychotic drug clozapine (Clozaril) and should monitor the patient for what long-term problem(s) associated with this drug? Select all that apply: Mood swings Agranulocytes Weight gain Photosensitivity Increased appetite
Agranulocytes
Weight gain
Increased appetite
During therapy for depression with a selective serotonin reuptake inhibitor (SSRI), it is most important for the nurse to instruct the family to monitor for which adverse effect? Suicidal thoughts Visual disturbances Tardive dyskinesia Bleeding tendencies
Suicidal thoughts
The wife of a patient who has started taking antidepressant therapy asks, “How long will it take for him to feel better?” What is the nurse’s best response?
“Well, depression rarely responds to medication therapy”
“He should be feeling better in a few days.”
“It may take 4-6 weeks before you seen an improvement”
“You may not see any effects for several months”
It may take 4-6 weeks before you see an improvement
When administering certain antipsychotic drugs, the nurse monitors for extrapyramidal effects such as: Select all that apply: Tremors Elation and a sense of well-being Painful muscle spasms Motor restlessness Bradycardia
Tremors
Painful muscle spasms
Motor restlessness
The nurse instructs a patient who is undergoing therapy with monoamine oxidase inhibitors (MAOIs) to avoid tyramine-containing foods. What medical emergency may occur if the patient eats these foods while taking MAOIs? Gastric hemorrhage Toxic shock Cardiac arrest Hypertensive crisis
Hypertensive crisis
A patient has been taking antipsychotic medication for years, and his wife has noticed that he has had some new physical symptoms. She describes him as having odd facial movements, sticking out his tongue, and having movements of his arms that he cannot seem to control. The nurse suspects that the patient is exhibiting signs of which condition? Hypomania Serotonin syndrome Tardive dyskinesia Neuroleptic malignant syndrome
Tardive dyskinesia
Buspirone (BuSpar)
A non-benzodiazepine drug used to treat anxiety
Tyramine
Patients taking MAOIs need to be taught to avoid foods that contain this substance
Tricyclics
An older class of antidepressant drugs
Psychosis
A type of serious mental illness that can take several different forms and is associated with being truly out of touch with reality
Mania
A state characterized by an expansive emotional state (including symptoms of extreme excitement and elation) and hyperactivity
Diazepam (Valium)
A long-acting benzodiazepine
Amitriptyline (Elavil)
The most widely used tricyclic antidepressant
Risperidone (Risperdal)
An atypical antipsychotic drug used to treat schizophrenia
Benzodiazepines
A group of psychotropic drugs prescribed to alleviate anxiety
