Focus on Nursing Pharmacology nurs 317 Flashcards
chapter 22
The biogenic amine theory of depression states that depression is a result of
a.an unpleasant childhood.
b.gamma-aminobutyric acid (GABA) inhibition.
c.deficiency of NE, dopamine, or 5HT in key areas of the brain.
d.blockages within the limbic system, which controls emotions and affect.
d
When teaching a patient receiving TCAs, it is important to remember that TCAs are associated with many anticholinergic adverse effects. Teaching about these drugs should include anticipation of
a.increased libido and increased appetite.
b.polyuria and polydipsia.
c.urinary retention, arrhythmias, and constipation.
d.hearing changes, cataracts, and nightmares.
c
Adverse effects may limit the usefulness of TCAs with some patients. Nursing interventions that could alleviate some of the unpleasant aspects of these adverse effects include
a.always administering the drug when the patient has an empty stomach.
b.reminding the patient not to void before taking the drug.
c.increasing the dose to override the adverse effects.
d.taking the major portion of the dose at bedtime to avoid experiencing drowsiness and the unpleasant anticholinergic effects.
b
You might question an order for a MAOI as a first step in the treatment of depression remembering that these drugs are reserved for use in cases in which there has been no response to other agents because MAOIs
a.can cause hair loss.
b.are associated with potentially serious drug–food interactions.
c.are mostly recommended for use in surgical patients.
d.are more expensive than other agents.
c
Your patient is being treated for depression and is started on a regimen of fluoxetine (Prozac). She calls you 10 days after the drug therapy has started to report that nothing has changed and she wants to try a different drug. You should
a.tell her to try sertraline (Zoloft) because some patients respond to one SSRI and not another.
b.ask her to try a few days without the drug to see whether there is any difference.
c.add an MAOI to her drug regimen to get an increased antidepressant effect.
d.encourage her to keep taking the drug as prescribed because it usually takes up to 4 weeks to see the full antidepressant effect.
b
Which of the following medications is NOT indicated for obsessive–compulsive disorder, depression, and panic disorder?
a.citalopram (Celexa)
b.paroxetine (Paxil)
c.fluvoxamine (Luvox)
d.vortioxetine (Brintellix)
a
Venlafaxine (Effexor) is an antidepressant that might be very effective for use in patients who
a.are being treated effectively with a SSRI.
b.can tolerate multiple side effects.
c.are reliable at taking multiple daily dosings.
d.have not responded to other antidepressants and would benefit from once-a-day dosing.
d
Depression is an affective disorder that is
a.always precipitated by a specific event.
b.most common in patients with head injuries.
c.characterized by overwhelming sadness, despair, and hopelessness.
d.very evident and easy to diagnose in the clinical setting.
e
Depression is a common affective disorder that strikes many people. In assessing a client who might be suffering from depression, the nurse would expect to find which conditions?
a.Lack of energy
b.Hyperactivity
c.Sleep disturbances
d.Libido problems
e.Confusion
f.Decreased reflexes
a,b,c,d
A client reports that he thinks he is taking an antidepressant, but he is not sure. In reviewing his medication history, which drugs would be considered antidepressants?
a.Tetracyclic drugs
b.Cholinergics
c.SSRIs
d.MAOIs
e.Angiotensin II receptor blockers
f.Benzodiazepine
a,b,d
