Focus on Nursing Pharmacology nurs 317

Question 1

Mental disorders are now thought to be caused by some inherent dysfunction within the brain that leads to abnormal thought processes and responses. They include
a.depression.
b.anxiety.
c.seizures.
d.schizophrenia.

Answer 1

c

Question 2

Antipsychotic drugs are basically
a.serotonin reuptake inhibitors.
b.norepinephrine blockers.
c.dopamine receptor blockers.
d.acetylcholine stimulators.

Answer 2

d

Question 3

Adverse effects associated with antipsychotic drugs are related to the drugs’ effects on receptor sites and can include
a.insomnia and hypertension.
b.dry mouth, hypotension, and glaucoma.
c.diarrhea and excessive urination.
d.increased sexual drive and improved concentration.

Answer 3

b

Question 4

Lithium toxicity can be dangerous. Patient assessment to evaluate for appropriate lithium levels would look for
a.serum lithium levels >3 mEq/L.
b.serum lithium levels >4 mEq/L.
c.serum lithium levels <1.5 mEq/L.
d.undetectable serum lithium levels.

Answer 4

a

Question 5

Your patient, a 6-year-old boy, is starting a regimen of methylphenidate (Ritalin) to control an attention deficit disorder. Family teaching should include which of the following?
a.This drug can be shared with other family members who might seem to need it.
b.This drug may cause insomnia, weight loss, and GI upset.
c.Do not alert the school nurse to the fact that this drug is being taken because the child could have problems later.
d.This drug should not be stopped for any reason for several years.

Answer 5

d

Question 6

Antipsychotic drugs are also known as neuroleptic drugs because
a.they cause numerous neurological effects.
b.they frequently cause epilepsy.
c.they are also minor tranquilizers.
d.they are the only drugs known to directly affect nerves.

Answer 6

c

Question 7

Attention-deficit/hyperactivity disorder (the inability to concentrate or focus on an activity) and narcolepsy (sudden episodes of sleep) are both most effectively treated with the use of
a.neuroinhibitors.
b.dopamine receptor blockers.
c.major tranquilizers.
d.CNS stimulants.

Answer 7

a

Question 8

Haloperidol (Haldol) is a potent antipsychotic that is associated with
a.severe extrapyramidal effects.
b.severe hyperactivity.
c.severe hypotension.
d.severe anticholinergic effects.

Answer 8

b

Question 9

Before administering lithium to a patient, the nurse should check for the concomitant use of which drugs, which could cause serious adverse effects?
a.Ibuprofen
b.Haloperidol
c.Thiazide diuretics
d.Antacids
e.Ketoconazole
f.Theophylline

Answer 9

b,e

Question 10

Dyskinesias are a common side effect of antipsychotic drugs. Nursing interventions for the patient receiving antipsychotic drugs should include which actions?
a.Positioning to decrease discomfort of dyskinesias
b.Implementing safety measures to prevent injury
c.Encouraging the patient to chew tablets to prevent choking
d.Careful teaching to alert the patient and family about this adverse effect
e.Applying ice to the joints to prevent damage
f.Pureeing all food to decrease the risk of aspiration

Answer 10

c,d