Module 6 Final Review

Question 1

What side effect of SSRIs may cause poor adherence?

Answer 1

sexual dysfunction

Question 2

what medication may be used following alcohol detox to promote sobriety?

Answer 2

disulfiram

Question 3

what teaching should the nurse provide to a patient that is prescribed zolpidem for insomnia?

Answer 3

common side effect of headache and medication should only be used short term (7-10 days)

Question 4

If a patient no longer wants to take lorazepam due to its adverse effects, what education should we provide?

Answer 4

the drug must be tapered while discontinuing to prevent withdrawal symptoms

Question 5

What should the nurse plan to administer if a patient took too many benzodiazepines and is currently experiencing toxicity?

Answer 5

flumazenil

Question 6

what education should be provided to a patient who has recently been accepted for methadone therapy to detox from heroin?

Answer 6

you must come to the clinic in person to receive your dose of methadone

Question 7

what preexisting condition would be alarming for a patient newly prescribed carbamazepine?

Answer 7

bone marrow suppression

Question 8

what is the black box warning for carbamazepine?

Answer 8

blood dyscrasias

Question 9

What adverse effect may occur in those taking phenytoin for seizure disorder?

Answer 9

gingival hyperplasia

Question 10

why should patients taking phenytoin use a barrier method for birth control?

Answer 10

phenytoin decreases effectiveness of oral contraceptives and it is a pregnancy category D

Question 11

what is the goal of treatment for donepezil?

Answer 11

improve cognition and function

Question 12

what is the action of cyclobenzaprine?

Answer 12

reduction of muscle spasm

Question 13

What effects may occur while taking neostigmine?

Answer 13

bradycardia, diaphoresis, dyspnea, and miosis; SLUDGES

Question 14

What adverse effect may occur while taking haloperidol?

Answer 14

extrapyramidal symptoms (acute dystonia-spasms of face/neck/tongue/back, akathisia-inability to be still, tardive dyskinesia -lip smacking, involuntary movements arms/legs/trunk and parkinsonism)

Question 15

what nonpharmacological therapies can be utilized for Parkinson’s disease?

Answer 15

exercise, increase fiber/fluids, support group therapy

Question 16

What symptoms may present in a patient who has developed NMS (neuroleptic malignant syndrome) from taking haloperidol?

Answer 16

muscle rigidity, and a sudden, high fever
-sweating, tachycardia, tremor, incontinence, stupor, leukocytosis, elevated creatinine phosphokinase, and renal failure

Question 17

What adverse effects may occur with clozapine (atypical antipsychotics)?

Answer 17

agranulocytosis (increased infection)

Question 18

What is important to assess at a follow up appointment soon after starting fluoxetine (SSRIs) to ensure safety?

Answer 18

suicidal ideation; also important when dose increase or decrease

Question 19

Do older adults require the same dosages of antidepressants as younger patients?

Answer 19

no, they require lower dosages; start low and go slow

Question 20

what are examples of high tyramine foods that those taking MAOIs should avoid?

Answer 20

blue cheese, sardines, pepperoni, swiss cheese, and corned beef

Question 21

What patient education should be provided with amitriptyline?

Answer 21

take at bed time (drowsy), hard candies (dry mouth), hesitancy, notify provider if changes to vision

Question 21

What dietary considerations should occur with lithium?

Answer 21

8 glasses of water, extra salt (prevents toxicity), and take w/food

Question 22

What are s/s of advanced lithium toxicity?

Answer 22

ataxia, seizures, clear dilute urine, and hypoglycemia, tinnitus, blurred vision
coma/death due to respiratory complications

Question 23

What adverse effect associated with typical antipsychotics results in high body temperature?

Answer 23

NMS

Question 24

What may indicate a muscle relaxant has been effective?

Answer 24

decrease pain and increase ROM

Question 25

which antiseizure medication may cause blood dyscrasias?

Answer 25

carbamazepine

Question 26

Which antiseizure medication has an effect of gingival hyperplasia?

Answer 26

phenytoin

Question 27

How can we evaluate the effectiveness of donepezil?

Answer 27

assess mental status (person, place, time)

Question 28

Because donepezil may cause a cholinergic crisis, what consideration should the nurse make?

Answer 28

have atropine readily available, as this is the antidote for cholinergic crisis

Question 29

What may indicate that an individual taking donepezil is having a cholinergic crisis?

Answer 29

SLUDGES, dyspnea bradycardia

Question 30

What adverse effects may occur from taking carbamazepine (anti-seizures/tonic clonic)?

Answer 30

HF/FVO, suicidal ideation, Steven Johnsons syndrome, hepatotoxicity

Question 31

What is the therapeutic range for carbamazepine?

Answer 31

4-12 mcg/mL

Question 32

What medications are used in the short term treatment of insomnia?

Answer 32

non-benzodiazepines (zolpidem, zaleplon)

Question 33

what condition is neostigmine used in the treatment of?

Answer 33

MG (myasthenia gravis)

Question 34

How can we test if a patient is receiving enough neostigmine if we are unsure?

Answer 34

give edrophonium

Question 35

What contraindications should the nurse consider for neostigmine?

Answer 35

GI obstruction, ileus, urinary tract obstruction, peritonitis

Question 36

Consuming foods rich in ________ can cause a hypertensive crisis in patients taking phenelzine (MAOI)?

Answer 36

tyramine

Question 37

Why should patients taking amitriptyline (TCAs) change positions slowly?

Answer 37

the risk for orthostatic hypotension

Question 38

What is expected for HR with those taking TCAs?

Answer 38

increased HR (tachycardia, as this is an anticholinergic effect)