psychopharm

Question 1

An aging client with chronic schizophrenia takes an antipsychotic and propanol, a beta-adrenergic blocking agent, for hypertension. Given the combined side effects of these drugs, which client teaching should the nurse provide?

Answer 1

“Rise slowly when you change position from lying to sitting or sitting to standing.”

Question 2

A client was recently admitted to the inpatient unit after a suicide attempt and is prescribed a selective serotonin reuptake inhibitor (SSRI). The nurse teaches the client about serotonin syndrome.

Answer 2

Priapism

Question 3

A client diagnosed with schizophrenia appears to be having auditory hallucinations (responding to internal stimuli) which medication should the nurse expect a physician to address this type of symptoms?

Answer 3

Risperdone (Risperdal) to address the positive symptoms

Question 4

A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). About which potentially fatal side effects will the nurse teach the client?

Answer 4

Agranulocytosis

Question 5

Which medication is most likely prescribed for extrapyramidal effects of antipsychotic medications?

Answer 5

Benztropine

cogentin

Question 6

A client is diagnosed with schizophrenia spectrum disorder is prescribed clozapine. Which client symptoms related to the side effect of this medication should prompt a nurse to intervene immediately?

Answer 6

Sore throat, fever, and malaise

Question 7

Which information suggests that caution is necessary in prescribing a benzodiazepine to an anxious client?

Answer 7

The client has a history of alcohol dependence.

Question 8

A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago and asks why he has gained 12 pounds since then. Which is the most appropriate nursing response?

Answer 8

“Weight gain is a common, but troubling side effect. Let’s talk about some strategies for safely improving your nutrition and exercise habits.”

Question 9

Which medication orders should the nurse anticipate for a client who has a history of complicated withdrawal from benzodiazepines?

Answer 9

Chlordiazepoxide (Librium) and phenytoin (Dilantin)

Question 10

A nurse is teaching a client who has a depressive disorder about fluoxetine. Which of the following information should the nurse include in the teaching?

Answer 10

You may experience difficulties with sexual

functioning while taking this medication.

Question 11

The nurse notes that a client with schizophrenia and receiving antipsychotic medication is moving her mouth, protruding her tongue and grimacing as she watches television the nurse determines that the client is experiencing which medication complication

Answer 11

TD

tardive

Question 12

Which class of medication are most commonly used in the treatment of acute alcohol withdrawal?

Answer 12

Benzodiazepine

Question 13

A client taking lithium carbonate reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus and tremors. The lithium level is 2.5. the level is indicative of which finding?

Answer 13

Lithium toxicity

Question 14

A client is diagnosed with schizophrenia spectrum disorder is prescribed clozapine. Which client symptoms related to the side effect of this medication should prompt a nurse to intervene immediately?

Answer 14

Sore throat, fever, and malaise

Question 15

What statement is true regarding SSRI medication designed to treat symptoms of depression?

Answer 15

They have an increase risk for suicidal thoughts

Question 16

A part of discharge teaching which guideline regarding lithium therapy will the nurse include?

Answer 16

1. Avoid excessive use of beverages containing caffeine. 2.
   Maintain a consistent sodium intake.
2. Consume at least 2,500 to 3,000 mL of fluid per day. 4.
   All of the above

Question 17

The nurse is reviewing admission orders for a patient who was admitted for acute pancreatitis. Absent from he list of medication order is the patients alprazolam (Xanax) that the patient has taken three times a day for 20 years. Then nurse’s plan should include which of the following?

Answer 17

Contact the admitting doctor immediately and obtain an order for alprazolam (Xanax) to decrease the chance the patient will experience life threatening withdrawal

Question 18

When caring for a schizophrenic who is receiving Risperdal (risperidone) the nurse is aware that this medication is likely to have which possible long-term effects on the client?

Answer 18

gynecomastia

Question 19

A client is diagnosed with schizophrenia spectrum disorder. A physician orders haloperidol (Haldol) 50mg bid, benztropine (Cogentin) 1 mg prn, and zolpidem (Ambien) 10mg HS. Which client behavior would warrant the nurse to administer benztropine?

Answer 19

TD tardive

Question 20

Sammy is diagnosed with a trauma disorder and is being treated at an inpatient psychiatric unit, what nursing short term goal is most appropriate for Sammy?

Answer 20

Sammy demonstrates three relaxation

techniques upon discharge.

Question 21

Which of the following medications could be used to decrease aggression by dampening excessive noradrenergic activity ?

Answer 21

Beta blockers (end in -lol)