week 11 Flashcards
When doing an admission drug history, the nurse notes that the patient has a prescription for lithium. The nurse suspects that this patient has been diagnosed with which condition?
a. Bipolar disorder
b. Absence seizures
bipolar disorder
Selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) both function by which mechanism?
a. Decrease the catecholamine release into the blood
b. Block the reuptake of neurotransmitters at nerve endings
Block the reuptake of neurotransmitters at nerve endings
A patient diagnosed with depression is being discharged with a prescription for tricyclic antidepressants (TCA) after no improvement of symptoms on a selective serotonin reuptake inhibitors (SSRI). Which instruction would the nurse include specific to TCAs?
a. The drug is contraindicated in cases of insomnia.
b. There is a risk of toxicity when this medication is taken with alcohol
There is a risk of toxicity when this medication is taken with alcohol
A patient who is prescribed duloxetine comes to the medical clinic with reports of restlessness, sweating, and tremors. The nurse suspects serotonin syndrome and questions the patient regarding concurrent use of which herbal product or dietary supplement?
a. Zinc
b. Vitamin E
c. St. John’s wort
s.tjohns wort
A patient with a diagnosis of depression is being discharged with a prescription for a monoamine oxidase inhibitors (MAOI). Which instruction would the nurse include for this medication?
a. Avoid eating aged cheese.
b. Encourage use of fiber supplements.
Avoid eating aged cheese.
What is another approved and indicated use for the antidepressant bupropion?
a. Nocturnal enuresis
b. Smoking cessation
smoking cessation
A patient prescribed lorazepam for the treatment of anxiety states, “I feel drowsy all the time, and it’s interfering with every aspect of my life.” The nurse knows that a better drug therapy option for this patient is which anxiolytic medication?
a. Alprazolam
b. Buspirone
buspirone
Which statement by the patient indicates the need for additional teaching on phenothiazine drug therapy?
a. “I need to change positions slowly to prevent dizziness.”
b. “I will call my health care provider for abnormal tongue movements”
c. “I will need to wear sunscreen and protective clothing when outdoors.”
d. “It is okay to take this drug with a small glass of wine to help relax me.
“It is okay to take this drug with a small glass of wine to help relax me.
Which laboratory test would be monitored closely to assess for a potential life-threatening adverse effect to clozapine?
a. Liver function studies
b. Complete blood count
complete blood count
The nurse is monitoring a patient taking an antipsychotic medication for extrapyramidal symptoms. Which clinical finding indicates the patient is having an adverse effect from this drug?
a. Dry mouth and constipation
b. Blood pressure of 80/50 mm Hg
c. Presence of myoglobin in the blood
d. Muscle cramps of the head and neck
muscle cramps of the head and neck
What atypical antipsychotic medication would the nurse anticipate the health care provider prescribing for treatment of refractory schizophrenia?
a. Phenelzine
b. Trazodone
c. Amoxapine
d. Risperidone
risperidone
While obtaining a medication history from a patient, the nurse notes that the patient is currently prescribed naltrexone. The nurse would question the patient about a previous history of which substance abuse?
a. Opioid
b. Cannabis
c. Barbiturat
opiod
A patient reports severe back pain and asks the nurse for medication “to take the pain away.” Assessment findings on the physical examination include mydriasis, rhinorrhea, diaphoresis, lacrimation, blood pressure of 160/84 mm Hg, heart rate of 116 beats/min, and respiratory rate of 24 breaths/min. Which condition would the nurse suspect is responsible for the reported pain?
a. Opioid withdrawal
b. Ethanol intoxication
opioid withdrawal
An unresponsive young adult is taken to the emergency department by friends. The friends tell the nurse, “We were too scared to call 911 because we were at a party popping roofies.” Which medication would the nurse expect to administer to this patient?
a.` Naloxone
b. Naltrexone
c. Flumazenil
flumazenil
The nurse is providing care for a patient in the emergency department who reports a headache and weakness and is noted to have cardiac dysrhythmias on the electrocardiogram. The patient is talkative, restless, anxious, and asking to leave the emergency department. The nurse suspects that the patient might be taking which abuse substance?
a. Opioids
b. Alcohol
c. Stimulants
stimulants
The nurse is reading a patient’s substance abuse history on admission to inpatient rehabilitation. The patient states to the nurse, “I have been increasing my drug dosage to get the same effect.” What is the patient experiencing?
a. Addiction
b. Tolerance
tolerance
The nurse is admitting a patient in the emergency department for suspected overdose. The health care provider prescribes flumazenil for the patient. What type of overdose does the nurse suspect?
a. Opioids
b. Alcohol
c. Amphetamines
d. Benzodiazepines
benzodiazepines
What potential long term vitamin deficiency can potentially lead to Wernicke’s encephalopathy?
a. Vitamin A
b. Vitamin E
c. Magnesium
d. Vitamin B1
vitamin B1
The nurse is caring for a patient with a history of chronic alcohol abuse. The nurse understands the need to assess for what symptoms of withdrawal? (Select all that apply.)
a. Tremors
b. Agitation
c. Bradycardia
d. Hypertension
e. Difficulty breathin
tremors, agitation, hypertension
The nurse is educating a group of college students about substance abuse. When discussing the potential use and abuse of stimulants, the nurse is aware these drugs are commonly abused and cause what signs and symptoms? (Select all that apply.)
a. Constipation
b. Weight loss
c. Elevated mood
d. Increased alertness
elevated mood, increased alertness
When administering intravenous magnesium sulfate, the nurse will monitor for what signs and symptoms of hypermagnesemia?
a. Tachycardia
b. Hyperthermia
c. Decrease in deep tendon reflexes
decrease in deep tendon relfexes
Cyanocobalamin is indicated for the treatment of what condition?
a. Pernicious anemia
b. Optic nerve atrophy
pernicious anemia
Patient teaching regarding the administration of vitamin C would include monitoring for what signs or symptoms that may indicate vitamin C toxicity?
a. Focal or generalized seizures
b. Easy bleeding and/or bruising
c. Lightheadedness and dizziness
d. Nausea and abdominal cramping
nausea and abdominal cramping
A patient receiving vitamin K would be suspected of having what clinical finding?
a. Diarrhea
b. Seizure activity
c. Skin rash
d. Abnormal bleeding
abnormal bleeding
