Week 5 sherpath Flashcards
The nurse is caring for a patient who takes aripiprazole who states, “My friend takes haloperidol; why can’t I take that?” Which nursing response is appropriate?
“We can talk with your health care provider to change to haloperidol.”
“Second-generation antipsychotics (SGAs) have fewer side effects than first-generation antipsychotics (FGAs).”
“Do you not wish to take your medication?”
“You must take aripiprazole for at least 6 months before switching.”
“Second-generation antipsychotics (SGAs) have fewer side effects than first-generation antipsychotics (FGAs).”
Which drug would the nurse discuss with the health care provider as an option for a patient with psychosis who needs drug therapy with a long duration of action?
Aripiprazole
Fluphenazine
Haloperidol
Haloperidol decanoate
Haloperidol decanoate
The nurse is caring for four patients with psychosis. Which patient may benefit most from haloperidol decanoate?
21 year old who is homeless and moves from city to city
30 year old who lives with parents and works at a restaurant
44 year old who engages in therapy in addition to drug therapy
52 year old who is married and who works from home
21 year old who is homeless and moves from city to city
Which teaching would the nurse provide to a patient newly prescribed fluphenazine for schizophrenia?
“Be certain to take this medication with food.”
“This drug may change the color of your urine.”
“Take an antacid at the same time that you take this drug.”
“If you miss a dose, contact your health care provider to determine whether you should take it.”
“If you miss a dose, contact your health care provider to determine whether you should take it.”
Which drug does the nurse anticipate will be prescribed for Mr. Crood because he states that fluphenazine made him feel bad?
Aripiprazole
Fluphenazine
Haloperidol
Haloperidol decanoate
Aripiprazole
A patient taking fluphenazine reports symptoms including lip smacking and tongue protrusion. Which teaching would the nurse provide?
“This condition will always reverse when you stop the drug.”
“Tardive dyskinesia is possibly irreversible.”
“These are very unexpected symptoms.”
“These symptoms can lead to anaphylaxis.”
“Tardive dyskinesia is possibly irreversible.”
The nurse would monitor an adult patient for which side effects commonly associated with aripiprazole?
Select all that apply.
Nausea
Diarrhea
Extrapyramidal disorder
Insomnia
Akathisia
Nausea
Extrapyramidal disorder
Insomnia
Akathisia
Which information would the nurse teach a patient about how aripiprazole affects dopamine?
Increases release of dopamine
Inhibits reuptake of dopamine
Exerts a moderate block of dopamine receptors
Exerts a major block of dopamine receptors
Exerts a moderate block of dopamine receptors
The health care provider indicates that a first-generation antipsychotic will be prescribed for a patient with psychosis. Which drugs would the nurse anticipate may be prescribed?
Select all that apply.
Aripiprazole
Fluphenazine
Clozapine
Haloperidol
Quetiapine
Fluphenazine
Haloperidol
In addition to schizophrenia, aripiprazole is commonly used for which indications?
Select all that apply.
Dissociative disorder
Anorexia nervosa
Bipolar mania
Major depressive disorder
Irritability associated with autism spectrum disorder
Bipolar mania
Major depressive disorder
Irritability associated with autism spectrum disorder
In which substances is aripiprazole excreted?
Select all that apply.
Tears
Feces
Urine
Sweat
Saliva
Feces
Urine
Which side effect would the nurse assess for in a patient taking aripiprazole who nearly falls after standing up?
Tardive dyskinesia
Bradykinesia
Orthostatic hypotension
Akathisia
Orthostatic hypotension
For which patient would the nurse question a prescription for aripiprazole?
Patient who drinks alcohol
Patient who has a history of bipolar disorder
Patient with a history of frequent constipation
Patient who did not respond well to fluphenazine
Patient who drinks alcohol
Which laboratory result(s) would a nurse monitor for a patient taking an atypical antipsychotic drug?
Lithium level
Serum glucose, cholesterol, and triglycerides
Blood urea nitrogen (BUN) and creatinine
Hemoglobin and hematocrit
Serum glucose, cholesterol, and triglycerides
The nurse would assess for which finding in a patient taking fluphenazine who reports tremors and neck spasms?
Anticholinergic effects
Agranulocytosis
Tachycardia
Extrapyramidal symptoms
Extrapyramidal symptoms
The nurse would explain to a patient that fluphenazine is incompatible with which beverage?
Grapefruit juice
Milk
Apple juice
Kefir
Apple juice
A patient with schizophrenia says, “I quit taking an antipsychotic because it makes me feel bad.” Which nursing response is the priority?
“Tell me more about the symptoms you experienced.”
“All antipsychotic drugs have some type of side effect.”
“Medications must be taken as prescribed to work effectively.”
“Are certain side effects manageable, whereas others are not?”
“Tell me more about the symptoms you experienced.”
Match the drug with its appropriate classification.
Benzodiazepine
Benzodiazepine-like
Barbiturate
Melatonin receptor agonist
Answer choices
Diazepam
Zolpidem
Secobarbital
Ramelteon
Benzodiazepine
Diazepam
Benzodiazepine-like
Zolpidem
Barbiturate
Secobarbital
Melatonin receptor agonist
Ramelteon
Benzodiazepine-like drugs are used primarily for the treatment of which condition?
Insomnia
Anxiety
Seizures
Acute alcohol withdrawal
Insomnia
Which statements are accurate regarding benzodiazepines?
Select all that apply.
Benzodiazepines are highly addictive.
Benzodiazepines are commonly used for treatment of insomnia.
Benzodiazepines depress neuronal function at multiple sites within the central nervous system (CNS).
The effect of benzodiazepines can be sedating, hypnotic, or stupor inducing.
Benzodiazepines provide longer relief of anxiety symptoms than other sedative-hypnotic agents.
Examples of benzodiazepines include zolpidem, eszopiclone, and zaleplon.
Benzodiazepines are highly addictive.
Benzodiazepines depress neuronal function at multiple sites within the central nervous system (CNS).
The effect of benzodiazepines can be sedating, hypnotic, or stupor inducing.