Psychopharmacology

Front 1

Patient is prescribed haloperidol (Haldol). The nurse should instruct the patient to

Back 1

Use a suncreen because the drug increases photosensitivity.

Front 2

A patient may abuse or develop a dependency on which of the following drugs?

Back 2

Alprazolam (Xanax) and penobarbital (Nembutal)

Front 3

Which of the following instructions should the nurse incorporate into her teaching plan for a patient taking chlordiazepoxide (Libium)?

Back 3

Don't mix chlordiazepoxide with other CNS depressents or alcohol.

Front 4

Antiparkinsonian drugs can be indicated for which of the following?

Back 4

To relieve the neurologic adverse effects of anti-psychotic drugs

Front 5

An elderly patient who take lithium daily tells the nurse that shes feeling nauseous and has diarrhea. The nurse suspects that the patient is experiencing lithium toxicity. The nurse should also determine if the patient has

Back 5

Ataxia

Front 6

Clients who are recieving both an MAO Inhibitor and valporate (Depakote, Depakene, Depacon) may experience which of the following?

Back 6

The seizure threshold may be lowered and the effectiveness of valproate decreased

Front 7

Mellaril (Thioridazine) is most commonly given for which of the following reasons?

Back 7

To decrease symptoms of agitation

Front 8

Triazolam (Halcion) is used to treat which of the following?

Back 8

Insomnia

Front 9

Lithium toxicity may be seen when the client also used which of the following medications?

Back 9

Indomethacin

Front 10

The client treated for anorexia may recieve which of the following medications?

Back 10

Periatin (cyproheptadine)

Front 11

Which of the following drugs is categorized as a hallucinogen?

Back 11

Mescaline

Front 12

Cimetadine or Tagamet may lead to drug toxicity if given with which of the following classes of drugs?

Back 12

Benzodiazephines

Front 13

Anticholingergic agents reduce the side effect of antipsychotic medication in which of the following ways?

Back 13

By decreasing the amount of acetylcholine that is available

Front 14

The client is being treated with ReVia (naltrexone HCL). The PT would need to include which of the following in the client teaching?

Back 14

Severe overdose will be experienced if the client attempts to over ride the opioid-blocking effects (need to be fee of opioids)

Front 15

The use of Demerol is contraindicated if the client is also using which of these drugs?

Back 15

MAO Inhibitors

Front 16

The client should be instructed to do which of the following if a dose of Prozac is missed?

Back 16

Omit that dose and return to the regular dosing schedule. Do not make up the missed dose.

Front 17

The client recieving treatment with hypnotics should be instructed to avoid which of the following drugs, which provide additive CNS depression?

Back 17

Vitamin C

Front 18

The client receiving lorazepam (Ativan) should be monitored for which of these side effects?

Back 18

Drowsiness

Front 19

The client reports he has ingested a entire bottle of extra strength Tylenol earlier that day. Which of the following medications might be given as an antidote?

Back 19

Acetlycystine (Mucosil)

Front 20

The client recieving alprazolam (Xanax) is most likely being treated for which of these?

Back 20

Anxiety

Front 21

The client presenting with severe symptoms of delirium tremens might receive which of the following medications?

Back 21

Magnesium sulfate

Front 22

The client recieving dopamine for parkinsonian syndrome should be assessed for parkinsonian and extrapyramindal symptoms:

Back 22

Throughout the course of therapy

Front 23

Which of the following instructions is part of particular importance for the client receiving drug therapy for HIV?

Back 23

Medications vary as to whether or not they are to be taken with food and what medications cannot be taken with each other

Front 24

Which of the following is the main reason why antiviral drugs are limited in their ability to inhibit viral replication in the HIV client?

Back 24

The virus develops a resistance to the drugs

Front 25

The PT would administer medication order "a.c." at:

Back 25

before meals

Front 26

Which medication would you expect to see lab work ordered as long as the client was taking it?

Back 26

Tegretol (carbamazepine)

Front 27

Which medication would you expect to see ordered to counteract extrapyramindal side effects?

Back 27

Cogentin (benztropine mesylate)

Front 28

A consumer is given a placebo that controls her maladaptive behaviors. The PT knows that a placebo is:

Back 28

An inactive substance given to satisfy the patients demand for medication

Front 29

If a client experienced constipation related to inactivity a stool softener called_____ may be prescribed:

Back 29

Colace

Front 30

A Client may be given which medication to reduce stomach acidity?

Back 30

Maalox

Front 31

A Client with a history of petit mal seizures might receive

Back 31

Depakane

Front 32

Antipsychotic agents administered PO should be given:

Back 32

With milk, food or a full glass of water.

Front 33

After teaching a client and family about the use of psychoactive medications, which of the following statements from family members indicates successful teaching?

Back 33

The drugs help the symptom but may lead to other problems

Front 34

After teaching a client who is prescribed phenelzine sulfate (nardil) about dietary restrictions, which of the following client statement indicates the need for additional teaching?

Back 34

Im going to have tacos with sour cream and guacomole tonight.

Front 35

Which of the following side effects would most likely pose the greatest risk for client adherence to therapy with an SSRI?

Back 35

Sexual dysfunction

Front 36

Which of the following instructions would the nurse include in a teaching plan for a client who is receiving lithium?

Back 36

Avoid getting overheated when you are outside

Front 37

A client who has been receiving haloperidol (haldol) for a long time exhibits fine worm-like movements of the tongue. What is happening?

Back 37

TD

Front 38

Which of the following would the nurse expect to assess in a client who is receiving fluphenazine (Prolixin) and is admitted to the hospital with neuroleptic malignant syndrome?

Back 38

Hyperpyrexia

Front 39

Which of the following would be most important for the nurse to monitor for in a client recieving clozapine (clozaril)?

Back 39

Decrease WBC

Front 40

Which of the following is the most frequent reason for a client not adhering to the medication regimen?

Back 40

Debilitating or difficult side effects

Front 41

The psychiatrist diagnoses Doe with anxiety disorder. Which of the following medication is prescribed for anxiety?

Back 41

Valium

Front 42

Which of the following data would suggest that caution is necessary in prescribing a benzodiazepine to an anxious client?

Back 42

The client has a history of alcohol dependence

Front 43

The Psychiatrist prescibes imipramine (Tofranil) for his major depression client. What information is specifically related to this class of antidepressants and should be included in client and family education?

Back 43

Dry mouth, constipation, photosensitivity

Front 44

A psychiatrist prescribes a monoamine oxidase inhibitor for a client. When teaching the client about the effects of tyramine, which of the following foods and/or medications will the nurse caution the client not to consume?

Back 44

Pepperoni pizza and red wine

Front 45

Which of the following medications would most likely be prescribed for EPS effects of antipsychotic medications?

Back 45

Benztropine (Cogentin)

Front 46

Julie is on lithium carbonate and she is coming to the health clinic because she has had the flu for over a week. She has a temp of 100.09 F She is complaining of blurred vision and ringing in the ears. What is going on?

Back 46

She may have become toxic on the lithium carbonate

Front 47

John, age 8, take methylphenidate for ADHD. His mother complains to the nurse that John has a poor appetite, and she struggles to help him gain weight. which of the following should the mother be advised to do?

Back 47

Administer Johns medication after meals

Front 48

When a physician prescribes an additional medication for a client on antipsychotic medication, with the order for it to be administered PRN for EPS. When should the nurse give this medication?

Back 48

When the client exhibits tremors and shuffling gait

Front 49

Symptoms of toxicity of lithium carbonate are mostly to appear if the serum level exceeds 1.5 mEq/l.

Back 49

True

Front 50

the client states he has an allergy to phenothiazines. which of the following physicians prescriptions should the nurse question?

Back 50

thioridazine (mellaril) 50mg po tid

Front 51

a client on the unit suddenly cries out with fear. the nurse notices the clients head is twisted to one side, his back is arched and his eyes have rolled back in their sockets. the client has recently begun drug therapy with haloperidol. based on this assessment the first action of the nurse would be to?

Back 51

give a prn dose of benztropine (cogentin) IM

Front 52

one week after beginning therapy with thiothixene (navane), the client demonstrates muscle rigidity, a temp of 103f, ad elevated serum creatinine phosphokinase (cpk) level, stupor, and incontinence. the nurse should notify the physician because these symptoms are indicative of?

Back 52

neuroleptic malignant syndrome

Front 53

persons receiving any of the mao inhibitors would be cautioned about avoiding foods containing tyramine because they can precipitate?

Back 53

hypertensive crisis

Front 54

a client with bipolar has been taking lithium and today the serum blood level is 2.0mEq/L. what effects would the nurse expect to see?

Back 54

nausea, diarrhea, and confusion

Front 55

benstropine (cogentin) is frequently given concurrently with haloperidol. cogentin can?

Back 55

reduce the extrepyramidal side effects of haldol

Front 56

The nurse has completed health teachin about dietary restrictions for a client taking an MAO Inhibitor. The nurse will know that teaching has been effective by which of the following statement?

Back 56

It will be difficult for me to avoid pepperoni.

Front 57

Tricyclic antidepressents can produce anticholinergic side effects. Which of the following is a common anticholinergic side effect?

Back 57

Dry mouth

Front 58

When teaching a client about restrictions for tranylcypromine (parnate), the nurse will tell the client to avoid which of the following foods?

Back 58

Broad beans

Front 59

For a client taking clozpine (Clozaril), which of the following symptoms should the nurse report to the physician immediately?

Back 59

Sore throat and malaise

Front 60

A client has a lithium level of 1.2 mEq/L. Which of the following interventions by the nurse is indicated?

Back 60

None

Front 61

A client is prescribed clozapine (Clozaril) 300 mg/day. Before giving the medication, the nurse anticipates the need for which of the following?

Back 61

WBC count

Front 62

The nurse is teaching a client about fluoxetine (Prozac). The client asks if the medication will cause side effects. Which of the following statements best answers the clients questions?

Back 62

SSRI antidepressents like Prozac cause fewer side effects than other antidepressents.

Front 63

A client who is taking paroxetine (Paxil) reports to the nurse that he has been nauseated since the beginning the medication. Which of the following actions is indicated initially?

Back 63

Suggest that the client take the medication with food.

Front 64

The nurse is assessing a client who is taking haloperidol (Haldol) 2 mg po BID. The nurse must monitor for what common side effect of this drug?

Back 64

EPS

Front 65

A client with severe and persistent mental illness will be starting to take clozapine (Clozaril). In teaching about this medication, the nurse must caution that:

Back 65

Blood work will be required regularly.

Front 66

When teaching a client about taking lithium, the nurse must include the necessity of maintaining an adequate diet, especially the importance of:

Back 66

Salt

Front 67

An important principle about antipsychotic meds is that

Back 67

Low-potency drugs tend to be sedating

Front 68

The nurse must be aware that the side effects of alprazolam (Xanax) include which of the following?

Back 68

Dependency

Front 69

In planning for a clients discharge, the nurse must know that the greatest risk for the client taking a tricyclic antidepressant is which of the following?

Back 69

Suicide by overdose

Front 70

A 50 yr old client with severe and persistent illness has been taking antipsychotic meds for 20 yrs. The nurse observes that the clients behavior includes repetitive movements of the mouth and tongue, facial grimacing, and rocking back and forth, The nurse recognizes these behaviors as indicative of:

Back 70

Tardive dyskinesia