Exam 4: Psychopharmacology

As part of discharge teaching, which guideline regarding lithium therapy will the nurse plan to include?

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

The client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Which laboratory result would reveal a potentially fatal side effect of this medication?

Which client would the nurse instruct to obtain routine blood-level monitoring?

To which client would the nurse most likely administer a benzodiazepine?

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

The nurse is preparing to assess a client before the physician prescribes a regimen of psychopharmacological therapy. Which components will the nurse assess? (Select all that apply.)

A client was recently admitted to the inpatient unit after a suicide attempt and has not responded to SSRIs or tricyclic antidepressants. The client asks the nurse, "Why can't monoamine oxidase inhibitors (MAOIs) be added to what I am on now?" Which response should the nurse make?

A client with depression and substance abuse has an interrupted sleep pattern and demands a sedative. Which teaching would the nurse provide about sedative-hypnotics?

The physician prescribes an additional medication for a client taking an antipsychotic agent. The medication is to be administered "prn for EPS." When will the nurse plan to administer this medication?

An elderly client has been diagnosed with major depression and is prescribed a selective serotonin reuptake inhibitor (SSRI). Which side effect would the nurse monitor for in this client?

The male client is experiencing a psychotic episode. He is in good physical health but has allergies to penicillin, prochlorperazine (Compazine), and bee stings. Which antipsychotic medication would be contraindicated for the client?

Logan, age 8 years, takes methylphenidate (Ritalin) for attention deficit/hyperactivity disorder. His mother reports to the nurse that Logan has a very poor appetite, and she struggles to help him gain weight. Which teaching will the nurse provide?

Which medication would the nurse most likely administer to treat the extrapyramidal side effects of antipsychotic medications?

The client is diagnosed with anxiety disorder. Which medication would the nurse administer for anxiety?

Which information should the nurse share with the client about tricyclic antidepressant medications?

When used in combination with anxiolytic medication, alcohol leads to ______ effects, and caffeine leads to ______ effects.

In the treatment of anxiety disorders, benzodiazepines (such as Ativan and Xanax) are indicated for ______ use and have a ______ abuse potential.

A client is taking a monoamine oxidase inhibitor (MAOI). When teaching the client about diet, which foods will the nurse caution the client to avoid?

The client is taking selective serotonin reuptake inhibitor (SSRI). Which finding indicates the client is having a therapeutic effect from the SSRI?