Exam 4: Psychotropic Drugs

A patient's sibling says, "My brother has a mental illness, but the doctor ordered a functional magnetic resonance image (fMRI) test. That seems unnecessary and wasteful." Select the nurse's best responses. Select all that apply.

The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm³. Select the nurse's best action.

A patient with a long history of hypertension and diabetes now develops confusion. The health care provider wants to make a differential diagnosis between Alzheimer's disease and multiple infarcts. Which diagnostic procedure should the nurse expect to prepare the patient for first?

Consider these medications: carbamazepine (Tegretol), lamotrigine (Lamictal), gabapentin (Neurontin). Which medication below also belongs with this group?

A nurse prepares to administer a second-generation antipsychotic medication to a patient diagnosed with schizophrenia. Additional monitoring for adverse effects will be most important if the patient has which co-morbid health problems? Select all that apply.

The nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA). Which effect would be expected?

A patient's history shows drinking 4 to 6 litres of fluid and eating more than 6,000 calories per day. Which part of the central nervous system is most likely dysfunctional for this patient?

A patient has disorganized thinking associated with schizophrenia. Neuroimaging would likely show dysfunction in which part of the brain?

A nurse would anticipate that treatment for a patient with memory difficulties might include medications designed to have which of the following effects?

The therapeutic action of neurotransmitter inhibitors that block reuptake cause which of the following effects?

A nurse instructs a patient taking a drug that inhibits monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of which of the following?

The nurse should assess a patient taking a drug with anticholinergic properties for inhibited function of which of the following?

The parent of an adolescent diagnosed with schizophrenia asks the nurse, "My child's doctor ordered a PET. What kind of test is that?" Select the nurse's best reply.

An obese patient has a diagnosis of schizophrenia. Medications that block which receptors would contribute to further weight gain?

An individual hiking in the forest encounters a large poisonous snake on the path. Which change in this individual's vital signs is most likely?

A nurse cares for four patients who are receiving clozapine, lithium, fluoxetine, and venlafaxine, respectively. The nurse should be most alert for problems associated with fluid and electrolyte imbalance with the patient receiving which drug?

A professional football player is seen in the emergency department after losing consciousness from an illegal block. Prior to discharge, the nurse assists the patient to schedule an outpatient computed tomography (CT) scan for the next day. Which strategy should the nurse use to ensure the patient remembers the appointment?

A nurse can anticipate anticholinergic adverse effects are likely when a patient takes which of the following:

A patient begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drug's strong dopaminergic effect?

A patient has fear as well as increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?