A
A client is scheduled for discharge and will be taking phenobarbital for an extended period. The nurse would place highest priority on teaching the client which point that directly relates to client safety?
A. Take the medication only with meals.
B. Take the medication at the same time each day.
C. Use a dose container to help prevent missed doses.
D. Avoid drinking alcohol while taking this medication.
D. Avoid drinking alcohol while taking this medication.
A client taking lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is 2.5 mEq/L (2.5 mmol/L). The nurse plans care based on which representation of this level?
A. Toxic
B. Normal
C. Slightly above normal
D. Excessively below normal
A. Toxic
A client diagnosed with bipolar disorder is prescribed lithium carbonate. The nurse who administers the medication knows that lithium is used primarily to treat which condition?
A. Suicidal ideations
B. The manic phase of bipolar disease
C. Both depressive and manic episodes
D. The depressive phase of bipolar disease
B. The manic phase of bipolar disease
A client prescribed thioridazine hydrochloride reports feeling faint when trying to get out of bed in the morning. The nurse recognizes this complaint as a symptom of which disorder?
A. Postural hypotension
B. Cardiac dysrhythmias
C. Psychosomatic disorder
D. Respiratory insufficiency
A. Postural hypotension
The nurse is providing dietary instructions to a client who is prescribed tranylcypromine sulfate. The nurse emphasizes that it is important to avoid eating which food?
A. Salami
B. Scallops
C. Pineapple
D. Mashed potatoes
A. Salami🍘
A client's medication sheet contains a prescription for sertraline. To ensure safe administration of the medication, how should the nurse administer the dose?
A. On an empty stomach
B. At the same time each evening
C. Evenly spaced around the clock
D. As needed when the client complains of depression
B. At the same time each evening
A client who has been taking buspirone for 1 month returns to the clinic for a follow-up assessment. The nurse determines that the medication is effective if the absence of which manifestation has occurred?
A. Paranoid thought process
B. Rapid heartbeat or anxiety
C. Alcohol withdrawal symptoms
D. Thought broadcasting or delusions
B. Rapid heartbeat or anxiety
The nurse assesses for a therapeutic effect of ziprasidone by asking the client which question?
A. "Have you had more restful sleep during daytime naps?"
B. "Have you experienced relief of heartburn and indigestion with meals?"
C. "Have you experienced an increase in concentration during daily activities?"
D. "Have you had a decrease in heart palpitations with outside physical activities?"
C. "Have you experienced an increase in concentration during daily activities?"
Rationale:
Ziprasidone is an antipsychotic used as a mood stabilizer. The nurse should evaluate a therapeutic response by determining if the client obtained an increase in concentration. None of the remaining options are related to the use of this medication.
Which assessment findings suggest to the nurse that the client is experiencing tardive dyskinesia?
A. Severe headache, flushing, tremors, and ataxia
B. Abnormal breathing through the nostrils, accompanied by a thrill
C. Severe hypertension, migraine headache, and "marbles in the mouth" syndrome
D. Movements of the mouth, tongue, and face that are both abnormal and involuntary
D. Movements of the mouth, tongue, and face that are both abnormal and involuntary
A client is prescribed a monoamine oxidase inhibitor. What is the primary reason the nurse needs to assess this client closely?
A. Risk of liver damage may be increased.
B. Bradycardia and hypotension may indicate toxicity.
C. Headache, hypertension, and nausea and vomiting may indicate toxicity.
D. Hypotensive crisis may be precipitated by foods rich in tyramine and tryptophan.
C. Headache, hypertension, and nausea and vomiting may indicate toxicity.
Rationale:
Headache, hypertension, tachycardia, nausea, and vomiting are precursors to hypertensive crisis brought about by the ingestion of foods rich in tyramine and tryptophan while the client is taking monoamine oxidase inhibitors (MAOIs).
A client with schizophrenia has been started on medication therapy with clozapine. The nurse should assess the results of which laboratory study in order to monitor for adverse effects from this medication?
A. Platelet count
B. Blood glucose level
C. Liver function studies
D. White blood cell count
D. White blood cell count
The nurse is performing a follow-up teaching session with a client discharged 1 month ago. The client is taking fluoxetine. Which information would be important for the nurse to obtain during this client visit regarding the side and adverse effects of the medication?
A. Cardiovascular symptoms
B. Gastrointestinal dysfunctions
C. Problems with mouth dryness
D. Problems with excessive sweating
B. Gastrointestinal dysfunctions
A client receiving tricyclic antidepressants arrives at the mental health clinic. Which observation would indicate that the client is following the medication plan correctly?
A. Client reports not going to work for the past Week.
B. Client complains of not being able to "do anything" anymore.
C. Client arrives at the clinic neat and appropriate in appearance.
D. Client reports sleeping 12 hours per night and 3 to 4 hours during the day.
C. Client arrives at the clinic neat and appropriate in appearance.
A client diagnosed with depression and prescribed tranylcypromine sulfate has been instructed on the appropriate diet. The nurse determines that the client understands the diet if which foods are selected from the dietary menu?
A. Pickled herring, french fries, and milk
B. Pepperoni pizza, salad, and a cola drink
C. Roasted chicken, roasted potatoes, and beer
D. Fried haddock, baked potato, and a cola drink
D. Fried haddock, baked potato, and a cola drink
The nurse is caring for a client who is taking a maintenance dosage of lithium carbonate. What nursing action should be included in the client's plan of care?
A. Monitoring intake and output
B. Reviewing daily serum lithium levels
C. Performing a weekly electrocardiogram
D. Observing for remission of a depressive state
A. Monitoring intake and output
Rationale:
This medication is very dependent on stable body fluid levels, and so monitoring daily intake and output is critical. Lithium is used to treat manic disorders, not depression. Side/adverse effects of lithium are nausea, tremors, polyuria, and polydipsia. Serum lithium concentration is assessed approximately every 2 to 4 days during initial therapy and at longer intervals thereafter.
The nurse is administering risperidone to a client with schizophrenia who is scheduled to be discharged. Before discharge, which instruction should the nurse provide to the client?
A. Get adequate sunlight.
B. Continue driving as usual.
C. Avoid foods rich in potassium.
D. Get up slowly when changing positions.
D. Get up slowly when changing positions.
The nurse notes that a client with schizophrenia who is receiving an antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. The nurse determines that the client is experiencing which medication complication?
A. Parkinsonism
B. Tardive dyskinesia
C. Hypertensive crisis
D. Neuroleptic malignant syndrome
B. Tardive dyskinesia✔✔
A client gives the home health nurse a bottle of clomipramine. The nurse notes that the medication has not been taken by the client in 2 months. Which behavior observed in the client would validate noncompliance with this medication?
A. Complaints of insomnia
B. Complaints of hunger and fatigue
C. A pulse rate less than 60 beats/minute
D. Frequent hand washing with hot, soapy water
D. Frequent hand washing with hot, soapy water
A client diagnosed with depression is prescribed amitriptyline hydrochloride. During the initial phases of treatment, the client's care plan should include which nursing intervention?
A. Obtain daily drug blood levels.
B. Provide the client a tyramine-free diet.
C. Assess the client for anticholinergic effects.
D. Obtain postural blood pressure prior to each medication administration.
D. Obtain postural blood pressure prior to each medication administration.
Which assessment finding would the nurse anticipate when monitoring a client who is at risk for developing neuroleptic malignant syndrome?
A. Dysphagia
B. Bradycardia
C. Hypotension
D. Hyperpyrexia
D. Hyperpyrexia
Rationale:
Hyperpyrexia with body temperatures up to 107º F may be present in neuroleptic malignant syndrome (NMS). Manifestations develop suddenly and may include respiratory distress and muscle rigidity.🦾
The nurse is teaching a client who is being started on imipramine about the medication. The nurse should inform the client to expect maximum desired effects at which time period following initiation of the medication?
A. In 2 months
B. In 2 to 3 weeks
C. During the first week
D. During the sixth week of administration
B. In 2 to 3 weeks
A hospitalized client is started on phenelzine for the treatment of depression. The nurse should instruct the client that which foods are acceptable to consume while taking this medication? Select all that apply.
.
A. Figs
B. Yogurt
C. Crackers
D. Aged cheese
E. Tossed salad
F. Oatmeal raisin cookies
C. Crackers
E. Tossed salad
A hospitalized client has begun taking bupropion as an antidepressant agent. The nurse determines that which is an adverse effect, indicating that the client is taking an excessive amount of medication?
A. Constipation
B. Seizure activity
C. Increased weight
D. Dizziness when getting upright
B. Seizure activity
Over the course of a few hours, a client receiving lithium carbonate reports being nauseous, then drowsy and "achy." What action should the nurse take when considering the client's next scheduled dose of lithium?
A. Give the next scheduled dose and document the client's complaints.
B. Give the next scheduled dose and notify the primary health care provider of the client's complaints.
C. Withhold the next scheduled dose and restart the typical schedule with the next morning's dose.
D. Withhold the next scheduled dose and notify the primary health care provider of the client's complaints.
D. Withhold the next scheduled dose and notify the primary health care provider of the client's complaints.
The nurse developing a teaching plan for a client being prescribed phenelzine sulfate should instruct the client to avoid which item?
A. Vasodilators
B. Aged cheeses
C. Digitalis preparations
D. Cherries and blueberries
B. 🧀Aged cheeses🧀