A
When doing an admission drug history, the nurse notes that the patient has a prescription for lithium. The nurse suspects that this patient has been diagnosed with which condition?
Bipolar disorder
What is another approved and indicated use for the antidepressant bupropion?
Smoking Cessation
What time frame would the nurse include in patient teaching to explain how long it will take for escitalopram to be completely effective?
4-6 weeks
What medication is prescribed to the patient with panic disorder if the nurse uses the intramuscular route for administration of a anxiolytic?
Lorazepam
How many drops per minute would be administered to a patient who has been prescribed 0.9% normal saline to be infused at 45 mL/hr when the drop factor is 10?
8 gtt/min
Selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) both function by which mechanism?
Block the reuptake of neurotransmitters at nerve endings
What atypical antipsychotic medication would the nurse anticipate the health care provider prescribing for treatment of refractory schizophrenia?
Risperidone
What tests will the nurse suggest to the health care provider before duloxetine is started for depression?
Liver function test
What antagonist may be used to treat an overdose of oxazepam?
Flumazenil
During a shift, a patient consumed 80 mL of gelatin, 120 mL of coffee, 2.5 cups of water, and 110 mL of broth. The patient had outputs throughout the shift of 135 mL, 90 mL, 220 mL, and 140 mL. What does a nurse record as the intake and output for the shift? Record your answer as a whole number. Intake __mL Output __mL
Intake 910mL Output 585mL
A patient diagnosed with depression is being discharged with a prescription for tricyclic antidepressants (TCA) after no improvement of symptoms on a selective serotonin reuptake inhibitors (SSRI). What instruction would the nurse include specific to TCAs?
There is a risk of toxicity when this medication is taken with alcohol.
The nurse is monitoring a patient taking an antipsychotic medication for extrapyramidal symptoms. What clinical finding indicates the patient is having an adverse effect from this drug?
Muscle cramps of the head and neck
What class of medication found in the patient’s prescription is responsible for constipation and urinary retention in a patient who takes nortriptyline for depression?
Anticholinergics
Which class of drugs reduces the efficacy of phenothiazine and should be avoided?
Anticholinergics
How many milliliters per hour would the intravenous (IV) pump be programmed to deliver 10 mEq/h of 40 mEq of potassium diluted in 500 mL of dextrose 5% in water? __ mL/hr
125 ml/hr
A patient who is prescribed duloxetine comes to the medical clinic with reports of restlessness, sweating, and tremors. The nurse suspects serotonin syndrome and questions the patient regarding concurrent use of what herbal product or dietary supplement?
St. John’s wort
A patient prescribed lorazepam for the treatment of anxiety states, “I feel drowsy all the time, and it’s interfering with every aspect of my life.” The nurse knows that a better drug therapy option for this patient is which anxiolytic medication?
Buspirone
What is the normal lithium range
0.6 and 1.2 mEq/L.
What medication increases the rate of urinary elimination of tricyclic antidepressants (TCAs) in the event of an overdose?
Sodium bicarbonate
What new rate of flow in milliliters per hour is needed if an order is written for 250 mL of red blood cells to be infused over 3 hours, and after 1 hour, 175 mL remain in the bag? __ mL/h
87.5 ml/hour
A patient with a diagnosis of depression is being discharged with a prescription for a monoamine oxidase inhibitors (MAOI). What instruction would the nurse include for this medication?
Avoid eating aged cheese.
What laboratory test would be monitored closely to assess for a potential life-threatening adverse effect to clozapine?
Complete blood count
What drug may cause serotonin syndrome if given together with an antidepressant medication?
Buspirone
What extrapyramidal side effect does the nurse monitor for in a patient who is taking an antipsychotic medication?
Dystonia
What is the dosage in milligrams per hour for an order to infuse morphine 200 mg in 250 mL dextrose 5% in water at 16 mL/hr? __ mg/hr
13 mg/hr