Brain Chemistry, Structure
& Function
& Function
A client has disorganized thinking associated with schizophrenia. Neuroimaging would likely show dysfunction in which part of the brain?
Frontal Lobe
Which assessment should the nurse perform to evaluate the pharmacokinetic effect of a MAOI antidepressant medication?
The Results of the Liver Function Test
A prescription for which medication would require the nurse to monitor the patient for potential development of the side effect of hypothyroidism?
Lithium
A 49-year old patient is diagnosed with schizophrenia at 22 years of age is prescribed Risperidone. Which nursing assessment is the priority for this patient?
Monitor for abnormal involuntary movements
AIMS
Which imaging technique can provide information about brain function?
Positron emission tomography (PET) scan
A nurse would anticipate that treatment for a client with memory difficulties might include medications designed to do what?
Prevent destruction of acetylcholine
When treating mental illnesses with psychotropic drugs what is the focus of the treatment?
Altering brain neurochemistry
A client taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop?
Dopamine-blocking effects
Based on the current understanding of brain physiology, which 3 neurotransmitter would be the expected target of medication prescribed to manage depression?
Dopamine
Serotonin
Norepinephrine
By which mechanism do selective serotonin reuptake inhibitors (SSRIs) medications improve depression?
Making more Serotonin available at the synaptic gap
The nurse caring for a client prescribed an antidepressant medication that produces anticholinergic side effects should assess for which possible side effects?
Blurred vision
Dry mouth
Constipation
Which instruction has priority when teaching a client about clozapine?
Report sore throat and fever immediately
An individual hiking in the forest encounters a large poisonous snake on the path. Which change in this individual’s blood pressure related to norepinephrine is most likely?
Blood Pressure Increase
What occurs when a medication reaches a range exceeding the therapeutic level?
Toxicity
The nurse caring for a client prescribed risperidone observes the client carefully for which possible side effects?
Daytime sleepiness
Sexual dysfunction
A weight gain
A drug causes muscarinic receptor blockade. The nurse will assess the client for what side effect?
Dry Mouth
The incoherent thought and speech patterns of the client diagnosed with schizophrenia are related to the brain’s inability to perform which function?
Regulate conscious mental activity
What actions/responses produce are desirable and/or undesirable results?
Secondary Effects
The nurse administers a medication that potentiates the action of ã-aminobutyric acid (GABA). Which effect would be expected?
Reduce Anxiety
A client tells the nurse, “My doctor prescribed paroxetine for my depression. I assume I’ll have side effects like I had when I was taking imipramine.” The nurse’s reply should be based on the knowledge that paroxetine is included in what class of medication?
Selective Serotonin Reuptake Inhibitors (SSRIs)