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Pharmacology 2
Nursing Pharm
| Question | Answer |
|---|---|
| the technique can be evaluated as having proved useful when the client explains to a friend that meditation? | results in positive physical and mental effects |
| The nurse entered the room of a client who has been diagnosed with terminal cancer and found the client with her husband laughing loudly at reruns of The Three Stooges. The nurse left the room and postponed a planned treatment, knowing that humor? | Can affect positive changes on several physiologic systems and functions |
| In explaining alternative therapies to a client, the nurse may correctly say that theses therapies? | Are not widely used in hospitals or reimbursed by insurance |
| When a client asks for an example of an alternative or complementary therapy, the nurse should correctly reply? | Detoxing foot pads and Acupuncture |
| Which alternative therapy could the nurse incorporate into the plan of care of an anxious client receiving antidepressant medication without being concerned about untoward interaction? | Yoga |
| An impact about the popularity of alternative therapy has on nurse application of therapeutic interventions is that nurses? | Need to understand herbal-drug interactions |
| The nurse planning care for an Asian American client who plans to use oriental medicinal dietary principles will need to understand that hot and cold substances are an integral part of therapy. the substances used are? | Determined by yin and yang characteristics |
| When a client asks the nurse, "How can jolting me with an electrical shock possibly do me any good?", the answer most reflective of current theory should be, "ECT"? | produces a change in brain chemistry that results that results in improved mood |
| Which statement made by the client about a half-hour before a scheduled ECT treatment should result in cancellation of the treatment? | I just had some crackers and mild since I'll miss breakfast |
| Immediately after ECT, nursing care of the client is most similar to care of a client? | Recovering form general anesthesia |
| Which statement by a client who has given informed consent for ECT confirms the clients understanding of the side effects of this treatment? | Memory loss will be temporary |
| The nurse is explaining the differences in typical and atypical antipsychotics. The nurse correctly states that atypical antipsychotics? | produce fewer extrapyramidal effects |
| A client diagnosed with schizophrenia is admitted to the hospital and haloperidol (Haldol) is started. The nurse should assess for neuroleptic malignant syndrome if the client has a | 30mmHg decrease in blood pressure Temperature reading of 104 degree F Diaphoresis |
| A client taking fluphenazine (Prolixin) complains of dry mouth and blurred vision. what should the nurse assess as the likely cause of these symptoms? | Cholinergic blockage |
| Which client receiving typical antipsychotic medication should be assessed as displaying behaviors characteristics of tardive dyskinesia? The client who? | Grimaces and smacks her lips Constantly puffing of the cheeks Has excessive salivation and drooling |
| During a medication management class for nurses, the pharmacist discussing tricyclic antidepressants asks how these medications affect neurotransmitter activity. The nurse should respond by? | increasing the effects of gamma-aminobutyric acid |
| The nurse is leading a medication management group for clients who are being discharged form the hospital. Which of these statements made by a client taking phenelzine (Nardil) should warrant further instruction? | I usually order Liver and onions when my wife and I eat out |
| A client is taking tranylcypromine (Parnate). which client complaint should receive priority from the nurse | I've had a headache ever since I drank some coffee |
| Sertraline (Zoloft) has been prescribed for a client with symptoms of major depression. The nurse deduces which factor as most important in the physician's decision to use an SSRI? | Good side effect profile |
| Which state by a client who will be maintained on lithium following discharge should the nurse evaluate as evidence of a need for further instruction? | When I get home, I may go on a salt-free diet |
| To understand what to expect following administration of a benzodiazepine, the nurse must understand that benzodiazepines? | Enhances the activity of GABA |
| A client was prescribed alprazolam (Xanax) for symptoms of anxiety related to a recent divorce and relocation. she stated to the nurse, "A little while after I take the medication , I feel out of it and spacey". What is the likely cause of this feeling? | rapid absorption and distribution to brain cells |
| An individual with post-stroke depression is receiving a CNS stimulant. what is the nurse's rationale for giving the medication at breakfast and again at midday? | prevent insomnia |
| A client who has received lithium for 3 weeks to control acute mania has the following symptoms: course hand tremors, diarrhea, vomiting, lethargy and mild confusion. The priority nursing action should be to ? | obtain a stat lithium level; hold lithium pending results |
| a client has been taking chlorpromazine (Thorazine) for the past two weeks. He drools, has hand tremors and walks with a shuffling gait. the nurse should correctly attribute these behaviors to? | Pseudoparkinsonism |
| To evaluate outcomes for a client with schizophrenia receiving typical antidepressant drug therapy, the nurse should look for improvement in? | Hallucinations |
| The nurse can anticipate that a client who has shown little response to atypical antipsychotic medication therapy will be given a medication that produces a favorable response to both positive and negative symptoms? | Risperidone (Risperdal) |
| When a client for whom haloperidol has been prescribed tells the nurse " I'm burning up and my muscles are stiff and sore," the nurse suspects neuroleptic malignant syndrome and recognizes the possibility that the physician may order? | Dantrolene (Dantrium) |
| the client's medical record indicates he has had severe dystonic reactions to parenteral administration of typical antipsychotic medication. the nurse can anticipate that the physician will order | Ziprasidone (Geodon) IM |
| A client who has been receiving paroxetine (Paxil) for symptoms of major depression/ whose sensorium had been clear, begins to behave as though somewhat confused and elated. presence of restlessness, muscle jerking and diaphoresis these are symptoms | Serotonin Syndrome |
| When following up on SSRI medication side effects, the nurse will need to make specific inquires about? | Sexual Dysfunction |
| A client who is taking SSRIs medications to the nurse that has current medication causes fewer side effects than the TCA he took several years earlier. The nurse understands that SSRIs advantage is due to? | Blocking only serotonin reuptake |
| the nurse explains that the priority nursing diagnosis for a client taking zolpidem (Ambien) is? | Disturbed Sleep Pattern |
| A client is taking Sertraline (Zoloft). The nurse explains to the client that how much time will pass before the onset of the medication occurs is | 1-2 weeks |
| A client has been taking 30 mg of duloxetine hydrochloride (Cymbalta) twice daily for 2 months for depression, vague aches/pains; discloses drinking a 6 pack daily for 10 years to help with sleep. What should the nurse do | Report the client's beer consumption to the primary healthcare provider |
| The primary healthcare provider prescribed (Prozac) orally every morning for a 72 year old client with depression. Which transient adverse effect of this drug requires immediate action by the nurse? | Dizziness |
| The client who has been taking venlafazine (Effexor) 25 mg PO three times a day for the past 2 days states," I'm still so depressed" which of the following responses is most appropriate | Lets wait a few days and see how you feel it takes about 2-4 weeks to receive the full effects |
| Which of the following statements by a client taking trazodone (Desyrel) as prescribed by the primary healthcare provider indicates to the nurse that further teaching about the medication is needed | my depression will be gone in about 5-7 days |
| the client with depression who is taking imipramine (Tofranil) states the nurse, "my dr wants me to have an ECG in 2 weeks, but my hear is fine" Which response by the nurse is appropriate | its routine practice to have ECGs periodically because there is a slight change that the drug may affect the heart |
| A client who is taking doxepin (Sinequan) 100 mg PO at bedtime has dizziness on arising. Which suggestion by the nurse is most appropriate | Get up slowly and dangle your feet before standing |
| The primary healthcare provider prescribes mirtazapine (Remeron) 30 mg PO at bedtime for a depressed client. the nurse should | give the medication as prescribed |
| the client diagnosed with major depression has been taking lexapro (Escitalopram) 10 mg daily for the past 2 weeks. which of the following parameter should the nurse monitor most closely at this time | Suicidal Ideation |
Created by:
Valadiece
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