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MS2 Q13 - Psychiatric Meds Exam with precise detailed solutions
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Since |! the |! summer |! weather |! began, |! a |! patient |! taking |! lithium |! for |! manic |! episodes |! has |! been |! walking |! daily. |! What |! important |! instruction |! should |! the |! nurse |! provide |! to |! this |! patient? |! - |! Correct |! answer |! ✔Maintain |! hydration A |! patient |! with |! bipolar |! disorder |! is |! being |! treated |! with |! tricyclic |! medications. |! What |! should |! the |! nurse |! inform |! the |! patient |! to |! expect |! when |! treating |! information |! concerning |! side |! effects? |! - |! Correct |! answer |! ✔Orthostatic |! hypotension A |! patient |! is |! receiving |! large |! doses |! of |! chlorpromazine |! (Thorazine) |! and |! begins |! to |! exhibit |! extrapyramidal |! signs |! of |! involuntary |! muscle |! movement. |! Which |! classification |! of |! drugs |! should |! the |! nurse |! anticipate |! will |! be |! added |! to |! the |! patient's |! protocol? |! - |! Correct |! answer |! ✔Anti-parkinson A |! long |! time |! patient |! with |! schizophrenia |! in |! the |! inpatient |! unit |! has |! developed |! involuntary |! movements |! of |! his |! tongue. |! What |! has |! this |! patient |! developed? |! - |! Correct |! answer |! ✔Tardive |! Dyskinesia A |! nurse |! is |! caring |! for |! a |! client |! who |! has |! paranoid |! schizophrenia |! and |! a |! new |! prescription |! for |! risperidone. |! The |! client |! asks |! the |! nurse |! what |! the |! medicine |! is |! supposed |! to |! do. |! Which |! of |! the |! following |! responses |! should |! the |! nurse |! make? |! - |! Correct |! answer |! ✔"This |! medication |! will |! help |! to |! clear |! your |! thinking"
A |! nurse |! is |! caring |! for |! a |! client |! who |! has |! paranoid |! schizophrenia |! and |! is |! taking |! quetiapine. |! The |! nurse |! should |! observe |! the |! client |! for |! which |! of |! the |! following |! adverse |! effects? |! - |! Correct |! answer |! ✔Drowsiness A |! nurse |! is |! collecting |! data |! from |! a |! client |! who |! has |! schizophrenia |! and |! recently |! stopped |! taking |! chlorpromazine |! after |! 8 |! years. |! The |! nurse |! notes |! choreiform |! movements, |! lip |! smacking, |! and |! spastic |! facial |! distortions. |! The |! nurse |! should |! document |! these |! findings |! as |! indicating |! which |! of |! the |! following |! conditions? |! - |! Correct |! answer |! ✔Tardive |! dyskinesia A |! nurse |! is |! caring |! for |! a |! client |! who |! has |! schizophrenia |! and |! is |! receiving |! clozapine. |! For |! which |! of |! the |! following |! findings |! should |! the |! nurse |! monitor |! to |! determine |! if |! the |! medication |! is |! having |! a |! therapeutic |! effect? |! - |! Correct |! answer |! ✔Decreased |! auditory |! hallucinations A |! nurse |! is |! administering |! risperidone |! to |! a |! client |! who |! has |! schizophrenia. |! For |! which |! of |! the |! following |! adverse |! effects |! should |! the |! nurse |! monitor? |! - |! Correct |! answer |! ✔Increased |! triglyceride |! levels A |! nurse |! is |! caring |! for |! a |! client |! who |! has |! schizophrenia |! and |! taking |! haloperidol. |! The |! nurse |! observes |! that |! the |! client |! has |! developed |! a |! stooped |! posture |! and |! shuffling |! gait. |! The |! nurse |! should |! document |! these |! findings |! as |! which |! of |! the |! following |! extrapyramidal |! side |! effects |! of |! haloperidol? |! - |! Correct |! answer |! ✔Pseudo |! parkinsonism
A |! nurse |! is |! reviewing |! a |! client's |! medication |! administration |! record. |! Which |! of |! the |! following |! medications |! should |! the |! nurse |! recognize |! as |! potentially |! interacting |! with |! the |! client's |! prescribed |! lithium? |! - |! Correct |! answer |! ✔Furosemide A |! nurse |! is |! caring |! for |! a |! client |! who |! has |! depression |! and |! is |! taking |! a |! MAOI. |! The |! nurse |! should |! inform |! the |! client |! that |! his |! diet |! may |! include |! which |! of |! the |! following |! foods? |! - |! Correct |! answer |! ✔Cottage |! cheese |! and |! bananas A |! nurse |! is |! reinforcing |! teaching |! with |! a |! client |! who |! is |! to |! begin |! taking |! a |! MAOI |! in |! addition |! to |! a |! SSRI. |! Which |! of |! the |! following |! states |! a |! nurse |! at |! a |! mental |! health |! facility |! is |! discussing |! antidepressant |! medications |! with |! a |! newly |! licensed |! nurse, |! comparing |! selective |! SSRIs |! and |! TCAs? |! Which |! of |! the |! following |! information |! should |! the |! nurse |! include |! about |! TCAs? |! - |! Correct |! answer |! ✔Increased |! risk |! for |! cardiovascular |! adverse |! effects A |! nurse |! is |! reinforcing |! teaching |! with |! a |! client |! who |! has |! depression |! about |! a |! new |! prescription |! of |! fluoxetine. |! Which |! of |! the |! following |! statements |! by |! the |! client |! indicates |! understanding |! of |! the |! teaching? |! - |! Correct |! answer |! ✔"I |! may |! experience |! sedation |! or |! sleepiness" A |! nurse |! is |! preparing |! a |! presentation |! for |! coworkers |! about |! the |! various |! herbal |! remedies |! client |! might |! report |! using. |! Which |! of |! the |! following |! should |! she |! include |! as |! an |! herbal |! supplement |! clients |! might |! use |! to |! treat |! the |! symptoms |! of |! depression? |! - |! Correct |! answer |! ✔St. |! John's |! Wort
A |! nurse |! is |! collecting |! data |! from |! a |! client |! who |! is |! to |! start |! taking |! amitriptyline |! for |! depression. |! Which |! of |! the |! following |! dietary |! supplements |! should |! the |! nurse |! instruct |! to |! avoid? |! - |! Correct |! answer |! ✔Valerian |! (root) Before |! administering |! client |! medications, |! the |! nurse |! must |! identify |! the |! client. |! Which |! of |! the |! following |! methods |! of |! identification |! should |! the |! nurse |! use? |! - |! Correct |! answer |! ✔Ask |! the |! client's |! full |! name |! and |! date |! of |! birth A |! nurse |! is |! caring |! for |! a |! client |! who |! begins |! showing |! signs |! of |! alcohol |! withdrawal |! delirium. |! Which |! of |! the |! following |! medications |! should |! the |! nurse |! administer? |! - |! Correct |! answer |! ✔Lorazepam A |! nurse |! is |! collecting |! from |! a |! client |! who |! is |! to |! begin |! taking |! alprazolam. |! Which |! of |! the |! following |! findings |! should |! the |! nurse |! identify |! is |! a |! contraindication |! to |! this |! medication? |! - |! Correct |! answer |! ✔Alcohol |! use |! disorder A |! nurse |! is |! caring |! for |! a |! client |! who |! has |! schizophrenia. |! The |! client |! asks |! the |! nurse |! about |! her |! prescribed |! medications |! and |! their |! effects. |! The |! nurse |! asks |! the |! client |! why |! she |! wants |! to |! know |! this |! information. |! Which |! of |! the |! following |! nontherapeutic |! communication |! techniques |! is |! the |! nurse |! using? |! - |! Correct |! answer |! ✔Asking |! for |! an |! explanation A |! nurse |! is |! reviewing |! a |! client's |! medication |! administration |! record. |! For |! which |! of |! the |! following |! medications |! should |! the |! nurse |! place |! the |! client |! on |! fall |! precautions? |! - |! Correct |! answer |! ✔Diazapam