NU 334 Medication Questions With
Solution
Clozapine compared to other antipsychotic drugs produces lower side
effects. Which of the following is considered as the fatal side effect of
clozapine?
Agranulocytosis
A client is diagnosed with schizophrenia. A physician orders Haloperidol
(Haldol), 50 mg bid, Benztropine (cogentin) 1mg prn, and Zolpidem (Ambien)
10mg HS. Which client behavior would warrant the nurse to administer
benztropine?
Restlessness and muscle rigidity
A client diagnosed with schizophrenia, who has been taking antipsychotic
medications for the last 5 months, presents to the ED with uncontrollable
tongue movements, stiff neck, and difficulty swallowing. The nurse should
expect the physician to recognize which condition and implement which
treatment?
Tardive dyskinesia and treat by discontinuing antipsychotic medications
A client who is admitted to the inpatient psychiatric unit and is taking
Chlorpromazine (Thorazine) presents to the nurse with severe muscle rigidity,
tachycardia, and a temperature of 105°F (40.5°C). The nurse identifies these
symptoms as which of the following conditions?
Neuroleptic malignant syndrome
, A newly admitted client has taken Olanzapine (Zyprexa) for 2 years, with
good symptom control. Symptoms exhibited on admission included paranoia
and hallucinations. The nurse should recognize which potential cause for the
return of these symptoms?
The client has not taken the medication as prescribed
A client diagnosed with schizophrenia takes an antipsychotic medication
daily. Which assessment finding should a nurse immediately report to the
clients attending psychiatrist?
Temperature of 104°F
A client diagnosed with schizophrenia is prescribed clozapine. Which client
symptoms related to the side effects of this medication should prompt a
nurse to intervene intermediately?
Sore throat, fever, and malaise
Medications like Clozapine, quetiapine, and risperidone that prolong the QT
interval increase the risk of?
Cardiac dysrhythmias
All second generation antipsychotics especially Clozapine (Clozaril) and
Olanzapine (Zyprexa) can promote weight gain which leads to?
Diabetes
As a nurse, if you notice a mistake with a patient's medication, what should
you do?
Report the error
Which of the following is important when administering medications?
Solution
Clozapine compared to other antipsychotic drugs produces lower side
effects. Which of the following is considered as the fatal side effect of
clozapine?
Agranulocytosis
A client is diagnosed with schizophrenia. A physician orders Haloperidol
(Haldol), 50 mg bid, Benztropine (cogentin) 1mg prn, and Zolpidem (Ambien)
10mg HS. Which client behavior would warrant the nurse to administer
benztropine?
Restlessness and muscle rigidity
A client diagnosed with schizophrenia, who has been taking antipsychotic
medications for the last 5 months, presents to the ED with uncontrollable
tongue movements, stiff neck, and difficulty swallowing. The nurse should
expect the physician to recognize which condition and implement which
treatment?
Tardive dyskinesia and treat by discontinuing antipsychotic medications
A client who is admitted to the inpatient psychiatric unit and is taking
Chlorpromazine (Thorazine) presents to the nurse with severe muscle rigidity,
tachycardia, and a temperature of 105°F (40.5°C). The nurse identifies these
symptoms as which of the following conditions?
Neuroleptic malignant syndrome
, A newly admitted client has taken Olanzapine (Zyprexa) for 2 years, with
good symptom control. Symptoms exhibited on admission included paranoia
and hallucinations. The nurse should recognize which potential cause for the
return of these symptoms?
The client has not taken the medication as prescribed
A client diagnosed with schizophrenia takes an antipsychotic medication
daily. Which assessment finding should a nurse immediately report to the
clients attending psychiatrist?
Temperature of 104°F
A client diagnosed with schizophrenia is prescribed clozapine. Which client
symptoms related to the side effects of this medication should prompt a
nurse to intervene intermediately?
Sore throat, fever, and malaise
Medications like Clozapine, quetiapine, and risperidone that prolong the QT
interval increase the risk of?
Cardiac dysrhythmias
All second generation antipsychotics especially Clozapine (Clozaril) and
Olanzapine (Zyprexa) can promote weight gain which leads to?
Diabetes
As a nurse, if you notice a mistake with a patient's medication, what should
you do?
Report the error
Which of the following is important when administering medications?
