RASMUSSEN PHARM EXAM 1 AND STUDYGUIDE -
NEW VERSION BEST STUDYING MATERIALS WITH
90 QUESTIONS AND 100% VERIFIED CORRECT
ANSWERS |A+ GRADE
A nurse is caring for a client who has a new prescription for phenelzine, an MAOI, for
the treatment of depression. Which of the following indicates that the client has
developed an adverse effect of this medication?
A. Orthostatic hypotension
B. Hearing loss
C. Gastrointestinal bleeding
D. Weight loss - CORRECT ANSWERS-A. CORRECT: Orthostatic hypotension is an
adverse of effect of MAOIs, including phenelzine
A nurse is providing teaching to a client who has a new prescription for amitriptyline for
treatment of depression. Which of the following should the nurse include in the
teaching? (Select all that apply.)
A. Expect therapeutic effects in 24 to 48 hr.
B. Discontinue the medication after a week of improved mood.
C. Change positions slowly to minimize dizziness.
D. Decrease dietary fiber intake to control diarrhea.
E. Chew sugarless gum to prevent dry mouth. - CORRECT ANSWERS-C. CORRECT:
Changing positions slowly helps prevent orthostatic hypotension, which is an adverse
effect of amitriptyline.
E. CORRECT: Chewing sugarless gum can minimize dry mouth, which is an adverse
effect of amitriptyline.
A nurse is providing discharge teaching to a client who has a new prescription for
fluoxetine for posttraumatic stress disorder. Which of the following statements should
the nurse include in the teaching?
A. "You can have a decreased desire for intimacy while taking this medication."
B. "You should take this medication at bedtime to help promote sleep."
C. "You will have fewer urinary adverse effects if you urinate just before taking this
medication."
D. "You'll need to wear sunglasses when outdoors due to the light sensitivity caused by
this medication." - CORRECT ANSWERS-A. CORRECT: Decreased libido is a potential
adverse effect of fluoxetine and other SSRIs
, A nurse is caring for a client who has been taking sertraline for the past 2 days. Which
of the following assessment findings should alert the nurse to the possibility that the
client is developing serotonin syndrome?
A. Bruising
B. Fever
C. Tinnitus
D. Rash - CORRECT ANSWERS-B. CORRECT: Fever is a manifestation of serotonin
syndrome, which can result from taking an SSRI such as sertraline.
A nurse is reviewing laboratory findings and notes that a client's lithium level is 2.1
mEq/L. Which of the following is an appropriate action by the nurse?
•
A. Hold the medication and notify the provider.
B. Prepare the client for hemodialysis.
C. Administer an additional oral dose of lithium.
D. Request a stat repeat of the laboratory test. - CORRECT ANSWERS-A. CORRECT:
Hold the medication and notify the provider is the appropriate action for a client who has
severe toxicity, as evidenced by a plasma lithium level of 2.1 mEq/L.
A nurse is caring for a client who has a new prescription for lithium. When teaching the
client about ways to prevent lithium toxicity, the nurse should advise the client to do
which of the following?
A. Avoid the use of acetaminophen for headaches.
B. Restrict intake of foods rich in sodium.
C. Decrease fluid intake to less than 1,500 mL daily.
D. Limit aerobic activity in hot weather. - CORRECT ANSWERS-D. CORRECT: The
client should avoid activities that have the potential to cause sodium/water depletion,
which can increase the risk for toxicity.
A nurse is assessing a client who takes lithium for the treatment of bipolar disorder. The
nurse should identify which of the following findings is a possible indication of toxicity to
this medication?
A. Severe hypertension
B. Coarse tremors
C. Constipation
D. Muscle spasms - CORRECT ANSWERS-B. CORRECT: Coarse tremors are an
indication of toxicity
A nurse is preparing a teaching plan for a client who has bipolar disorder and a new
prescription for carbamazepine. Which of the following instructions should the nurse
include in the teaching? (Select all that apply.)
A. "This medication can safely be taken during pregnancy."
NEW VERSION BEST STUDYING MATERIALS WITH
90 QUESTIONS AND 100% VERIFIED CORRECT
ANSWERS |A+ GRADE
A nurse is caring for a client who has a new prescription for phenelzine, an MAOI, for
the treatment of depression. Which of the following indicates that the client has
developed an adverse effect of this medication?
A. Orthostatic hypotension
B. Hearing loss
C. Gastrointestinal bleeding
D. Weight loss - CORRECT ANSWERS-A. CORRECT: Orthostatic hypotension is an
adverse of effect of MAOIs, including phenelzine
A nurse is providing teaching to a client who has a new prescription for amitriptyline for
treatment of depression. Which of the following should the nurse include in the
teaching? (Select all that apply.)
A. Expect therapeutic effects in 24 to 48 hr.
B. Discontinue the medication after a week of improved mood.
C. Change positions slowly to minimize dizziness.
D. Decrease dietary fiber intake to control diarrhea.
E. Chew sugarless gum to prevent dry mouth. - CORRECT ANSWERS-C. CORRECT:
Changing positions slowly helps prevent orthostatic hypotension, which is an adverse
effect of amitriptyline.
E. CORRECT: Chewing sugarless gum can minimize dry mouth, which is an adverse
effect of amitriptyline.
A nurse is providing discharge teaching to a client who has a new prescription for
fluoxetine for posttraumatic stress disorder. Which of the following statements should
the nurse include in the teaching?
A. "You can have a decreased desire for intimacy while taking this medication."
B. "You should take this medication at bedtime to help promote sleep."
C. "You will have fewer urinary adverse effects if you urinate just before taking this
medication."
D. "You'll need to wear sunglasses when outdoors due to the light sensitivity caused by
this medication." - CORRECT ANSWERS-A. CORRECT: Decreased libido is a potential
adverse effect of fluoxetine and other SSRIs
, A nurse is caring for a client who has been taking sertraline for the past 2 days. Which
of the following assessment findings should alert the nurse to the possibility that the
client is developing serotonin syndrome?
A. Bruising
B. Fever
C. Tinnitus
D. Rash - CORRECT ANSWERS-B. CORRECT: Fever is a manifestation of serotonin
syndrome, which can result from taking an SSRI such as sertraline.
A nurse is reviewing laboratory findings and notes that a client's lithium level is 2.1
mEq/L. Which of the following is an appropriate action by the nurse?
•
A. Hold the medication and notify the provider.
B. Prepare the client for hemodialysis.
C. Administer an additional oral dose of lithium.
D. Request a stat repeat of the laboratory test. - CORRECT ANSWERS-A. CORRECT:
Hold the medication and notify the provider is the appropriate action for a client who has
severe toxicity, as evidenced by a plasma lithium level of 2.1 mEq/L.
A nurse is caring for a client who has a new prescription for lithium. When teaching the
client about ways to prevent lithium toxicity, the nurse should advise the client to do
which of the following?
A. Avoid the use of acetaminophen for headaches.
B. Restrict intake of foods rich in sodium.
C. Decrease fluid intake to less than 1,500 mL daily.
D. Limit aerobic activity in hot weather. - CORRECT ANSWERS-D. CORRECT: The
client should avoid activities that have the potential to cause sodium/water depletion,
which can increase the risk for toxicity.
A nurse is assessing a client who takes lithium for the treatment of bipolar disorder. The
nurse should identify which of the following findings is a possible indication of toxicity to
this medication?
A. Severe hypertension
B. Coarse tremors
C. Constipation
D. Muscle spasms - CORRECT ANSWERS-B. CORRECT: Coarse tremors are an
indication of toxicity
A nurse is preparing a teaching plan for a client who has bipolar disorder and a new
prescription for carbamazepine. Which of the following instructions should the nurse
include in the teaching? (Select all that apply.)
A. "This medication can safely be taken during pregnancy."
