A client arrives in the emergency room with a tricyclic antidepressant overdose. Which
of the following measures should the nurse do, except?
-Maintain a patent airway.
-Administration of sodium bicarbonate.
-Gastric lavage with activated charcoal.
-Obtain an electrocardiogram.
-Administration of an antipyretic. - ans-Administration of an antipyretic.
A client is about to be discharged with a prescription for the antipsychotic agent
haloperidol (Haldol), 10 mg by mouth twice per day. During a discharge teaching
session, the nurse should provide which instruction to the client?
-Take the medication 1 hour before a meal.
-Decrease the dosage if signs of illness decrease.
-Apply a sunscreen before being exposed to the sun.
-Increase the dosage up to 50 mg twice per day if signs of illness don't decrease. - ans-
Apply a sunscreen before being exposed to the sun
A client is prescribed with sertraline (Zoloft). To guarantee a safe administration of the
medication, a nurse would administer the dse:
-As needed only for depressions.
-Early in the morning.
-Take on an empty stomach.
-At bedtime. - ans-At bedtime.
A client taking lithium carbonate (Lithobid) started complaining of nausea, vomiting,
diarrhea, drowsiness, muscle weakness, tremor, blurred vision and ringing in the ears.
The lithium level is 2 mEq/L. The nurse interprets this value as:
-Normal level.
-Toxic level.
-Below normal level.
-Above normal level. - ans-Toxic level.
A client who has been taking buspirone (BuSpar) for two months returns to the clinic for
a follow-up. The nurse determines that the medication is effective if there is an absent
display of?
-Feelings of panic, fear, and uneasiness.
-Thought broadcasting or delusions.
-Paranoid and suicidal thought process.
,-Alcohol withdrawal symptoms. - ans-Feelings of panic, fear, and uneasiness.
A client with depression is taking phenelzine (Nardil). The nurse advises the client to
avoid consuming which foods while taking the medication
-Crackers.
-Vegetable salad.
-Oatmeal.
-Yogurt. - ansYogurt.
A client with depression who has been taking amitriptyline for three months returns to
the clinic for a follow-up. The nurse observes the client in which of the following
symptoms?
-Suicidal thoughts.
-Lack of energy.
-Loss of interest in personal appearance.
-Neglect of responsibilities. - ans-Suicidal thoughts.
A client with persistent, severe schizophrenia has been treated with phenothiazines for
the past 17 years. Now the client's speech is garbled as a result of drug-induced
rhythmic tongue protrusion. What is another name for this extrapyramidal symptom?
-Dystonia
-Akathisia
-Pseudoparkinsonism
-Tardive dyskinesia - ans-Tardive dyskinesia
A client with schizophrenia has been started on medication therapy with clozapine
(Clozaril). A nurse assesses the results of which laboratory study to monitor for adverse
effect related to this medication?
-White blood cell.
-Platelet count.
-Liver function studies.
-Random blood sugar. - ansWhite blood cell.
A client with schizophrenia is receiving antipsychotic medication. Which nursing
diagnosis may be appropriate for this client?
-Ineffective protection related to blood dyscrasias
-Urinary frequency related to adverse effects of antipsychotic medication
-Risk for injury related to a severely decreased level of consciousness
-Risk for injury related to electrolyte disturbances - ans-ineffective protection related to
blood dyscrasias
,A client with schizophrenia who receives fluphenazine (Prolixin) develops
pseudoparkinsonism and akinesia. What drug would the nurse administer to minimize
extrapyramidal symptoms?
-benztropine (Cogentin)
-dantrolene (Dantrium)
-clonazepam (Klonopin)
-diazepam (Valium) - ans-benztropine (Cogentin)
A newly admit client has started taking bupropion (Wellbutrin). The nurse monitors in
which of the following side effects that would indicate an overdosage of the medication?
-Headache.
-Dizziness.
-Constipation.
-Seizure. - ans-Seizure.
A nurse is giving discharge instructions to a client who is prescribed with isocarboxazid
(Marplan). The nurse will tell the client to anticipate which of the following side effects of
this medication?
-Weight loss.
-Dry skin.
-Dizziness.
-Fever. - ans-Dizziness.
A nurse is giving discharge instructions to a client who will be taking phenobarbital
(Luminal). The nurse would educate the client in which of the following that directly
correlates with the safety of the client?
-Take the medication at the same time each day.
-Take the medication with meals only.
-Avoid using sleep aids while taking the medication.
-Decrease the dosage once with symptoms of dizziness and lightheadedness. - ans-
Avoid using sleep aids while taking the medication.
A nurse is giving instructions to a client receiving lithium citrate. The nurse tells the
client to do which of the following to prevent lithium toxicity:
-Avoid becoming dehydrated during exercise.
-Instruct the client to change positions slowly.
-Restrict salt intake in the diet.
-Limit fluid intake. - ans-Avoid becoming dehydrated during exercise
, A nurse is giving instructions to a client taking risperidone (Risperdal). The nurse advise
the client to which of the following?
-Take it on an empty stomach.
-Change position slowly.
-Get a daily source of sunlight.
-Discontinue medication once the symptoms went away. - ans-Change position slowly
A nurse notes that a client with schizophrenia and receiving an antipsychotic medication
is having uncontrolled movement of the lips and tongue. The nurse determines that the
client is experiencing?
-Hypertensive crisis.
-Parkinsonism.
-Tardive dyskinesia.
-Neuroleptic malignant syndrome. - ans-Tardive dyskinesia.
A nurse provides instructions to a client taking fluoxetine (Prozac) a selective serotonin
reuptake inhibitors (SSRI) antidepressant. The nurse tells the client to take the
medication:
-Early in the morning.
-During lunch time.
-At snack time.
-At bedtime. - ans-Early in the morning.
Drug therapy with thioridazine (Mellaril) shouldn't exceed a daily dose of 800 mg to
prevent which adverse reaction?
-Hypertension
-Respiratory arrest
-Tourette syndrome
-Retinal pigmentation - ans-Retinal pigmentation
During a hypertensive crisis, the nurse make sure which of this medicine is readily
available?
-Lithium citrate.
-Diazepam.
-Phentolamine.
-Phenobarbital sodium. - ans-Phentolamine.
Important teaching for a client receiving risperidone (Risperdal) would include advising
the client to:
-double the dose if missed to maintain a therapeutic level.
of the following measures should the nurse do, except?
-Maintain a patent airway.
-Administration of sodium bicarbonate.
-Gastric lavage with activated charcoal.
-Obtain an electrocardiogram.
-Administration of an antipyretic. - ans-Administration of an antipyretic.
A client is about to be discharged with a prescription for the antipsychotic agent
haloperidol (Haldol), 10 mg by mouth twice per day. During a discharge teaching
session, the nurse should provide which instruction to the client?
-Take the medication 1 hour before a meal.
-Decrease the dosage if signs of illness decrease.
-Apply a sunscreen before being exposed to the sun.
-Increase the dosage up to 50 mg twice per day if signs of illness don't decrease. - ans-
Apply a sunscreen before being exposed to the sun
A client is prescribed with sertraline (Zoloft). To guarantee a safe administration of the
medication, a nurse would administer the dse:
-As needed only for depressions.
-Early in the morning.
-Take on an empty stomach.
-At bedtime. - ans-At bedtime.
A client taking lithium carbonate (Lithobid) started complaining of nausea, vomiting,
diarrhea, drowsiness, muscle weakness, tremor, blurred vision and ringing in the ears.
The lithium level is 2 mEq/L. The nurse interprets this value as:
-Normal level.
-Toxic level.
-Below normal level.
-Above normal level. - ans-Toxic level.
A client who has been taking buspirone (BuSpar) for two months returns to the clinic for
a follow-up. The nurse determines that the medication is effective if there is an absent
display of?
-Feelings of panic, fear, and uneasiness.
-Thought broadcasting or delusions.
-Paranoid and suicidal thought process.
,-Alcohol withdrawal symptoms. - ans-Feelings of panic, fear, and uneasiness.
A client with depression is taking phenelzine (Nardil). The nurse advises the client to
avoid consuming which foods while taking the medication
-Crackers.
-Vegetable salad.
-Oatmeal.
-Yogurt. - ansYogurt.
A client with depression who has been taking amitriptyline for three months returns to
the clinic for a follow-up. The nurse observes the client in which of the following
symptoms?
-Suicidal thoughts.
-Lack of energy.
-Loss of interest in personal appearance.
-Neglect of responsibilities. - ans-Suicidal thoughts.
A client with persistent, severe schizophrenia has been treated with phenothiazines for
the past 17 years. Now the client's speech is garbled as a result of drug-induced
rhythmic tongue protrusion. What is another name for this extrapyramidal symptom?
-Dystonia
-Akathisia
-Pseudoparkinsonism
-Tardive dyskinesia - ans-Tardive dyskinesia
A client with schizophrenia has been started on medication therapy with clozapine
(Clozaril). A nurse assesses the results of which laboratory study to monitor for adverse
effect related to this medication?
-White blood cell.
-Platelet count.
-Liver function studies.
-Random blood sugar. - ansWhite blood cell.
A client with schizophrenia is receiving antipsychotic medication. Which nursing
diagnosis may be appropriate for this client?
-Ineffective protection related to blood dyscrasias
-Urinary frequency related to adverse effects of antipsychotic medication
-Risk for injury related to a severely decreased level of consciousness
-Risk for injury related to electrolyte disturbances - ans-ineffective protection related to
blood dyscrasias
,A client with schizophrenia who receives fluphenazine (Prolixin) develops
pseudoparkinsonism and akinesia. What drug would the nurse administer to minimize
extrapyramidal symptoms?
-benztropine (Cogentin)
-dantrolene (Dantrium)
-clonazepam (Klonopin)
-diazepam (Valium) - ans-benztropine (Cogentin)
A newly admit client has started taking bupropion (Wellbutrin). The nurse monitors in
which of the following side effects that would indicate an overdosage of the medication?
-Headache.
-Dizziness.
-Constipation.
-Seizure. - ans-Seizure.
A nurse is giving discharge instructions to a client who is prescribed with isocarboxazid
(Marplan). The nurse will tell the client to anticipate which of the following side effects of
this medication?
-Weight loss.
-Dry skin.
-Dizziness.
-Fever. - ans-Dizziness.
A nurse is giving discharge instructions to a client who will be taking phenobarbital
(Luminal). The nurse would educate the client in which of the following that directly
correlates with the safety of the client?
-Take the medication at the same time each day.
-Take the medication with meals only.
-Avoid using sleep aids while taking the medication.
-Decrease the dosage once with symptoms of dizziness and lightheadedness. - ans-
Avoid using sleep aids while taking the medication.
A nurse is giving instructions to a client receiving lithium citrate. The nurse tells the
client to do which of the following to prevent lithium toxicity:
-Avoid becoming dehydrated during exercise.
-Instruct the client to change positions slowly.
-Restrict salt intake in the diet.
-Limit fluid intake. - ans-Avoid becoming dehydrated during exercise
, A nurse is giving instructions to a client taking risperidone (Risperdal). The nurse advise
the client to which of the following?
-Take it on an empty stomach.
-Change position slowly.
-Get a daily source of sunlight.
-Discontinue medication once the symptoms went away. - ans-Change position slowly
A nurse notes that a client with schizophrenia and receiving an antipsychotic medication
is having uncontrolled movement of the lips and tongue. The nurse determines that the
client is experiencing?
-Hypertensive crisis.
-Parkinsonism.
-Tardive dyskinesia.
-Neuroleptic malignant syndrome. - ans-Tardive dyskinesia.
A nurse provides instructions to a client taking fluoxetine (Prozac) a selective serotonin
reuptake inhibitors (SSRI) antidepressant. The nurse tells the client to take the
medication:
-Early in the morning.
-During lunch time.
-At snack time.
-At bedtime. - ans-Early in the morning.
Drug therapy with thioridazine (Mellaril) shouldn't exceed a daily dose of 800 mg to
prevent which adverse reaction?
-Hypertension
-Respiratory arrest
-Tourette syndrome
-Retinal pigmentation - ans-Retinal pigmentation
During a hypertensive crisis, the nurse make sure which of this medicine is readily
available?
-Lithium citrate.
-Diazepam.
-Phentolamine.
-Phenobarbital sodium. - ans-Phentolamine.
Important teaching for a client receiving risperidone (Risperdal) would include advising
the client to:
-double the dose if missed to maintain a therapeutic level.
