PHARMACOLOGYjMODULEj3jEXAMjWITHjCOMPLETEjSOLUTIONjGRA
DEDjTOjPASS.
Thejpatientjhasjbeenjorderedjtojbejtreatedjwithjalprazolam.jThejnursejrecognizesjthatjthejpatientjisjmo
stjlikelyjexperiencingjwhichjcondition?
Anxietyjwithjdepression
Alcoholjwithdrawal
Seizures
Insomniaj-jANSj-jAnxietyjwithjdepression
Alprazolamjisjknownjtojbejeffectivejinjtreatingjanxietyjthatjisjassociatedjwithjdepression.jItjisjnotjconsid
eredjajfirst-linejtreatmentjforjalcoholjwithdrawal,jseizures,jorjinsomnia.
Thejnursejisjassessingjajpatientjtakingjantipsychoticsjandjnotesjthatjhejhasjdifficultyjsittingjstill.jThejpati
entjstatesjthatjhejisjfeelingj"restless"jasjhejpacesjthejfloor.jWhatjisjthejnurse'sjprimaryjintervention?
Stopjthejmedicationjimmediatelyjandjnotifyjthejhealthjcarejprovider.
Administerjthejprescribedjbenzodiazepine.
Administerjbenztropinej(Cogentin)jasjordered.
Stayjwithjthejpatientjandjofferjreassurance.j-jANSj-jAdministerjthejprescribedjbenzodiazepine.
Akathisiajpresentsjwithjrestlessnessjandjtroublejstandingjstill.jThisjsidejeffectjisjbestjtreatedjwithjajbenz
odiazepinejsuchjasjlorazepam.jThejmedicationjisjnotjstoppedjifjajpatientjexhibitsjthisjtypejofjeffect.
Thejnursejisjcaringjforjajpatientjwhojisjstartingjclozapine.jWhichjnursingjinterventionjisjajpriorityjforjthi
sjpatient?
1
,Assessjbaselinejwhitejbloodjcelljcountjandjabsolutejneutrophiljcount.
Evaluatejsuicidaljtendencies.
TakejajbaselinejEEG.
Evaluatejcreatininejclearance.j-jANSj-
jAssessjbaselinejwhitejbloodjcelljcountjandjabsolutejneutrophiljcount.
Patientsjtakingjclozapinejmustjbejmonitoredjforjthejlife-
threateningjsidejeffectjofjagranulocytosis.jAjbaselinejwhitejbloodjcelljcountjandjabsolutejneutrophiljcou
ntjmustjbejtaken.
Thejpatientjisjsuspectedjofjhavingjoverdosedjonjajbenzodiazepinejmedication.jThejnursejexpectsjthatjth
ejhealthjcarejproviderjwilljprescribejwhichjmedication?
Lorazepam
Flumazenil
Oxazepam
BuspironejHClj-jANSj-jFlumazenil
Knowjthisjasjthejantidotejforjbenzodiazepinejoverdose.
ThejpatientjhasjbeenjorderedjajmedicationjregimenjthatjincludesjLoxitane.jDuringjinstructionaljsessions
jregardingjthejmedication,jthejnursejshouldjemphasizejwhichjinformation?
Selectjalljthatjapply:
Sedationjcanjoccur.
Hypotensionjisjlikely.
Extrapyramidaljsymptomsjcanjoccur.
Nauseajreductionjwilljoccur.j-jANSj-jSedationjcanjoccur.
Hypotensionjisjlikely.
Extrapyramidaljsymptomsjcanjoccur.
2
, Loxitanej(generic:jloxapine;jtypicaljantipsychotic)jisjknownjtojcausejsedation,jhypotension,jandjextrapyr
amidaljsymptoms.jNauseajmayjresultjasjajsidejeffectjofjLoxitane.
Thejnursejisjcaringjforjajpatientjwhosejmedicationjregimenjincludesjthejbenzodiazepinejchlordiazepoxid
e.jThejnursejrecognizesjthatjthejpatientjisjmostjlikelyjexperiencingjwhichjcondition?
Alcoholjwithdrawal
Depression
Seizures
Insomniaj-jANSj-jAlcoholjwithdrawal
Chlordiazepoxidej(trade:jLibrium)jisjthejbenzodiazepinejthatjisjmostjfrequentlyjusedjwithjpatientsjwhoj
arejexperiencingjalcoholjwithdrawaljratherjthanjthejotherjconditionsjlisted.
Thejnursejisjworkingjwithjajpatientjwhojisjreceivingjhaloperidol.jWhichjfindingjinjthejpatient'sjhistoryjw
ouldjcausejthejnursejtojquestionjthejusejofjthisjdrug?
Hypertension
Glaucoma
Irritablejboweljdisease
Prostaticjhypertrophyj-jANSj-jGlaucoma
Ajcontraindicationjforjthejusejofjhaloperidolj(trade:jHaldol)jisjglaucoma.jThejotherjfindingsjwouldjnotja
ffectjthejusejofjthisjdrug.
Thejnursejisjworkingjwithjajpatientjwhojhasjrecentlyjbeenjstartedjonjtemazepam.jThejnursejrecognizesj
thatjthejpatientjisjmostjlikelyjexperiencingjwhichjcondition?
Anxiety
Seizures
Insomnia
3
DEDjTOjPASS.
Thejpatientjhasjbeenjorderedjtojbejtreatedjwithjalprazolam.jThejnursejrecognizesjthatjthejpatientjisjmo
stjlikelyjexperiencingjwhichjcondition?
Anxietyjwithjdepression
Alcoholjwithdrawal
Seizures
Insomniaj-jANSj-jAnxietyjwithjdepression
Alprazolamjisjknownjtojbejeffectivejinjtreatingjanxietyjthatjisjassociatedjwithjdepression.jItjisjnotjconsid
eredjajfirst-linejtreatmentjforjalcoholjwithdrawal,jseizures,jorjinsomnia.
Thejnursejisjassessingjajpatientjtakingjantipsychoticsjandjnotesjthatjhejhasjdifficultyjsittingjstill.jThejpati
entjstatesjthatjhejisjfeelingj"restless"jasjhejpacesjthejfloor.jWhatjisjthejnurse'sjprimaryjintervention?
Stopjthejmedicationjimmediatelyjandjnotifyjthejhealthjcarejprovider.
Administerjthejprescribedjbenzodiazepine.
Administerjbenztropinej(Cogentin)jasjordered.
Stayjwithjthejpatientjandjofferjreassurance.j-jANSj-jAdministerjthejprescribedjbenzodiazepine.
Akathisiajpresentsjwithjrestlessnessjandjtroublejstandingjstill.jThisjsidejeffectjisjbestjtreatedjwithjajbenz
odiazepinejsuchjasjlorazepam.jThejmedicationjisjnotjstoppedjifjajpatientjexhibitsjthisjtypejofjeffect.
Thejnursejisjcaringjforjajpatientjwhojisjstartingjclozapine.jWhichjnursingjinterventionjisjajpriorityjforjthi
sjpatient?
1
,Assessjbaselinejwhitejbloodjcelljcountjandjabsolutejneutrophiljcount.
Evaluatejsuicidaljtendencies.
TakejajbaselinejEEG.
Evaluatejcreatininejclearance.j-jANSj-
jAssessjbaselinejwhitejbloodjcelljcountjandjabsolutejneutrophiljcount.
Patientsjtakingjclozapinejmustjbejmonitoredjforjthejlife-
threateningjsidejeffectjofjagranulocytosis.jAjbaselinejwhitejbloodjcelljcountjandjabsolutejneutrophiljcou
ntjmustjbejtaken.
Thejpatientjisjsuspectedjofjhavingjoverdosedjonjajbenzodiazepinejmedication.jThejnursejexpectsjthatjth
ejhealthjcarejproviderjwilljprescribejwhichjmedication?
Lorazepam
Flumazenil
Oxazepam
BuspironejHClj-jANSj-jFlumazenil
Knowjthisjasjthejantidotejforjbenzodiazepinejoverdose.
ThejpatientjhasjbeenjorderedjajmedicationjregimenjthatjincludesjLoxitane.jDuringjinstructionaljsessions
jregardingjthejmedication,jthejnursejshouldjemphasizejwhichjinformation?
Selectjalljthatjapply:
Sedationjcanjoccur.
Hypotensionjisjlikely.
Extrapyramidaljsymptomsjcanjoccur.
Nauseajreductionjwilljoccur.j-jANSj-jSedationjcanjoccur.
Hypotensionjisjlikely.
Extrapyramidaljsymptomsjcanjoccur.
2
, Loxitanej(generic:jloxapine;jtypicaljantipsychotic)jisjknownjtojcausejsedation,jhypotension,jandjextrapyr
amidaljsymptoms.jNauseajmayjresultjasjajsidejeffectjofjLoxitane.
Thejnursejisjcaringjforjajpatientjwhosejmedicationjregimenjincludesjthejbenzodiazepinejchlordiazepoxid
e.jThejnursejrecognizesjthatjthejpatientjisjmostjlikelyjexperiencingjwhichjcondition?
Alcoholjwithdrawal
Depression
Seizures
Insomniaj-jANSj-jAlcoholjwithdrawal
Chlordiazepoxidej(trade:jLibrium)jisjthejbenzodiazepinejthatjisjmostjfrequentlyjusedjwithjpatientsjwhoj
arejexperiencingjalcoholjwithdrawaljratherjthanjthejotherjconditionsjlisted.
Thejnursejisjworkingjwithjajpatientjwhojisjreceivingjhaloperidol.jWhichjfindingjinjthejpatient'sjhistoryjw
ouldjcausejthejnursejtojquestionjthejusejofjthisjdrug?
Hypertension
Glaucoma
Irritablejboweljdisease
Prostaticjhypertrophyj-jANSj-jGlaucoma
Ajcontraindicationjforjthejusejofjhaloperidolj(trade:jHaldol)jisjglaucoma.jThejotherjfindingsjwouldjnotja
ffectjthejusejofjthisjdrug.
Thejnursejisjworkingjwithjajpatientjwhojhasjrecentlyjbeenjstartedjonjtemazepam.jThejnursejrecognizesj
thatjthejpatientjisjmostjlikelyjexperiencingjwhichjcondition?
Anxiety
Seizures
Insomnia
3
