Psychopharmacology Questions
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The nurse is caring for a client with bipolar disorder whose medication
regimen includes lithium and who will soon be discharged. What health
education should the nurse prioritize?
A. Strategies for managing anticholinergic effects
B. The need to avoid driving or operating machinery during therapy
C. The need to avoid high-potassium foods and salt substitutes
D. The need to have follow-up blood samples drawn on schedule
Ans: D
Serum levels of lithium must be carefully monitored to ensure
effectiveness and prevent toxicity. The need for blood work is
consequently a priority. The client does not necessarily have to
avoid driving, and there is no need to strictly avoid potassium.
Lithium does not cause anticholinergic effects.
The nurse is caring for a young female client who is 5 weeks pregnant.
What statement made by the nurse about the use of antidepressants
during pregnancy is most accurate?
A. "Antidepressants must be chosen carefully because only a few are
safe during pregnancy."
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B. "Antidepressants are used very cautiously during pregnancy and
only when benefit outweighs risk."
C. "Antidepressants are contraindicated and must be discontinued if
pregnancy occurs."
D. "Most antidepressants are safe during pregnancy but those that are
contraindicated should be avoided."
Ans: B
Antidepressants should be used very cautiously during
pregnancy and lactation because of the potential for adverse
effects on the fetus and possible neurological effects on the
baby. Use should be reserved for situations in which the
benefits to the mother far outweigh the potential risks to the
neonate.
The nurse is caring for a client who is taking lithium for the treatment
of bipolar disorder. The client's most recent laboratory findings reveal a
serum lithium level of 1.4 mEq/L. What assessment findings should the
nurse attribute to the client's lithium level?
A. The client is lethargic and weak.
B. Lung auscultation reveals rales, and the client is short of breath on
exertion.
C. The client has decreased bowel sounds and has had no bowel
movement for 3 days.
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