NUR 327 Exam 6 Mood & Affect questions
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with correct answers
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A |nurse |in |an |ED |is |assessing |a |patient |who |has |been |taking |haloperidol |for |3 |months. |The |patient |
has |a |temperature |of |39.5 |C |(103.4 |F), |blood |pressure |of |150/110 |mmHg, |and |muscle |rigidity. |Which |
of |the |following |complications |should |the |nurse |expect?
a. |Agranulocytosis
b. |Neuroleptic |malignant |syndrome
c. |Akathisia
d. |Tardive |dyskinesia |- |correct |answer | |b. |Neuroleptic |malignant |syndrome
Neuroleptic |malignant |syndrome |(NMS) |is |a |rare |and |potentially |fatal |adverse |effect |of |antipsychotic |
medications |that |requires |emergency |medical |intervention. |Manifestations |of |NMS |are |sudden |and |
include |changes |in |LOC, |seizures, |and |stupor.
A |nurse |is |caring |for |a |patient |who |was |admitted |with |acute |psychosis |and |is |being |treated |with |
haloperidol. |The |nurse |should |suspect |that |the |patient |may |be |experiencing |tardive |dyskinesia |when |
the |patient |exhibits |with |of |the |following? |Select |all |that |apply.
a. |Find |hand |tremors |and |pill |rolling
b. |Tongue |thrusting |and |lip |smacking
c. |Facial |grimacing |and |eye |blinking
d. |Urinary |retention |and |constipation
e. |Involuntary |pelvic |rocking |and |hip |thrusting |movements |- |correct |answer | |b. |Tongue |thrusting |and |
lip |smacking, |c. |Facial |grimacing |and |eye |blinking, |& |e. |Involuntary |pelvic |rocking |and |hip |thrusting |
movements
,Symptoms |of |tardive |dyskinesia |can |include |repetitive, |uncontrollable |movements |such |as |tongue |
thrusting, |lip |smacking, |facial |grimacing, |eye |blinking, |and |irregular |involuntary |movements |of |the |
head, |neck, |trunk, |and |extremities.
A |nurse |is |developing |a |care |plan |for |a |patient |who |has |schizophrenia |and |is |taking |chlorpromazine. |
Which |of |the |following |actions |should |the |nurse |include |in |the |plan?
a. |Monitor |the |patient's |respirations |every |4 |hours
b. |Administer |an |antacid |with |the |medication |to |decrease |nausea
c. |Weigh |the |patient |daily
d. |Monitor |the |patient |for |signs |of |bleeding |- |correct |answer | |a. |Monitor |the |patient's |respirations |
every |4 |hours
Chlorpromazine |can |cause |respiratory |depression, |dyspnea, |and |laryngospasm.
A |nurse |is |providing |discharge |teaching |to |a |patient |who |has |bipolar |disorder |and |will |be |discharged |
with |a |prescription |for |lithium. |The |nurse |should |teach |the |patient |that |which |of |the |following |factors
|puts |her |at |risk |for |lithium |toxicity?
a. |The |patient |runs |4 |miles |outdoors |every |afternoon
b. |The |patient |drinks |2 |liters |of |liquids |daily
c. |The |patient |eats |2 |to |3 |grams |of |sodium-containing |foods |daily
d. |The |patient |eats |foods |high |in |tyramine |- |correct |answer | |a. |The |patient |runs |4 |miles |outdoors |
every |afternoon
Strenuous |exercise |in |outdoor |heat, |which |can |lead |to |dehydration, |puts |the |patient |at |risk |for |
lithium |toxicity. |Mild |to |moderate |exercise |will |not |lead |to |lithium |toxicity, |but |if |the |patient |engages |
in |strenuous |exercise |during |hot |weather, |she |should |take |care |to |replace |any |water |and |sodium |that
|have |been |lost |through |profuse |sweating. |This |also |applies |to |other |factors |that |can |cause |the |
patient |to |become |dehydrated, |such |as |having |diarrhea |or |taking |diuretics.
,A |nurse |is |assessing |for |the |presence |of |extrapyramidal |side |effects |(EPS) |in |a |patient |who |is |taking |
chlorpromazine. |Which |of |the |following |findings |should |the |nurse |recognize |as |EPS? |Select |all |that |
apply.
a. |Muscle |spasms |of |the |neck
b. |Blurred |vision
c. |Tremors |of |the |hands
d. |Fidgeting |behavior
e. |Sexual |dysfunction |- |correct |answer | |a. |Muscle |spasms |of |the |neck, |c. |Tremors |of |the |hands, |& |d. |
Fidgeting |behavior
Muscle |spasms, |fidgeting |behavior |(akathisia), |and |hand |tremors |are |manifestations |of |EPS |associated
|with |conventional |antipsychotics.
A |nurse |is |caring |for |a |patient |who |has |a |serum |lithium |level |of |2.0 |mEq/L. |Which |of |the |following |is |
the |priority |action |for |the |nurse |to |take?
a. |Notify |the |primary |provider |the |result |indicates |toxicity
b. |Continue |to |monitor |this |expected |maintenance |level
c. |Request |the |provider |increase |the |patient's |medication |does
d. |Check |the |patient |for |manifestations |of |hypernatremia |- |correct |answer | |a. |Notify |the |primary |
provider |the |result |indicates |toxicity
The |therapeutic |reference |range |for |lithium |in |0.8-1.4 |mEq/L. |The |nurse |should |recognize |the |patient |
could |require |hospitalization |and |report |the |finding |to |the |provider. |The |nurse |should |check |the |
patient |for |findings |associated |with |advanced |to |severe |lithium |toxicity |like |vision |changes, |
neurological |impairment, |and |hypotension.
A |nurse |is |providing |medication |teaching |for |a |patient |who |has |a |new |prescription |for |phenelzine. |
Which |of |the |following |statements |should |the |nurse |include |in |the |teaching?
a. |You |should |change |positions |slowly |while |taking |this |medication
, b. |This |medication |is |prescribed |to |help |overcome |alcohol |addiction
c. |You |should |omit |foods |containing |oxalates |while |taking |phenelzine
d. |You |should |avoid |drinking |liquids |after |your |evening |meal |- |correct |answer | |a. |You |should |change |
positions |slowly |while |taking |this |medication
Patients |should |change |positions |slowly |while |taking |an |MAOI |due |to |the |risk |of |orthostatic |
hypotension. |Lightheadedness |and |fainting |are |common |when |taking |phenelzine.
A |nurse |in |an |acute |care |mental |facility |is |preparing |to |administer |morning |medication |for |a |patient |
who |has |been |taking |lithium |for |2 |weeks |and |has |a |current |lithium |level |of |1.0 |mEq/L. |Which |of |the |
following |actions |should |the |nurse |take?
a. |Prepare |for |gastric |lavage |due |to |an |extremely |elevated |lithium |level
b. |Administer |the |morning |dose |of |lithium
c. |Check |the |patient's |medication |record |to |assess |whether |the |patient |has |been |refusing |her |lithium
d. |Hold |the |medication |and |assess |for |early |manifestations |of |toxicity |- |correct |answer | |b. |Administer |
the |morning |dose |of |lithium
The |nurse |should |administer |the |lithium |dose |since |a |lithium |level |of |1.0 |mEq/L |is |within |the |
expected |initial |therapeutic |range |of |0.8-1.4 |mEq/L. |At |a |therapeutic |level |the |patient |might |
demonstrate |adverse |effects |of |lithium, |such |as |a |fine |hand |tremor, |thirst, |and |mild |nausea, |and |the |
nurse |should |note |if |any |of |these |manifestations |are |present. |The |nurse |should |continue |to |monitor |
for |adverse |effects |and |signs |of |toxicity, |which |usually |occur |at |levels |of |1.5 |mEq/L |or |higher.
A |nurse |on |a |crisis |hotline |is |speaking |to |a |patient |who |says, |"I |just |took |an |entire |bottle |or |
amitriptyline." |Which |of |the |following |responses |should |the |nurse |make?
a. |I'm |glad |you |called, |and |I |want |to |send |an |ambulance |to |help |you
b. |You |must |have |been |feeling |pretty |depressed |to |do |that
c. |Do |you |know |how |many |pills |were |in |the |bottle?
d. |Were |you |trying |to |kill |yourself |by |taking |an |overdose? |- |correct |answer | |a. |I'm |glad |you |called, |
and |I |want |to |send |an |ambulance |to |help |you
| | | || | | | |
with correct answers
| |
A |nurse |in |an |ED |is |assessing |a |patient |who |has |been |taking |haloperidol |for |3 |months. |The |patient |
has |a |temperature |of |39.5 |C |(103.4 |F), |blood |pressure |of |150/110 |mmHg, |and |muscle |rigidity. |Which |
of |the |following |complications |should |the |nurse |expect?
a. |Agranulocytosis
b. |Neuroleptic |malignant |syndrome
c. |Akathisia
d. |Tardive |dyskinesia |- |correct |answer | |b. |Neuroleptic |malignant |syndrome
Neuroleptic |malignant |syndrome |(NMS) |is |a |rare |and |potentially |fatal |adverse |effect |of |antipsychotic |
medications |that |requires |emergency |medical |intervention. |Manifestations |of |NMS |are |sudden |and |
include |changes |in |LOC, |seizures, |and |stupor.
A |nurse |is |caring |for |a |patient |who |was |admitted |with |acute |psychosis |and |is |being |treated |with |
haloperidol. |The |nurse |should |suspect |that |the |patient |may |be |experiencing |tardive |dyskinesia |when |
the |patient |exhibits |with |of |the |following? |Select |all |that |apply.
a. |Find |hand |tremors |and |pill |rolling
b. |Tongue |thrusting |and |lip |smacking
c. |Facial |grimacing |and |eye |blinking
d. |Urinary |retention |and |constipation
e. |Involuntary |pelvic |rocking |and |hip |thrusting |movements |- |correct |answer | |b. |Tongue |thrusting |and |
lip |smacking, |c. |Facial |grimacing |and |eye |blinking, |& |e. |Involuntary |pelvic |rocking |and |hip |thrusting |
movements
,Symptoms |of |tardive |dyskinesia |can |include |repetitive, |uncontrollable |movements |such |as |tongue |
thrusting, |lip |smacking, |facial |grimacing, |eye |blinking, |and |irregular |involuntary |movements |of |the |
head, |neck, |trunk, |and |extremities.
A |nurse |is |developing |a |care |plan |for |a |patient |who |has |schizophrenia |and |is |taking |chlorpromazine. |
Which |of |the |following |actions |should |the |nurse |include |in |the |plan?
a. |Monitor |the |patient's |respirations |every |4 |hours
b. |Administer |an |antacid |with |the |medication |to |decrease |nausea
c. |Weigh |the |patient |daily
d. |Monitor |the |patient |for |signs |of |bleeding |- |correct |answer | |a. |Monitor |the |patient's |respirations |
every |4 |hours
Chlorpromazine |can |cause |respiratory |depression, |dyspnea, |and |laryngospasm.
A |nurse |is |providing |discharge |teaching |to |a |patient |who |has |bipolar |disorder |and |will |be |discharged |
with |a |prescription |for |lithium. |The |nurse |should |teach |the |patient |that |which |of |the |following |factors
|puts |her |at |risk |for |lithium |toxicity?
a. |The |patient |runs |4 |miles |outdoors |every |afternoon
b. |The |patient |drinks |2 |liters |of |liquids |daily
c. |The |patient |eats |2 |to |3 |grams |of |sodium-containing |foods |daily
d. |The |patient |eats |foods |high |in |tyramine |- |correct |answer | |a. |The |patient |runs |4 |miles |outdoors |
every |afternoon
Strenuous |exercise |in |outdoor |heat, |which |can |lead |to |dehydration, |puts |the |patient |at |risk |for |
lithium |toxicity. |Mild |to |moderate |exercise |will |not |lead |to |lithium |toxicity, |but |if |the |patient |engages |
in |strenuous |exercise |during |hot |weather, |she |should |take |care |to |replace |any |water |and |sodium |that
|have |been |lost |through |profuse |sweating. |This |also |applies |to |other |factors |that |can |cause |the |
patient |to |become |dehydrated, |such |as |having |diarrhea |or |taking |diuretics.
,A |nurse |is |assessing |for |the |presence |of |extrapyramidal |side |effects |(EPS) |in |a |patient |who |is |taking |
chlorpromazine. |Which |of |the |following |findings |should |the |nurse |recognize |as |EPS? |Select |all |that |
apply.
a. |Muscle |spasms |of |the |neck
b. |Blurred |vision
c. |Tremors |of |the |hands
d. |Fidgeting |behavior
e. |Sexual |dysfunction |- |correct |answer | |a. |Muscle |spasms |of |the |neck, |c. |Tremors |of |the |hands, |& |d. |
Fidgeting |behavior
Muscle |spasms, |fidgeting |behavior |(akathisia), |and |hand |tremors |are |manifestations |of |EPS |associated
|with |conventional |antipsychotics.
A |nurse |is |caring |for |a |patient |who |has |a |serum |lithium |level |of |2.0 |mEq/L. |Which |of |the |following |is |
the |priority |action |for |the |nurse |to |take?
a. |Notify |the |primary |provider |the |result |indicates |toxicity
b. |Continue |to |monitor |this |expected |maintenance |level
c. |Request |the |provider |increase |the |patient's |medication |does
d. |Check |the |patient |for |manifestations |of |hypernatremia |- |correct |answer | |a. |Notify |the |primary |
provider |the |result |indicates |toxicity
The |therapeutic |reference |range |for |lithium |in |0.8-1.4 |mEq/L. |The |nurse |should |recognize |the |patient |
could |require |hospitalization |and |report |the |finding |to |the |provider. |The |nurse |should |check |the |
patient |for |findings |associated |with |advanced |to |severe |lithium |toxicity |like |vision |changes, |
neurological |impairment, |and |hypotension.
A |nurse |is |providing |medication |teaching |for |a |patient |who |has |a |new |prescription |for |phenelzine. |
Which |of |the |following |statements |should |the |nurse |include |in |the |teaching?
a. |You |should |change |positions |slowly |while |taking |this |medication
, b. |This |medication |is |prescribed |to |help |overcome |alcohol |addiction
c. |You |should |omit |foods |containing |oxalates |while |taking |phenelzine
d. |You |should |avoid |drinking |liquids |after |your |evening |meal |- |correct |answer | |a. |You |should |change |
positions |slowly |while |taking |this |medication
Patients |should |change |positions |slowly |while |taking |an |MAOI |due |to |the |risk |of |orthostatic |
hypotension. |Lightheadedness |and |fainting |are |common |when |taking |phenelzine.
A |nurse |in |an |acute |care |mental |facility |is |preparing |to |administer |morning |medication |for |a |patient |
who |has |been |taking |lithium |for |2 |weeks |and |has |a |current |lithium |level |of |1.0 |mEq/L. |Which |of |the |
following |actions |should |the |nurse |take?
a. |Prepare |for |gastric |lavage |due |to |an |extremely |elevated |lithium |level
b. |Administer |the |morning |dose |of |lithium
c. |Check |the |patient's |medication |record |to |assess |whether |the |patient |has |been |refusing |her |lithium
d. |Hold |the |medication |and |assess |for |early |manifestations |of |toxicity |- |correct |answer | |b. |Administer |
the |morning |dose |of |lithium
The |nurse |should |administer |the |lithium |dose |since |a |lithium |level |of |1.0 |mEq/L |is |within |the |
expected |initial |therapeutic |range |of |0.8-1.4 |mEq/L. |At |a |therapeutic |level |the |patient |might |
demonstrate |adverse |effects |of |lithium, |such |as |a |fine |hand |tremor, |thirst, |and |mild |nausea, |and |the |
nurse |should |note |if |any |of |these |manifestations |are |present. |The |nurse |should |continue |to |monitor |
for |adverse |effects |and |signs |of |toxicity, |which |usually |occur |at |levels |of |1.5 |mEq/L |or |higher.
A |nurse |on |a |crisis |hotline |is |speaking |to |a |patient |who |says, |"I |just |took |an |entire |bottle |or |
amitriptyline." |Which |of |the |following |responses |should |the |nurse |make?
a. |I'm |glad |you |called, |and |I |want |to |send |an |ambulance |to |help |you
b. |You |must |have |been |feeling |pretty |depressed |to |do |that
c. |Do |you |know |how |many |pills |were |in |the |bottle?
d. |Were |you |trying |to |kill |yourself |by |taking |an |overdose? |- |correct |answer | |a. |I'm |glad |you |called, |
and |I |want |to |send |an |ambulance |to |help |you
