Guns and Ammunition 3rd Edition By Donald E.
Carlucci; Sidney S. Jacobson 9781138055315 ALL
Chapters
ANSWER:zBz--BenzodiazepamzCNSzdepressantzwithzquickzonsetzofzrelaxationz-
zWhichzofzthezfollowingzmedicationszwouldzbezanzappropriatezPRNzmedicationzforzanzindiv
idualszwithzanxietyzsymptoms?z
zA.zBuspirone
zB.zAlprazolamz
zC.zFluoxetine
zD.zSertraline
ANSWER:zCzclientziszexhibitingzsignszofzextrapyramidalzsyndromez(EPS)z-
zAzclientzwhoztakeszhaloperidolzbeginsztozshowztremorszandzazshufflingzgait.zWhichzofzthezf
ollowingzPRNzmedicationszshouldztheznursezchoseztozadministerzforzthesezsymptoms?z
zA.zChlorpromazine
zB.zDiazepamz
zC.zBenztropine
zD.zAmoxapine
ANSWER:zDzAlphazAgonistz(stimulateszreceptor)z-
zAzchildzisztakingzguanfacinezforzADHD.zWhichzofzthezfollowingzwouldzbezpartzofzthezclientz
educationzassociatedzwithzadministrationzofzthiszmedication?z
zA.zDoznotztakezwithzfoodszthatzcontainztyramine
zB.zAlwayszusezsunblockzwhenzoutdoorsz
zC.zReportzforzbloodztestszoncezazmonthz
zD.zDoznotzdiscontinuezmedicationzabruptly
ANS:zCzAtypicalzantipsychoticszproducezlesszD2blockade;zthuszmovementzdisorderszarezl
esszofzazproblem.zNozevidencezsuggestszthatzthezmedicationzremainszinzthezsystemzlonge
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ceszbetweenztypicalzandzatypicalzantipsychotics.zTheznursezcorrectlyzstateszthatzatypicalz
antipsychotics:
A.zRemainzinzthezsystemzlonger
B.zActzmorezquicklyztozreducezdelusions
C.zProducezfewerzextrapyramidalzeffects
, D.zArezriskzfreezforzneurolepticzmalignantzsyndromez(NMS)
ANS:zCzIncreasedztemperatureziszthezcardinalzsignzofzNMS.zThiszBPzisznotzazsignificantzfe
aturezofzNMS.zTherezareznozsignificantzfindingsztozsupportzthezoptionszrelatedztozrespiratio
nszorzpulsezrate.z-
z2.zTheznursezwouldzassesszforzneurolepticzmalignantzsyndromez(NMS)zifzazpatientzonzhal
operidolz(Haldol)zdevelopsza:
A.z30zmmzHgzdecreasezinzbloodzpressurezreading
B.zRespiratoryzratezofz24zrespirationszperzminute
C.zTemperaturezreadingzofz104°zF
D.zPulsezratezofz70zbeatszperzminute
ANS:zCzFluphenazinezadministrationzproduceszblockadezofzcholinergiczreceptorszgivingzri
seztozanticholinergiczeffects,zsuchzaszdryzmouth,zblurredzvision,zandzconstipation.z-
z3.zAzpatientztakingzfluphenazinez(Prolixin)zcomplainszofzdryzmouthzandzblurredzvision.zWh
atzwouldztheznursezassesszaszthezlikelyzcausezofzthesezsymptoms?
A.zDecreasedzdopaminezatzreceptorzsites
B.zBlockadezofzhistamine
C.zCholinergiczblockade
D.zAdrenergiczblocking
ANS:zA
TDzmanifestszaszabnormalzmovementszofzvoluntaryzmusclezgroupszafterzazprolongedzperi
odzofzdopamine
blockade.zMovementszmayzaffectzanyzmusclezgroup,zbutzmuscleszofzthezface,zmouth,zton
gue,zandzdigitszare
commonlyzaffected.zFallingzasleepziszreflectivezofzthezsedativezeffectzofzthesezmedication
s.zMusclezrigidityzandzdroolingzreflectzEPSzcausedzfromzimbalancezbetweenzdopaminezan
dzacetylcholine.z-
z4.zWhichzbehaviorzdisplayedzbyzazpatientzreceivingzaztypicalzantipsychoticzmedicationzwo
uldzbezassessedzaszdisplayingzbehaviorszcharacteristiczofztardivezdyskinesiaz(TD)?
A.zGrimacingzandzlipzsmacking
B.zFallingzasleepzinzthezchairzandzrefusingztozeatzlunch
C.zExperiencingzmusclezrigidityzandztremors
D.zHavingzexcessivezsalivationzandzdrooling
ANS:zA
IncreasedzlevelszofzGABAzreducezanxiety,zthuszanyzpotentiationzofzGABAzactionzshouldzr
esultzinzanxiety
reduction.zMemoryzenhancementziszassociatedzwithzacetylcholinezandzsubstancezP.zTho
ughtzdisorganizationziszassociatedzwithzdopamine.zGABAzisznotzassociatedzwithzsensoryz
perceptualzalterations.z-