The nurse is teaching a client taking an MAOI about foods with tyramine that he or she should avoid.
Which statement indicates that the client needs further teaching?
a."I'm so glad I can have pizza as long as I don't order pepperoni."
b."I will be able to eat cottage cheese without worrying."
c."I will have to avoid drinking nonalcoholic beer."
d."I can eat green beans on this diet."
- correct answer a."I'm so glad I can have pizza as long as I don't order pepperoni."
A client who has been depressed and suicidal started taking a tricyclic antidepressant 2 weeks ago and is
now ready to leave the hospital to go home. Which is a concern for the nurse as discharge plans are
finalized? a.The client may need a prescription for diphenhydramine (Benadryl) to use for side effects.
b.The nurse will evaluate the risk for suicide by overdose of the tricyclic antidepressant.
c.The nurse will need to include teaching regarding the signs of neuroleptic malignant syndrome.
d.The client will need regular laboratory work to monitor therapeutic drug levels.
- correct answer b.The nurse will evaluate the risk for suicide by overdose of the tricyclic antidepressant.
The signs of lithium toxicity include which?
a.Sedation, fever, and restlessness
b.Psychomotor agitation, insomnia, and increased thirst c.Elevated WBC count, sweating, and confusion
d.Severe vomiting, diarrhea, and weakness
- correct answer d.Severe vomiting, diarrhea, and weakness
Which is a concern for children taking stimulants for ADHD for several years?
a.Dependence on the drug
b.Insomnia
c.Growth suppression
d.Weight gain
- correct answer c.Growth suppression
,The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client
complains of restlessness, cannot sit still, and has muscle stiffness. Of the following prn medications,
which would the nurse administer?
a.Haloperidol (Haldol), 5 mg PO
b.Benztropine (Cogentin), 2 mg PO
c.Propranolol (Inderal), 20 mg PO
d.Trazodone, 50 mg PO
- correct answer b.Benztropine (Cogentin), 2 mg PO
Client teaching for lamotrigine (Lamictal) should include which instructions?
a.Eat a well-balanced diet to avoid weight gain. b.Report any rashes to your doctor immediately.
c.Take each dose with food to avoid nausea.
d.This drug may cause psychological dependence.
- correct answer b.Report any rashes to your doctor immediately.
Which physician order would the nurse question for a client who has stated, "I'm allergic to
phenothiazines?" a.Haldol, 5 mg PO bid
b.Navane, 10 mg PO bid
c.Prolixin, 5 mg PO tid
d.Risperdal, 2 mg bid
- correct answer c.Prolixin, 5 mg PO tid
Clients taking which type of psychotropic medications need close monitoring of their cardiac status?
a.Antidepressants
b.Antipsychotics
c.Mood stabilizers
d.Stimulants
- correct answer b.Antipsychotics
Identify the drug classification for this medication.
, _____________________ Clozapine (Clozaril)
- correct answer Atypical antipsychotic
Identify the drug classification for this medication.
______________________ Fluoxetine (Prozac)
- correct answer SSRI antidepressant
Identify the drug classification for this medication.
______________________ Amitriptyline (Elavil)
- correct answer Tricyclic antidepressant
Identify the drug classification for this medication.
______________________ Benztropine (Cogentin)
- correct answer Anticholinergic
Identify the drug classification for this medication.
______________________Methylphenidate (Ritalin)
- correct answer Stimulant
Identify the drug classification for this medication.
______________________Carbamazepine (Tegretol)
- correct answer Anticonvulsant used as a mood stabilizer
Identify the drug classification for this medication.
______________________ Clonazepam (Klonopin)
- correct answer Benzodiazepine
Identify the drug classification for this medication.
______________________ Quetiapine (Seroquel)
- correct answer Atypical antipsychotic