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NUR 425
PHARM
PSYCH
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FINAL
STUDY
GUIDE/NO
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TES/EXA
M
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NU 425 PHARM PSYCH FINAL STUDY GUIDE/NOTES
Pharm Kee study guide 23
1. A patient’s wandering and hostility levels have increased per family reports. What should concern the
nurse in this patient who is taking memantine (Namenda) 10 mg/d? - The patient is not taking enough
of the medication
2. What statement by the patient indicates an understanding of how to relieve some side effects
associated with the use of benzotropine mesylate (Cogentin)?
“I can suck on hard candy or chew sugarless gum to prevent dry mouth”
Pharm Kee 27
1. The nurse is caring for a patient who has begun taking chlorpromazine HCl (Thorazine) 75 mg BID to
treat schizophrenia. A family member tells the nurse that the patient’s agitation, hallucinations, and
delusional symptoms have improved, but the patient continues to withdraw from social interaction and
won’t bathe unless reminded to do so. The nurse will tell the family member that
a. all symptoms will eventually resolve over time with this medication.
b. the patient may need an increased dose of the antipsychotic medication.
c. these results may indicate that the patient does not have schizophrenia.
d. they should consider discussing adding another medication.
ANS: D
2. The nurse is assessing a young adult patient with schizophrenia who recently began taking
fluphenazine (Prolixin). The patient is exhibiting spasms of facial muscles along with grimacing, and the
nurse notes upward eye movements. The nurse suspects which side effect?
a. Acute dystonia
b. Akathisia
c. Pseudoparkinsonism
d. Tardive dyskinesia
ANS: A
3. The nurse is preparing to administer loxapine (Loxitane) 50 mg to a patient who has schizophrenia.
The patient has been taking this medication twice daily for 15 months. The nurse notes smacking lip
movements and involuntary movements of all extremities. Which action by the nurse is correct?
a. Administer the medication as ordered to treat these symptoms of psychosis.
b. Hold the dose and notify the provider of these medication adverse effects.
c. Request an order for an anticholinergic medication such as benztropine (Cogentin).
d. Suggest that the provider increase the dose to 125 mg twice daily.
ANS: B
4. A patient who takes loxapine (Loxitane) to treat schizophrenia is noted to be restless and fidgety and is
pacing around the room. The nurse caring for this patient will perform which action?
a. Contact the provider to discuss changing to benztropine (Cogentin).
b. Notify the provider of these symptoms and request an order for lorazepam (Ativan).
c. Question the patient about adherence to the drug regimen.
d. Recognize these signs of a serious adverse drug reaction and notify the provider.
ANS: B
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NUR 425
PHARM
PSYCH
Downloaded by: Ariah |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
FINAL
STUDY
GUIDE/NO
Downloaded by: Ariah |
Distribution of this document is illegal
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TES/EXA
M
Downloaded by: Ariah |
Distribution of this document is illegal
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NU 425 PHARM PSYCH FINAL STUDY GUIDE/NOTES
Pharm Kee study guide 23
1. A patient’s wandering and hostility levels have increased per family reports. What should concern the
nurse in this patient who is taking memantine (Namenda) 10 mg/d? - The patient is not taking enough
of the medication
2. What statement by the patient indicates an understanding of how to relieve some side effects
associated with the use of benzotropine mesylate (Cogentin)?
“I can suck on hard candy or chew sugarless gum to prevent dry mouth”
Pharm Kee 27
1. The nurse is caring for a patient who has begun taking chlorpromazine HCl (Thorazine) 75 mg BID to
treat schizophrenia. A family member tells the nurse that the patient’s agitation, hallucinations, and
delusional symptoms have improved, but the patient continues to withdraw from social interaction and
won’t bathe unless reminded to do so. The nurse will tell the family member that
a. all symptoms will eventually resolve over time with this medication.
b. the patient may need an increased dose of the antipsychotic medication.
c. these results may indicate that the patient does not have schizophrenia.
d. they should consider discussing adding another medication.
ANS: D
2. The nurse is assessing a young adult patient with schizophrenia who recently began taking
fluphenazine (Prolixin). The patient is exhibiting spasms of facial muscles along with grimacing, and the
nurse notes upward eye movements. The nurse suspects which side effect?
a. Acute dystonia
b. Akathisia
c. Pseudoparkinsonism
d. Tardive dyskinesia
ANS: A
3. The nurse is preparing to administer loxapine (Loxitane) 50 mg to a patient who has schizophrenia.
The patient has been taking this medication twice daily for 15 months. The nurse notes smacking lip
movements and involuntary movements of all extremities. Which action by the nurse is correct?
a. Administer the medication as ordered to treat these symptoms of psychosis.
b. Hold the dose and notify the provider of these medication adverse effects.
c. Request an order for an anticholinergic medication such as benztropine (Cogentin).
d. Suggest that the provider increase the dose to 125 mg twice daily.
ANS: B
4. A patient who takes loxapine (Loxitane) to treat schizophrenia is noted to be restless and fidgety and is
pacing around the room. The nurse caring for this patient will perform which action?
a. Contact the provider to discuss changing to benztropine (Cogentin).
b. Notify the provider of these symptoms and request an order for lorazepam (Ativan).
c. Question the patient about adherence to the drug regimen.
d. Recognize these signs of a serious adverse drug reaction and notify the provider.
ANS: B
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