PMHNP Exam Study Tool with Questions and Answers

PMHNP Exam Study Tool with Questions and Answers 1. A client, newly prescribed fluoxetine hydrochloride (Prozac) begins experiencing diaphoresis, headache, agitation and confusion. The nurse should suspect that this client is demonstrating signs of: A Drug allergy. B Drug overdose. C A hot flash. D Serotonin syndrome. ANSWER Serotonin syndrome symptoms typically occur within several hours of taking a new drug or increasing the dose of a drug currently prescribed. Signs and symptoms include: agitation, confusion, diaphoresis, and headache. Choice A is incorrect because symptoms of a drug allergy include respiratory difficulty and body rash. Choice B is incorrect because respiratory depression is most likely associated with a drug overdose. Choice C is incorrect because this medication can be prescribed off-label for the treatment of hot flashes. 2. A client, taking carbamazepine (Tegretol) for a seizure disorder, tells the nurse about nausea, vomiting, and an itchy rash after taking the morning dose with grapefruit juice. What should the nurse respond to this client? A Grapefruit juice is increasing the blood level of the medication and should be avoided. B Stop the medication for several days until the body rash subsides. C Take the medication after drinking grapefruit juice. D Take another dose of the medication if a dose is lost through vomiting. ANSWER Grapefruit juice may increase the drug levels of carbamazepine (Tegretol). The client should be instructed to not take the medication with grapefruit juice. Choice B is incorrect because discontinuing the medication abruptly could cause an onset of seizures. Choice C is incorrect because grapefruit juice should be avoided. Choice D is incorrect because the nurse cannot