The home health nurse visits the client. The client gives the nurse a bottle of clomipramine hydrochloride (Anafranil). The nurse notes that the medication has not been taken by the client in 2 months. What behaviors observed in the client would validate noncompliance with this medication?

Drug to avoid during therapy with MAOIs are:

Today your client begins a new drug regimen of escitalopram (Lexapro) for depression. Before administering this medication, you should assess for which of the following?

Which of the following are MAOI's?

A nurse is teaching the importance of proper diet to a patient taking tranylcypromine (Parnate) for depression. Which of the following food selection by the patient indicates that further teaching is needed?

The nurse is preforming a follow-up teaching session with a client discharged 1 month ago. The client is taking fluoxetine (Prozac). What information would be important for the nurse to obtain during this client visit regarding the side effects related to the medication?

Which of the following are tricylcic antidepressants?

A patient who started on tricyclic antidepressant therapy should be told:

Your client has been taking imiparmine (Tofranil) for 1 week for depression. He tells you he is going to stop taking this medication because it isn't working. Your best response is which of the following?

For better effectiveness, tricyclic antidepressants should be taken in the morning.

Foods and drugs to avoid while taking a MAOI are: aged cheese, wine, bananas, chocolate, soy sauce, caffeine, yogurt, amphetamines, antiallergy and antiasthmatic medications.

A.True

B.False

The hospitalized client has begun taking bupropion (Wellbutrin) as an antidepressant agent. The nurse monitors this client for which adverse effect that indicates that the client is taking an excessive amount of medication?

The client's medication sheet contains an order for sertraline hydrochloride (Zoloft). To ensure safe administration of the medication, the nurse would administer the dose:

Generalized Anxiety Disorder (GAD)

Develops after seeing or being involved in highly stressful events that involve actual or threatened death or serious injury.

When administering benzodiazepines to clients with malnutrition or liver disease, the nurse should monitor carefully for:

Which statement about benzodiazepines would indicate to the nurse the need for further patient teaching?

When assessing a patient before giving an antianxiety benzodiazepine, what assessment data would cause the nurse to omit the dose?

A patient is brought to the emergency department with ongoing tonic-clonic seizure activity. The health care provider orders lorazepam (Ativan) 4 mg IV. Lorazepam is the drug of choice for which of the following seizures?

A patient is started on phenytoin (Dilantin). A teaching plan for the patient should include strategies to minimize which of the following common side effects?

The home health nurse visits a client who is taking phenytoin (Dilantin) for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which of the following information should the nurse include in the teaching plan?

The client is taking phenytoin (Dilantin) for seizure control. A seizure drug level is drawn, and the nurse reviews the results. Which of the following would indicate a therapeutic serum drug range?

Diazepam and lorazepam

The client with epilepsy is taking the prescribed dose of pheytoin (Dilantin) to control seizures. Results of a phenytoin blood level study reveal a level of 35 mcg/mL Which of the following symptoms would be expeted as a result of this laboratory result?

Phenytoin (Dilantin) 100 mg PO 3 times a day, has been prescribed for the client for seizure control. The home health nurse visits the client and provides teaching regarding the medication. Which of the following statements, if made by the client, would indicate effective teaching?

Periodic assessment of a client with parkinsonism should include which of the following?

D

Carbidopa is usually given along with levodopa because it:

The main purpose of combination drug therapy for parkinsonism is to:

Parkinson's disease is attributed to an imbalance of neurotransmitters in which of the following structures?

The main pathophysiology of Parkinson's disease is a decrease in brain content of which of the following substances?

For a client with MS receiving baclofen (Lioresal), the main therapeutic effect is

Adverse effects of centrally active skeletal muscle relaxants include which of the following?

Which of the following muscle relaxants is the only one that acts peripherally on muscles?

When administering atypical antipsychotics, the nurse should be alert to possible:

For patients taking clozapine, the nurse should assess which of the following laboratory values weekly?

The nurse should administer long-acting injections of antipsychotic drugs in which of the following ways?

An adverse effect of long-term use of phenothiazine antipsychotics is the development of which of the following?

A patient is receiving fluphenazine hydrochloride (Prolixin) daily. The nurse would teach the patient to do which of the following to minimize common side effects of this medication?

A 26-year-old female patient with schizophrenia has been prescribed chlorpromazine (Thorazine). The patient calls the mental health clinic and tells the nurse that her urine has become dark. The patient has no other urinary symptoms. The nurse tells the client

A client recently started on methylphenidate (Ritalin) for treatment of ADHD complains that he is unable to go to sleep at night. Which of the following is the best response of the nurse? (Select all that apply.)

An elderly client with Parkinson's disease is being seen because the daughter states the client cannot stay awake in the daytime. The client is sleeping most of the day, and is having trouble sleeping at night. The client has no history of cardiac events, and liver and renal test results are within normal limits. The client has no other psychiatric history. VS and electrolytes are within normal limits. The client is slightly underweight for height. The nurse would anticipate a prescription for which of the following medications? 

Atomoxetine (Strattera) has been prescribed for an 8-year-old patient newly diagnosed with ADHD. Which of the following comments by the mother would indicate that the nurse needs to perform more teaching?

A friend of the nurse expresses concern that her husband might have narcolepsy. She states that he falls asleep whenever he sits quietly for more than five minutes. He even falls asleep during his favorite team's football games. Which of the following would indicate to the nurse that he needs further workup by his health care provider?

A mother expresses concern over her daughter's use of an inhaler for asthmatic episodes. The daughter is taking Adderall XR for ADHD. The mother states that since beginning the Adderall, every time the daughter uses her inhaler, she gets very agitated, jittery, and anxious. What would be an appropriate response?

When a CNS stimulant is used to treat a child with ADHD, which of the following outcomes is expected?

Caffeine and other CNS stimulants may cause which of the following adverse effects?

A child receiving a CNS stimulant for ADHD should be monitored for which of the following?

A 35-year-old client with a history of migraine headaches tells the nurse at her provider's office that in the past six months, she has needed to use her medication to abort her headaches on the average of 5—6 times a month, despite avoiding her migraine triggers. The nurse discusses with the client that the next step in her therapy might be to:

The nurse is teaching a client who is starting sumatriptan therapy for treatment of migraine headaches. The nurse instructors the client to take the drug:

A 52-year-old client with a history of obesity, asthma, peripheral vascular disease, and migraine headaches tells the nurse she saw an advertisement in a magazine for a drug for migraine headaches. "The drug was Imitrex; it looked very effective, and I wonder why my provider hasn't talked to me about using it for my headaches." What is the nurse's best response?

A client is experiencing neuropathy of the lower extremities, and has been receiving an opioid analgesic for pain. The client continues to experience pain, and the provider has added a tricyclic antidepressant medication (TCA) for pain management. The client asks the nurse, "Why am I getting this new drug? I am not depressed, my feet just burn." What is the best response from the nurse?

When administrating opioid drugs, an opioid antagonist should be readily available in case of which of the following?

Clients and health care providers' beliefs can often interfere with successful pain management. A commonly held myth is:

Somatic pain is a type of nociceptor pain that is usually experienced in:

The client is a 10-year-old child admitted to the Emergency Department after "huffing" gasoline. The physician suspects mild brain damage. What signs will the nurse teach the parents to observe for after they take the child home?

The client is withdrawing from opioids. Which symptoms best describe the results of the nurse's assessment? (Select all that apply.)

The adolescent client is in a drug rehabilitation program. The mother of this client says to the nurse, "The doctor said my son has a physical addiction to alcohol. What does this mean?" What is the best response by the nurse?

The client is postop, day 1 after an abdominal hysterectomy, and is requesting morphine sulfate intravenous (IV), which is prescribed. The client rates her pain as 8 out of 10, with 10 being the most intense. The nurse caring for this client says to another nurse, "She really doesn't look like she is in pain. Maybe she is an addict." What is the best response by the other nurse?

Prior to administering sumatriptan for migraine headaches, the nurse should assess for:

The nurse would question the pain medication order for which of the following patients?