| Phenothiazines and Nonphenothiazines | Side effects of being crazy | Anti-AnxieTEA | Turn that frown upside-down | Moody? |
|---|---|---|---|---|
|
What is B. Haloperidol
p.284
Which of the following is a nonphenothiazine?
A. Fluphenazine B. Haloperidol C. Thioridazine D. Perphenazine |
What is D. Acute dystonia
p.282
Which of the following is described by "facial grimacing, involuntary upward eye movement, muscle spasms of tongue/face, and laryngeal spasms"?
A. Akathisia B. Tardive dyskinesia C. Pseudoparkinsonism D. Acute dystonia |
What is C. Behavioral modification
p.289
Which of the following is NOT an approved use for Benzodiazepines?
A. Status epilepticus B. Alcohol withdrawal C. Behavioral modification D. Preoperative treatment |
What is D. TCA (Tricyclic antidepressant)
p.295 Side effects: orthostatic htn, anticholinergic effects (tachy, urinary retention), cardiotoxicity
What type of antidepressant medication is amitriptyline?
A. SSRI B. SNRI C. MAOI D. TCA |
What is D. NSAIDs
p.303
Which medication should NOT be taken with lithium?
A. Benzodiazepines B. Digoxin C. Oral contraceptives D. NSAIDs |
|
What is D. Extrapyramidal symptoms
p.281
What is a common side effect for which the nurse must monitor during administration of both phenothiazine and non-phenothiazine medications?
A. Hypertension B. Renal failure C. Increase in number of white blood cells D. Extrapyramidal symptoms |
What is A. Benzodiazepines
p.282
Which of the following medications would be administered to someone suffering from NMS?
A. Benzodiazepines B. Opioids C. Antiemetics D. Antibiotics |
What is C. Buspirone
p.290 - Buspirone is an azapirone (has fewer side effects of sedation and physical/psychological dependence than benzos)
Which of the following antianxiety medications is NOT a benzodiazepine?
A. Alprazolam B. Lorazepam C. Buspirone D. Clorazepate |
What is A. Hispanics
p.302
Which of the following cultural groups requires a lower dose of antidepressants than the others?
A. Hispanics B. African Americans C. Caucasians D. Native Americans |
What is C. Increase sodium intake
p.304 - Lithium may cause sodium depletion
Which of the following dietary changes should be given to a patient on lithium?
A. Limit potassium intake B. Increase caffeine intake C. Increase sodium intake D. Limit calcium intake |
|
What is C. Hypotension
p.288
A client is to be treated with fluphenazine. The highest priority nursing intervention related to the clients vital signs is to monitor for:
a. bradycardia. b. hypertension. c. hypotension. d. tachypnea. |
What is C. cardiac arrest
p.282 "Muscle rigidity, hyperthermia, AMS, profuse diaphoresis, BP fluctuations, tachycardia, dysrhythmias, seizures, rhabdomyolysis, acute renal failure, respiratory failure, coma"
Which of the following is NOT a symptom of neuroleptic malignant syndrome (NMS)?
A.Altered mental status B.Seizures C.Cardiac arrest D.Respiratory failure |
What is D. Schedule IV
p.290
What schedule drug are benzodiazepines?
A. Schedule I B. Schedule II C. Schedule III D. Schedule IV |
What is D. Palpitations
p.296 (SSRI) Side effects: dry mouth, blurred vision, insomnia, headache, nervousness, anorexia, suicidal ideation, and sexual dysfunction
Which of the following is NOT a side effect of fluoxetine?
A. Sexual dysfunction B. Suicidal ideation C. Dry mouth D. Palpitations |
What is B. Patient is in the normal therapeutic range
-Range: 0.8-1.2 mEq/L -Greater than 1.5 indicates lithium toxicity
A bipolar patient's blood work results with a serum lithium level of 0.9 mEq/L. What does this mean?
A. Patient is noncompliant with lithium medication B. Patient is in the normal therapeutic range C. Patient has lithium toxicity D. Patient is getting lithium for environmental sources |
|
What is B,C,D
p.284
Patient is believed to have overdosed on fluphenazine. What measures should be taken? (Select all that apply)
A. Administer Flumazenil B. Gastric lavage C. Activated charcoal D. Cardiac monitoring E. Naloxone |
What is B.
p.282
Which of the follow describes Akathisia?
A. Stooped posture, shuffling gait, rigidity, pill-rolling motion, tremors at rest B. Restlessness, trouble standing still, pacing, feet in constant motion C. Facial grimacing, involuntary upward eye movement, muscle spasms of tongue/face D. Protrusion and rolling of tongue, sucking/smacking of lips, chewing motion, facial dyskinesia |
What is D.
p.292
Which of the following is FALSE when educatiing a patient taking lorazepam?
A. Do not drink alcohol when using this drug B. Rise from sitting slowly to prevent orthostatic hypotension C. Do not stop medication abruptly D. Tobacco and caffeine increase the effectiveness of lorazepam |
What is B. St John's Wort
p.297
Which of the following can cause NMS when taken with venlafaxine?
A. Foods with tyramine B. St. John's Wort C. Benzodiazepines D. Alcohol |
What is A,C,D
p.302
What are important things for the nurse to regularly monitor in a patient taking lithium? (Select all that apply)
A. Presence of suicidal ideation B. Sleep schedule C. Serum lithium levels D. Urine output E. Serum iron levels |
|
What is A,C,D,E
p.288
Which of the following need to be monitored in patients taking antipsychotics? (Select all that apply)
A. WBC counts B. Serum lithium levels C. Urine output D. Symptoms of NMS E. Serum glucose levels |
What is A,B,C,D,E
p.282 (NMS syndrome)Ph
M.P. is a 38 year old patient with a history of schizophrenia who presents to the ED actively seizing with a temperature of 103.9F, a heart rate of 128bpm. What will this patient's treatment consist of? (Select all that apply)
A. Diazepam B. IV fluids C. Cooling blanket D. Dantrolene E. Cardiac monitoring |
What is C. Flumazenil
H.P. is a 22 year old female who presents to the ED comatose. Patient's partner tells EMS they suspect an overdose of lorazepam. What will the nurse administer?
A. Narcan B. IV fluids C. Flumazenil D. Vitamin K |
What is C. MAOI
p.301 - When taken with an MAOI, foods with tyramine can cause hypertensive crisis (aged cheese, yogurt, coffee, chocolate, bananas, raisins, pickled foods, sausage, yeast, red wines)
Q.T. is a 26 year old male with presents to the ED with a blood pressure of 230/120. He states he is on a new medication for his depression. He tells the nurse that he had a banana and a cup of coffee for breakfast. What type of medication was this patient placed on?
A. SSRI B. SNRI C. MAOI D. Mood stabilizer |
What is B,C,D
p.303
Which of the following are side effects of taking lithium? (Select all that apply)
A. Weight loss B. Edema C. Dry mouth D. Metallic taste E. Decreased urination |
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