CH 16 NCLEX PREP
When doing an admission drug history, the nurse notes that the patient has a prescription for lithium (Lithobid). The nurse suspects that this patient has been diagnosed with which condition?
Selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) both function by which mechanism?
Block the reuptake of neurotransmitters at nerve endings
A patient diagnosed with depression is being discharged with a prescription for TCAs after no improvement of symptoms on an SSRI. Which instruction should the nurse include about this new medication?
There is a risk of toxicity when this medication is taken with alcohol.
A patient who is prescribed duloxetine (Cymbalta) comes to the medical clinic complaining of restlessness, sweating, and tremors. The nurse suspects serotonin syndrome and questions the patient regarding concurrent use of which herbal product or dietary supplement?
St. John's wort
A patient with a diagnosis of depression is being discharged with a prescription for an MAOI. Which instruction should the nurse include for this medication?
Avoid eating aged cheese
What is another approved and indicated use for the antidepressant bupropion (Zyban)?
A patient prescribed lorazepam (Ativan) for the treatment of anxiety states, “I feel drowsy all the time, and it’s interfering with every aspect of my life.” The nurse knows that a better drug therapy option for this patient is which anxiolytic medication?
Which statement by the patient indicates the need for additional teaching on phenothiazine (Thorazine) drug therapy?
"It is okay to take this drug with a small glass of wine to help relax me."
Which laboratory test should be monitored closely to assess for a potential life-threatening adverse effect to clozapine (Clozaril)?
Complete blood count
The nurse is monitoring a patient taking an antipsychotic medication for extrapyramidal symptoms. Which clinical finding indicates an adverse effect of this drug?
Muscle cramps of the head and neck
What atypical antipsychotic medication should the nurse anticipate the health care provider prescribing for treatment of refractory schizophrenia?