What does the nurse infer from a patient with increased blood glucose levels, increased blood pressure (BP), and abnormal cholesterol levels?
The patient has metabolic syndrome
Which type of medication is indicated to help the patient manage withdrawal symptoms while detoxifying from alcohol abuse?
Benzodiazepine
Which class of medication found in the patient's prescription is responsible for constipation and urinary retention in a patient that takes nortriptyline for depression?
Anticholinergics
Which theory states that depression and mania are caused by alterations in the concentration of dopamine and norepinephrine and serotonin and histamine in the brain?
Biogenic amine hypothesis
Which anxiolytic drug promotes agonistic activity at both the serotonin and dopamine receptors?
Buspirone
Which atypical antipsychotic medication would the nurse anticipate a health care provider prescribing for treatment of refractory schizophrenia?
Risperidone
Which mood-stabilizing drugs are used to treat bipolar disorder? Select all that apply
Oxcarbazepine
Lithium carbonate
Select serotonin reuptake inhibitors (SSRIs) and tricyclin antidepressants (TCAs) both function which mechanism?
Blocking the reuptake of neurotransmitters at nerve endings
Which condition would the nurse suspect that a patient on lithium has been diagnosed with?
Bipolar disorder
Which are common symptoms of serotonin syndrome? Select all that apply
Delirium
Myoclonus
Coarse tremors
Which is another approved and indicated use for bupropion, a second-generation antidepressant?
Smoking cessation
Which information would the nurse include in patient education to promote adherence to a therapeutic regimen of fluoxetine to treat anxiety for a patient that has been taking the medication for 2 weeks?
A therapeutic effect can be expected in another 2 to 4 weeks
Which is the main receptor in the central nervous system (CNS) that is blocked by conventional antipsychotic drugs?
Dopamine
Which drug may cause serotonin syndrome if given together with an antidepressant medication?
Buspirone
Which drug is responsible for an adverse effect of involuntary wave-like movements of the leg in a patient with bipolar disorder?
Lithium citrate
Which intervention would the nurse implement to prevent adverse effects in a patient who takes isocarboxazid for depression and who is now taking buspirone for a slight increase in blood pressure and agitation?
Administer buspirone 14 days after discontinuing isocarboxazid
Which class of drugs reduces the efficacy of phenothiazine and should be avoided?
Anticholingerics
A patient with a anxiety disorder is prescribed an oral dose of diazepam. What is the maximum dose of the drug that the patient would receive in a day? Record your answer in a whole number. ____ mg of diazepam per day
30
Which reason would a nurse advise a patient to use steam inhalation for a cold rather than taking cetirizine, when the patient has a depression and takes isocarboxazid?
To prevent central nervous system depression
Which medication would the nurse expect to administer for a patient with a history of abusing opioid analgesics and needs an antianxiety agent?
Buspirone
Which time frame would the nurse include in patient teaching to explain how long it will take for escitalopram to be completely effective?
Several weeks
The primary health care provider reviews the medical history of a patient who is receiving buspirone. The health care provider instructs the nurse to continuously monitor the patient's blood pressure to prevent hypertension due to a drug interaction. Whic
Monoamine oxidase inhibitor (MAOI)
Which anxiolytic medication might be a better option for a patient with anxiety disorder who is taking lorazepam, but finds the side effect of drowsiness to be interfering with life?
Buspirone
When a patient is prescribed a benzodiazepine and the nurse reviews the patient history, what inquiry may the nurse make?
Are you taking oral contraceptives?
Which condition does the nurse monitor for while administering flumazenil for a overdose of diazepam?
Presence of seizures
A patient currently prescribed duloxetine comes to the health clinic complaining of restlessness, agitation, diaphoresis, and tremors. The nurse suspects serotonin syndrome and questions the patient regarding concurrent use of which substance?
St. John's wort
The nurse would include which teaching point when educating the patient about selective serotonin reuptake inhibitor medication?
There is a risk of toxicity when this medication is taken with alcohol
Which reason is necessary for monitoring blood sodium levels in a patient with bipolar who takes lithium citrate?
To maintain therapeutic concentration of lithium
Which instruction would the nurse include to educate a patient taking sertraline?
Take sertraline at the same time each day
Which information would be important to include in the teaching plan for a patient that is prescribed clozapine, an atypical antipsychotic medication for schizophreniform disorder?
The importance of promptly reporting flu-like symptoms