Chap 16 (exam 2) Flashcards Preview

Pharmacology > Chap 16 (exam 2) > Flashcards

Flashcards in Chap 16 (exam 2) Deck (21):
1

The nurse is administering the antipsychotic drug clozapine (Clozaril) and should monitor the patient for what long-term problem(s) associated with this drug? Select all that apply:
Mood swings
Agranulocytes
Weight gain
Photosensitivity
Increased appetite

Agranulocytes
Weight gain
Increased appetite

2

During therapy for depression with a selective serotonin reuptake inhibitor (SSRI), it is most important for the nurse to instruct the family to monitor for which adverse effect?
Suicidal thoughts
Visual disturbances
Tardive dyskinesia
Bleeding tendencies

Suicidal thoughts

3

The wife of a patient who has started taking antidepressant therapy asks, "How long will it take for him to feel better?" What is the nurse's best response?
"Well, depression rarely responds to medication therapy"
"He should be feeling better in a few days."
"It may take 4-6 weeks before you seen an improvement"
"You may not see any effects for several months"

It may take 4-6 weeks before you see an improvement

4

When administering certain antipsychotic drugs, the nurse monitors for extrapyramidal effects such as: Select all that apply:
Tremors
Elation and a sense of well-being
Painful muscle spasms
Motor restlessness
Bradycardia

Tremors
Painful muscle spasms
Motor restlessness

5

The nurse instructs a patient who is undergoing therapy with monoamine oxidase inhibitors (MAOIs) to avoid tyramine-containing foods. What medical emergency may occur if the patient eats these foods while taking MAOIs?
Gastric hemorrhage
Toxic shock
Cardiac arrest
Hypertensive crisis

Hypertensive crisis

6

A patient has been taking antipsychotic medication for years, and his wife has noticed that he has had some new physical symptoms. She describes him as having odd facial movements, sticking out his tongue, and having movements of his arms that he cannot seem to control. The nurse suspects that the patient is exhibiting signs of which condition?
Hypomania
Serotonin syndrome
Tardive dyskinesia
Neuroleptic malignant syndrome

Tardive dyskinesia

7

Buspirone (BuSpar)

A non-benzodiazepine drug used to treat anxiety

8

Tyramine

Patients taking MAOIs need to be taught to avoid foods that contain this substance

9

Tricyclics

An older class of antidepressant drugs

10

Psychosis

A type of serious mental illness that can take several different forms and is associated with being truly out of touch with reality

11

Mania

A state characterized by an expansive emotional state (including symptoms of extreme excitement and elation) and hyperactivity

12

Diazepam (Valium)

A long-acting benzodiazepine

13

Amitriptyline (Elavil)

The most widely used tricyclic antidepressant

14

Risperidone (Risperdal)

An atypical antipsychotic drug used to treat schizophrenia

15

Benzodiazepines

A group of psychotropic drugs prescribed to alleviate anxiety

16

Lithium (Eskalith)

Medication used to treat mania

17

Anxiety

The unpleasant state of mind in which real of imagined dangers are anticipated and/ or exaggerated

18

Affective Disorders

Emotional disorders characterized by changes in mood

19

Depression

An abnormal emotional state characterized by exaggerated feelings of sadness, melancholy, and worthlessness out of proportion to reality

20

Bipolar affective disorder

A major psychologic disorder characterized by episodes of mania or hypomania, cycling with depression

21

Extrapyramidal

Term for the symptoms/ adverse effects that often occur with antipsychotic medications