Pharm: Nervous System

Question 1

Which life-threatening complication can cause a patient taking an SSRI to experience?

Answer 1

Serotonin syndrome

Question 2

Which medication can be used to treat depression and as a smoking deterrent?

Answer 2

Bupropion

Question 3

Acetominophen can be toxic to which organ?

Answer 3

The liver

Question 4

Vaproic acid can cause which type of toxicity?

Answer 4

Hepatotoxicity

Question 5

Sumatriptan is indicated for the treatment of which condition?

Answer 5

Vascular headaches (migraines and cluster headaches)

Question 6

What is the antidote for opioid toxicity?

Answer 6

Naloxone

Question 7

Which neurotransmitter do Parkinson’s medications aim to increase?

Answer 7

Dopamine

Question 8

A patient reports taking Zolpidem at home. The nurse knows this medication is indicated to treat which condition?

Answer 8

Insomnia

Question 9

Name three indications for the use of Benzodiazepines

Answer 9

Any three of the following:

Anxiety, active seizures, muscle spasms, alcohol withdrawal, induction/maintenance of anesthesia

Question 10

After receiving Lorazepam, a patient’s respiratory rate is 8. What is the nurse’s priority action?

Answer 10

Administer the antidote, Flumazenil

Question 11

What complication is a patient at risk for if they take a MAOI and eat a pepperoni pizza?

Answer 11

Hypertensive crisis

Question 12

What dietary teaching should the nurse provide to a patient taking Phenelzine?

Answer 12

Avoid foods rich in Tyramine

Question 13

The nurse recognizes which anxiolytic as being safe to take long-term with little risk for dependency.

Answer 13

Buspirone

Question 14

Which herbal remedy must be avoided when taking SSRIs?

Answer 14

St. John’s wort

Question 15

A patient taking Lithium is at risk for developing which thyroid disorder?

Answer 15

Hypothyroidism

Question 16

At what plasma level is Lithium considered toxic?

Answer 16

> /= 1.5mEq/L

Question 17

When beginning Lamotrigine therapy, the nurse educates a patient to report a rash, as this could indicate which potentially life-threatening condition?

Answer 17

Stevens-Johnson syndrome

Question 18

A patient taking Haloperidol presents with dystonia, lip smacking, restlessness, and a shuffling gait. How does the nurse interpret these symptoms?

Answer 18

These are findings consistent with extrapyramidal symptoms

Question 19

A patient taking Clozapine should have routine CBC monitoring due to the potential for developing which side effect?

Answer 19

Agranulocytosis

Question 20

A patient taking Risperidone is at risk for developing which endocrine disorder?

Answer 20

Diabetes

Question 21

Name two symptoms a patient will experience should they ingest alcohol while taking Disulfiram

Answer 21

Any two: Vomiting, sweating, palpitations, hypotension

Question 22

Name two medications used for long term management of alcohol addition

Answer 22

Any two: Disulfiram, Naltrexone, Acamprosate

Question 23

The nurse educates a patient beginning Carbidopa/Levodopa to expect what change to occur to their sweat and urine?

Answer 23

It may become dark in color

Question 24

What is the therapeutic range of phenytoin?

Answer 24

10-20mcg/mL

Question 25

What is the antidote for cholinergic medications?

Answer 25

Atropine

Question 26

Which neurotransmitter does Donepezil increase?

Answer 26

Acetylcholine

Question 27

What is the maximum daily dose of acetaminophen for otherwise healthy adults?

Answer 27

4g per day

Question 28

At which time of day should a patient take Methylphenidate?

Answer 28

In the morning to avoid insomnia

Question 29

Which analgesic is approved for use in a patient with peptic ulcer disease?

Answer 29

Acetaminophen - NSAIDs should be avoided

Question 30

Why should aspirin not be given to children?

Answer 30

Reye's syndrome

Question 31

What black box warning is present on many mental health meds?

Answer 31

Risk for suicidal thoughts

Question 32

Which lab value should the nurse monitor in a patient taking Carbamazepine?

Answer 32

CBC to monitor for blood dyscrasias

Question 33

Name three anticholinergic side effects of Amitriptyline

Answer 33

Any three: Urinary retention, constipation, dry mouth, blurry vision, photophobia

Question 34

Name four symptoms of serotonin syndrome

Answer 34

Any four: Agitation, hallucinations, fever, diaphoresis, tremors