W9: Psychiatric Meds Quiz Flashcards
The nurse is caring for a patient who is taking chlorpromazine HCl 75 mg BID to treat schizophrenia. A family member tells the nurse that the patient’s agitation, hallucinations, and delusional symptoms have improved with use of the drug, but the patient continues to withdraw from social interaction and won’t bathe unless reminded to do so. The nurse will tell the family member that:
they should consider discussing changing the chlorpromazine to an atypical antipsychotic.
A patient in a psychiatric unit has been taking fluphenazine for 4 days. The morning assessment reveals HR 101 RR 20 BP 140/90 Temp 40.1. The patient is staring at the wall and talking, and appears mildly agitated and confused. The patient’s arms are stiff and rigid. The patient is not participating in groups or completing self care. The patient should be assessed further for [A], as evidenced by [B].
The patient should be assessed further for neuroleptic malignant syndrome, as evidenced by elevated temperature.
If a client were to ingest drugs or foods that interact with phenelzine (MAOI), what reaction might the client experience?
hypertensive crisis
A patient has been taking risperidone for 2 weeks. The patient reports drowsiness and headache. What will the nurse do?
Explain to the patient that these are common side effects of the medication.
What is the black box warning for children taking selective serotonin reuptake inhibitors ( SSRIs) ?
suicidal ideation
Patients taking antispychotic medication may develop Extrapyrimidal Syndrome (EPS). What are 3 types of EPS effects?
Shuffling gait, Acute dystonia (involuntary contractions of muscles), Akathisia (inability to remain still.)
A patient is taking a selective serotonin reuptake inhibitor (SSRI). The nurse should caution the patient to avoid which over the counter therapy due to the risk of serotonin syntrome?
St. John’s wort
A patient will be beginning therapy with fluoxetine for Major Depressive Disorder. What is an appropriate teaching related to this drug?
The full effect of the medication may take several weeks.
A patient arrives in the emergency department complaining of difficulty breathing, dizziness, sweating, and heart palpitations. The patient reports having had similar episodes previously due to stress at work. The nurse will expect the provider to order which medication?
Lorazepam
