During a hypertensive crisis, the nurse makes sure which of this medicine is readily available? A. Phentolamine B. Diazepam C. Lithium citrate D. Phenobarbital sodium Correct Answer: A. Phentolamine In a hypertensive emergency, the first goal is to bring down the blood pressure as quickly as possible… Read More »
A client taking lithium carbonate (Lithobid) started complaining of nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, blurred vision, and ringing in the ears. The lithium level is 2 mEq/L. The nurse interprets this value as: A. Normal level B. Toxic level C. Below normal level D. Above normal level … Read More »
A nurse is giving instructions to a client receiving lithium citrate. The nurse tells the client to do which of the following to prevent lithium toxicity: A. Avoid becoming dehydrated during exercise. B. Instruct the client to change positions slowly. C. Restrict salt intake in the diet. D. Limit fluid intake.… Read More »
Which of the following symptoms is classified as a mild lithium toxicity: A. Confusion and ataxia B. Muscle fasciculations and oliguria C. Tinnitus and blurred vision D. Apathy and Lethargy Correct Answer: D. Apathy and Lethargy Mild toxicity has a lithium serum level of 1.5 mEq/L. Symptoms… Read More »
A nurse is giving instructions to a client taking risperidone (Risperdal). The nurse advises the client to do which of the following? A. Take it on an empty stomach B. Change position slowly C. Get a daily source of sunlight D. Discontinue medication once the symptoms went away … Read More »
A nurse notes that a client with schizophrenia and receiving an antipsychotic medication is having uncontrolled movement of the lips and tongue. The nurse determines that the client is experiencing? A. Hypertensive crisis B. Parkinsonism C. Tardive dyskinesia D. Neuroleptic malignant syndrome Correct Answer: C. Tardive dyskinesia… Read More »
A client with schizophrenia has been started on medication therapy with clozapine (Clozaril). A nurse assesses the results of which laboratory study to monitor for adverse effects related to this medication? A. White blood cell B. Platelet count C. Liver function studies D. Random blood sugar Correct… Read More »
Methylphenidate (Ritalin) is prescribed to an 8-year-old child for the treatment of attention deficit hyperactivity disorder (ADHD). The nurse will most likely monitor which of the following during the medication therapy? A. Deep tendon reflex B. Intake and output C. Temperature and breath sound D. Height and weight Correct… Read More »
Which of the following medications that treat Alzheimer’s disease causes slowing of the heart rate and fainting episodes? A. tacrine (Cognex) B. galantamine (Razadyne) C. donepezil (Aricept) D. All of the above Correct Answer: D. All of the above Tacrine (Cognex), Galantamine (Razadyne), and Donepezil (Aricept) are… Read More »
A client who has been taking buspirone (BuSpar) for two months returns to the clinic for a follow-up. The nurse determines that the medication is effective if there is an absent display of? A. Feelings of panic, fear, and uneasiness B. Thought broadcasting or delusions C. Paranoid and suicidal thought process … Read More »