clozapine (Clozaril), olanzapine (Zyprexa) & resperidone (Risperdal) are

Typical antipsychotics – neuroleptics

triazolam (Halcion) & flurazepam (Dalmane)

Selective serotonin reuptake inhibitors

fluoxetine (Prozac) & Sertraline (Zoloft) are

Selective serotonin reuptake inhibitors

imipramine (Tofranil) & amitryptiline (Elavil) are

Typical antipsychotics – neuroleptics

chlorpromazine (Thorazine) & thiothixine (Navane) are

Typical antipsychotics – neuroleptics

benztropine (Cogentin) & trihexyphenidyl (Artane) are

Selective serotonin reuptake inhibitors

You will see more SSRIs used as a front-line drug of choice over the older tricyclics. Why?

Clients can more easily overdose with the tricyclics because of cardiac involvement.

Tricyclics have more sedating and anticholinergic effects than the SSRIs.

SSRIs work faster to achieve a therapeutic response than the tricyclics (days as opposed to 2 weeks).

Which of the following is a potential prescribed drug of abuse, often in the elderly?

Carbamazepine (Tegretol) for sleep

Risperadone (Risperdal) for confusion

You receive a client to your floor from the ER after having received a large dose of Haldol. He is sleepy but begins to complain of being stiff and feels restless inside. What would you do?

Call the MD, report the symptoms as likely EPS, and administer

Give more haloperidol (Haldol) PRN

Suggest a warm shower to relax (accompanied to prevent a fall)

Your client has been ordered phenelzine (Nardil). What special patient-family teaching do you need to address?

diet, use of other medications (over the counter ie cold meds), and blood pressure

lab draws for blood levels and diet

diet, exercise, and sexual activity

diet, exercise and lactation because weight gain is eminent

Sarah has bipolar illness and begins taking Lithium. In your teaching, what is important to cover?

the need for periodic blood levels because the therapeutic range is close to the mild toxicity range.

signs and symptoms of early toxicity verses side effects (weight gain is common)

the importance of taking the medicine and working with the doctor to find a comfortable therapeutic level – instead of self-stopping the medication.

Harry Potter is on the mental health unit because of hallucinations of Hogwarts, flying brooms and witches. He begins to become confused and disoriented, has decreasing loss of consciousness rapidly, holds himself stiff, and is very warm to touch. You take his vitals and he has high BP, and temperature of 103.2 F. What are you most concerned he has?

Call rapid response because it is likely neuroleptic malignant syndrome

Call rapid response because it is likely serotonin syndrome

Call rapid response because it is likely an impending stroke

Call rapid response because it is likely sepsis

Marian, aged 68, has been started on Risperdal for agitation and delusions. What is she at risk for?

hypotension and falls- yes, orthostatic hypotension

hypertension- QT prolongation is a AE not SE

decreasing her dress size- weight gain

sexually transmitted disease- sexual side effects

Mood stabilizers, anticonvulsant

Quiz

Medication Test

brittny beauford 192 perguntas Atualizado em 2 nov 2016

Fazer o quiz

Perguntas do quiz (192)

1SSRIs with MAOIs or multiple SSRIs at once causes this
1. Aserotonin syndrom
2. Bhyptertensive crisis
2clozapine (Clozaril), olanzapine (Zyprexa) & resperidone (Risperdal) are
1. ATricyclics
2. BAtypical antipsychotics
3. CTypical antipsychotics –
  neuroleptics
4. DBarbiturates
3haloperidol (Haldol) can cause
1. AHypertensive crisis
2. BSerotonin Syndrome
3. Ccoma
4. DExtra pyramidal symptoms
4MAOIs with decongestants/ cold medicines can cause
1. AHypertensive crisis
2. BExtra pyramidal symptoms
3. CSerotonin Syndrome
5triazolam (Halcion) & flurazepam (Dalmane)
1. ATricyclics
2. BSelective serotonin reuptake inhibitors
3. CMood stabilizers
4. DSedative-hypnotics
6fluoxetine (Prozac) & Sertraline (Zoloft) are
1. AAtypical antipsychotics
2. BSelective serotonin reuptake inhibitors
3. CTricyclics
4. DAnti-Parkinsonian drugs
7imipramine (Tofranil) & amitryptiline (Elavil) are
1. AMood stabilizers
2. BTricyclics
3. CTypical antipsychotics –
  neuroleptics
4. DAnti-anxiety agents
8Lithium & depakote are
1. AMood stabilizers
2. BAtypical antipsychotics
3. CTricyclics
4. DAnti-anxiety agents
9chlorpromazine (Thorazine) & thiothixine (Navane) are
1. AMood stabilizers
2. BTypical antipsychotics – neuroleptics
3. CTricyclics
4. DAnti-Parkinsonian drugs
10lorazepam (Ativan) & alprazolam (Xanax)
1. AMood stabilizers
2. BAtypical antipsychotics
3. CTricyclics
4. DAnti-anxiety agents

11benztropine (Cogentin) & trihexyphenidyl (Artane) are
1. AAnti-Parkinsonian drugs
2. BMood stabilizers
3. CSedative-hypnotics
4. DSelective serotonin reuptake inhibitors
12secobarbital (Seconal) & Pentobarbital (Nembutal) are
1. AAtypical antipsychotics
2. BMood stabilizers
3. CBarbiturates
4. DAnti-anxiety agents
13A decrease in serotonin can result in anxiety.
1. AVerdadeiro
2. BFalso
14Lithium carbonate can cause extrapyramidal symptoms.
1. AVerdadeiro
2. BFalso
15Children with ADHD respond atypically to Methylphenidate (Ritalin) than children without the diagnosis – instead of stimulation they calm and can focus.
1. AVerdadeiro
2. BFalso
16Extrapyramidal symptoms are caused by the blockage of norepinephrine at the synapse.
1. AVerdadeiro
2. BFalso
17Routine blood levels are taken on a client using haloperidol (Haldol).
1. AVerdadeiro
2. BFalso
18Eating aged cheese and minimal red wine is acceptable for clients taking Lithium carbonate but not those taking an MAO inhibitor.
1. AVerdadeiro
2. BFalso
19St. John’s Wort herbal medication has shown qualities of being an antidepressant; however, more clinical trials are needed.
1. AVerdadeiro
2. BFalso
20Fluoxetine (Prozac) is given at bedtime.
1. AVerdadeiro
2. BFalso
21Loarazepam is preferred over diazepam for short procedures or situations because the half-life is shorter.
1. AVerdadeiro
2. BFalso
22You will see more SSRIs used as a front-line drug of choice over the older tricyclics. Why?
1. AClients can more easily overdose with the tricyclics because of cardiac involvement.
2. BTricyclics have more sedating and anticholinergic effects than the SSRIs.
3. CSSRIs work faster to achieve a therapeutic response than the tricyclics (days as opposed to 2 weeks).
23Which of the following is a potential prescribed drug of abuse, often in the elderly?
1. ACarbamazepine (Tegretol) for sleep
2. BHaloperidol (Haldol) for sleep
3. CAlprazolam (Xanax) for anxiety
4. DRisperadone (Risperdal) for confusion
24You receive a client to your floor from the ER after having received a large dose of Haldol. He is sleepy but begins to complain of being stiff and feels restless inside. What would you do?
1. ACall “Rapid Response.”
2. BCall the MD, report the symptoms as likely EPS, and administer
3. CGive more haloperidol (Haldol) PRN
4. DSuggest a warm shower to relax (accompanied to prevent a fall)
25Your client has been ordered phenelzine (Nardil). What special patient-family teaching do you need to address?
1. Adiet, use of other medications (over the counter ie cold meds), and blood pressure
2. Blab draws for blood levels and diet
3. Cdiet, exercise, and sexual activity
4. Ddiet, exercise and lactation because weight gain is eminent
26Sarah has bipolar illness and begins taking Lithium. In your teaching, what is important to cover?
1. Athe need for periodic blood levels because the therapeutic range is close to the mild toxicity range.
2. Bsigns and symptoms of early toxicity verses side effects (weight gain is common)
3. Cthe importance of taking the medicine and working with the doctor to find a comfortable therapeutic level – instead of self-stopping the medication.
4. Dall the above
27Which electrolyte are you most concerned with when a client is taking Lithium?
1. Asodium
2. Bpotassium
28Harry Potter is on the mental health unit because of hallucinations of Hogwarts, flying brooms and witches. He begins to become confused and disoriented, has decreasing loss of consciousness rapidly, holds himself stiff, and is very warm to touch. You take his vitals and he has high BP, and temperature of 103.2 F. What are you most concerned he has?
1. ACall rapid response because it is likely serotonin syndrome
2. BCall rapid response because it is likely neuroleptic malignant syndrome
3. CCall rapid response because it is likely an impending stroke
4. DCall rapid response because it is likely sepsis
29Nicole, aged 30, is in the intensive outpatient program because of depressive symptoms with mild suicidal ideation. Which is the safest antidepressant for her?
1. ARisperidone (Risperdal)
2. BDiazepam (Valium)
3. CSertaline (Zoloft)
4. DAmitriptyline (Elavil)
30Marian, aged 68, has been started on Risperdal for agitation and delusions. What is she at risk for?
1. Ahypertension- QT prolongation is a AE not SE
2. Bdecreasing her dress size- weight gain
3. Chypotension and falls- yes, orthostatic hypotension
4. Dsexually transmitted disease- sexual side effects
31Ativan is an anti anxiety that is give which ways
1. APO
2. BIM
3. CIV
4. DSC
32Riperdal is an antipsychotic that is given
1. ASC and IV
2. BPO and IM
33Prozac is an antidepressant that is given
1. ASC
2. BPO
34Ritalin is a CNS stimulant that is given
1. AIM
2. BPO
3. CSC
4. Dtransdermal
35Haldol is an antipsychotic that is given
1. Atransdermal
2. BPO
3. CSC
4. DIM
36Xanax is an anti anxiety that is given
1. APO
2. BSC
3. CIV
4. DIM
37Ativan is a(n)
1. Aantidepressant
2. Bantianxiety
38risperdal is a(n)
1. ACNS stimulant
2. Bantipsychotic
39Prozac is a(n)
1. Aantianxiety
2. Bantidepressant
40Ritalin is a(n)
1. ACNS stimulant
2. Bantianxiety
41Haldol is a(n)
1. Aantidepressant
2. Bantipsychotic
42Tegretol is a(n)
1. Aantidepressant and MAOI
2. BMood stabilizers, anticonvulsant
43Tegretol can only be given IM
1. AVerdadeiro
2. BFalso
44Litium in a(n)
1. ASSRI
2. BMood Stabilizing Drug
45Lithium a drug used for anticonvulsant and bipolar disorder can only be given PO
1. AVerdadeiro
2. BFalso
46Thorazine is a(n)
1. Aantiemetic
2. Bmood stabilizer
3. Cantipsychotic
4. DSSRI
47Thorazine can be given
1. APO
2. BIM
3. CSC
4. DIV
48Seroquel is an anti anxiety
1. AVerdadeiro
2. BFalso
49Seroquel is given IM
1. AVerdadeiro
2. BFalso
50Marplan is a(n)
1. Aantidepressant and MAOI
2. BSSRI
3. CTricylic antidepressant
51Marplan is given for depression and is given PO
1. AVerdadeiro
2. BFalso
52Buspar is a(n)
1. Aanti-anxiety
2. BSSRI
53Buspar is given for the management of anxiety and is administered PO
1. AVerdadeiro
2. BFalso
54Zoloft is given for major depressive disorder, panic disorder and OCD. It is a(n)
1. Aanti-depressent
2. BSSRI
55Zoloft is a SSRI that is given IM
1. AVerdadeiro
2. BFalso
56Elavil is a(n)
1. Atricylic antidepressant
2. Bantipsychotic/mood stabalizer
57The tricyclic antidepressant Elavil is given SC
1. AVerdadeiro
2. BFalso
58Fluphenazine is a(n)
1. Aantianxiety
2. Bantipsychotic
59Fluphenazine an antipsychotic is given
1. APO
2. Btransdermal
3. CIV
4. DIM
60An antipsychotic/mood stabilizer given for schizophrenia and acute manic disorder is
1. APaxil
2. BZyprexa
61Zyprexa is given for bipolar I and is given
1. APO
2. BSC
3. CIV
4. DIM
62Paxil is a(n)
1. ASedative/hypnotics
2. BAntianxiety/antidepressant
63Paxil is administered PO
1. AVerdadeiro
2. BFalso
64Ambien is a(n)
1. AAntianxiety/antidepressant
2. BSedative/hypnotics
65Ambien is given for insomnia and is administered
1. APO
2. BIM
3. CSL
4. Dtransdermal
66Haloperidol (Haldol) is what drug classification?
1. AAtypical antipsychotic
2. BTypical antipsychotic drug
3. CSedative/hypnotics
67How is Haloperidol (Haldol) administered?
1. APO
2. BIM
3. CIV
4. DSL
68What is the range of dose for Haloperidol (Haldol)
1. A40-50 mg
2. B5-50 mg
3. C2-40 mg
69Side effects to monitor for Haloperidol (Haldol) are
1. AAnticholinergic effects
2. BEPS, sedation and weight gain
3. Cnausea and vomiting
4. Dorthostatic hypotension
5. Esexual side effects
70Side effects of Haloperidol (Haldol) are QT prolongation and increased prolactin
1. AVerdadeiro
2. BFalso
71Describe how Haloperidol (Haldol) is used for rapid tranquilization in emergencies?
1. AIV for sedation
2. BIM for sedation
72Risperidone (Risperdal) is what drug classification?
1. AAtypical antipsychotic
2. BMood stabilizing
73Risperidone (Risperdal) is administered
1. AIV
2. BPO
3. CSC
4. DIM
74standard dose for Risperidone (Risperdal) is PO 1 mg twice daily
1. AVerdadeiro
2. BFalso
75A standard dose for 2 Risperidone (Risperdal) is 45mg IM every 4 weeks
1. AVerdadeiro
2. BFalso
76Side effects of Risperidone (Risperdal) include
1. ALess sedation and fewer EPS, weight gain/metabolic syndrome, sexual side effects
2. BQT prolongation, increased prolactin
77a patient can breastfeed on Risperidone (Risperdal)
1. AVerdadeiro
2. BFalso
78Risperidone (Risperdal) is preferred over older antipsychotics because
1. ATargets the negative symptoms of schizophrenia as well as the positive and
2. Bless expensive to administer
3. Chave fewer motor side effects
4. DThey may also improve cognitive function
79Fluoxetine (Prozac) is a SSRI antidepressant
1. AVerdadeiro
2. BFalso
80Fluoxetine (Prozac) is administered IV at night
1. AVerdadeiro
2. BFalso
81What is the standard dose of Fluoxetine (Prozac)?
1. A60mg
2. B40mg
3. C20mg
82Side effects of Fluoxetine (Prozac) include
1. Aanxiety and insomnia
2. Bagitation and akathisia
3. Cweight gain and nausea
4. Dsexual dysfunction
83Fluoxetine (Prozac) is contraindicated in all but which of the following
1. Aadolescents
2. Belderly
3. CCV disease or seizure disorder
4. DMAO’s within 14 days
84Lithium carbonate is a mood stabilizer
1. AVerdadeiro
2. BFalso
85How is lithium carbonate administered
1. APO
2. BIM
86What is the standard dose for lithium carbonate
1. AInitial dose: 300-600 mg 3 times daily
  maintenance dose: 300 mg 3-4 times daily
2. BInitial dose: 100-200 mg 2 times daily
  maintenance dose: 150 mg 4-7 times daily
87What would a nurse teach a patient receiving lithium carbonate
1. Atake with food
2. Bhave blood levels drawn 12 hours after last dose
3. Ctake before bed
4. Dmaintain therapeutic levels between 0.5-1.5 mEq/L
88EPS symptoms are drug-induced movement disorders
1. AVerdadeiro
2. BFalso
89EPS symptoms are drug-induced movement disorders that include
1. APseudoparkinsonism: difficulty speaking or swallowing, loss of balance control, pill rolling of hands, mask-like face, shuffling gait, rigidity, tremors
2. BAkasthisia: restlessness or desire to keep moving
3. CTardive dyskinesia: uncontrolled rhythmic movement of mouth, face and extremities.
4. DDystonia: muscle spasms, twisting motions, twitching, inability to move eyes, weakness of arms and legs
5. Etenitus: rigidity of muscles
90What are the 5 rights
1. Aright dose amount
2. Bright route
3. Cright time
4. Dright patient
5. Eright consent form
6. Fright drug
91The neurotransmitter that is increased in the disease of schizophrenia – hence the antipsychotics block the receptors
1. Aepinephrine
2. Bnorepinephrine
3. Cdopamine
92The neurotransmitter that helps regulate attention, behavior, and body temperature; decreased in depression
1. Adopamine
2. Bserotonin
93Medications that need routine blood levels to monitor for therapeutic range and toxicity
1. Alithium carbonate and depakote
2. Blithium phosphate and haldol
94Most anti-anxiety agents enhance the inhibitory effect of this neurotransmitter
1. Adopamine
2. BGABA
95The antidepressant medications administered in the morning
1. ASSRIs
2. Bantidepressants
96The antidepressant medications administered at bedtime
1. Amood stabilizers
2. Btricyclics (TCAx)
97The average time frame for therapeutic results of the antidepressants
1. A2-3 months
2. B2-6 weeks
98The 3 most common medications used for bi-polar disorder
1. Alithium carbonate
2. BDepakote (divalproex sodium),
3. CLamictal (lamotrigene)?
4. Dimipramine (Tofranil)
99The types of antidepressant medications that present the highest risk for overdose
1. Atricyclics (TCAs)
2. BSSSRIs
100The most common medication used for rapid tranquilization of a patient with psychotic symptoms
1. Axanex
2. Bhaloperidol
101The new class of antipsychotics that have fewer motor side effects (EPS) but are more expensive
1. Atypical antipsychotics
2. Batypical antipsychotics
102The abnormal motor side effects common with the typical or standard antipsychotics
1. Aextrapyramidal side effects (EPS)
2. Bserotonin syndrome
103Two medications that can be administered in a long-acting injectable
1. AHaldol Deconoate
2. Bquetiapine (Seroquel)
3. CRisperdal Consta
104The permanent extrapyramidal side effect
1. Atardive dyskinesia
2. Bserotonin syndrome
105The nurse suggests low calorie hard candies and sips of water
Intervention for what?
1. Anursing intervention for the anticholinergic, dry mouth
2. Bnursing intervention for the anticholinergic, hypoglycemia
106Adequate fluid intake, daily exercise, and high fiber foods
Intervention for what?
1. Anursing intervention for the anticholinergic side effect of dry mouth
2. Bnursing intervention for the anticholinergic side effect of constipation
107Instructing the patient to move slowly from lying to sitting to standing, especially in the morning and in the Elderly.
Routinely checking BP for this
1. Ahypertension
2. Borthostatic hypotension
108The common medication combination (2 drugs) given to an agitated and psychotic person in the ER
1. AHaldol and Ativan
2. BXanex and Proxac
109The 2 roles of the nurse when treating a mental health patient with psychotropics
1. AProvider of direct patient care
  (administer meds, assess effectiveness, monitor for side effects)
2. BEducator
  (of purpose, maintenance & side effects)
3. Cnotify HCP
  (report all noticeable signs of psychotropics)
110The benzodiazepine that has a shorter half life than valium and is often used in treatment of alcohol withdrawal
1. AAtivan
2. BHaldol
111The type of antidepressant medication that requires the patient to eat a special diet to avoid a hypertensive crisis
1. AMonoamine Oxidase (MAO) Inhibitors
2. BSSRIs
112The illness with signs & symptoms of :
Confusion to coma
Hyperthermia
Hyperreflexia
Labile BP & HR
Myoclonus & tremor
1. Aserotonin syndrome
2. BNeuroleptic Malignant Syndrome
113The illness with signs & symptoms of :
Muscle ridgidity
Hyperthermia
Tachycardia
Diaphoresis
Labile BP
Respiratory distress – hypoxia
Renal failure
1. ANeuroleptic Malignant Syndrome
2. Bserotonin syndrome
114The condition with signs & symptoms of :
Coarse hand tremor
Mental confusion
Hyperirritability of muscles
Drowsiness
Incoordination to ataxia
ECG changes and arrythmias
Blurred vision
Seizures
1. ANeuroleptic Malignant Syndrome
2. Blithium toxicity
115What is used in ALL nursing departments & settings
1. Aadministration of psychotropic medications
2. Badministration of cardiac mediations
116When neurons are stimulated or depolarized they release neurotransmitters. Each neurotransmitter has site-specific receptors that can receive it. This is called
1. Aprocess of neurotransmission and synaptic transmission
2. Bprocess of transmission and ion transport
117Most psychotropic medication affect neurotransmitters in one of several ways. Mark all that apply.
1. ABlock NTs from entering receptor site on postsynaptic neuron
2. BAccelerates the synaptic transmission
3. CPrevent destruction of NTs at synapse by interfering with enzymes at synapse
4. DInhibit reuptake/recycling NTs by presynaptic neuron
5. EEnhance the release or inhibit the release
118There are two types of antipsychotic medication typical and atypical
1. AVerdadeiro
2. BFalso
119Which of the following 2 medications were the first generation of treatment for psychosis including hallucinations and delusions
1. AHaldol
2. BClozaril
3. CThorazine
4. DAbilify
120The Atypical Psychotics or the second generation are medications developed more recently that address similar symptoms. These medications include
1. AClozaril
2. BOlanzapine
3. CRisperidone
4. DAbilify
5. EThorazine
121Serious medical complications for antipsychotics include
1. ATardivea dyskinesia
2. Bserotonin syndrome
122Antipsychotics have a Black-Box Warning for
1. Adementia Related Psychosis
2. Bexcessive dopamine transmission
123Schizophrenia (positive symptoms), acute mania, psychotic depression, drug-induced psychosis, other psychotic symptoms (these symptoms are associated with elevated concentrations of
1. Aserotonin
2. Bepinephrine
3. Cdopamine
124MOA of Typical antipsychotics
1. Ablocks dopamine receptors
2. Breduce dopamine transmission
3. Cdecreases concentration of dopamine
125Which antipsychotics have fewer EPS but are no less sedating
1. Aatypical
2. Btypical
126The weight gain from these drugs can be as much as 40lbs per month in worst case scenario
1. Aatypical
2. Btypical
127Which atypical antipsychotic has a risk of agranulocytosis or a serious drop in granulated WBCs due to suppression of the bone marrow
1. AProzac
2. BHaldol
3. CClozaril
4. DLorazepam
128Atypical antipsychotics are use to treat schizophrenia, treatment of acute mania associated with bipolar disorder, some uses for augmentation of antidepressant
1. AVerdadeiro
2. BFalso
129These drugs target the negative symptoms of schizophrenia as well as the positive and have fewer motor side effects.
1. ATypical antipsychotics
2. BAtypical antipsychotics
130These drugs are known as serotonin-dopamine antagonists because they have more 5-Ht2 effects to D2 receptor blockade. They may also improve cognitive function.
1. Atypical antipsychotic
2. BAtypical antipsychotic
131Atypical antipsychotic have which side effects
1. Afatigue and tiredness
2. Bweight gain/metabolic syndrome (not Ability or Geodon)
3. Csexual side effects
4. Dless sedation and fewer EPS
132What is the psychiatric emergency related to atypical antipsychotics
1. Aserotonin syndrome
2. Bneuroleptic malignant syndrome
133Serotonin syndrome is poorly understood and is believed to be an abrupt and drastic reduction in dopaminergic activity, high mortality
1. AVerdadeiro
2. BFalso
134Symptoms of neuroleptic malignant syndrome include
1. AMuscle ridgidity/mutism
2. BRespiratory distress – hypoxia
3. CTachycardia and hyperthermia
4. Dliver failure
135Treatment for Neuroleptic Malignant Syndrome include
1. AHaldol
2. BParlodel
3. Cdantrium
4. Dlife support
136types of antidepressants include
1. ASSRIs
2. BSNRIs
3. CTCA
4. DAtypical antipsychotics
5. EMAOIs
6. Ftypical antipsychotics
137Antidepressants are used to treat major depression, panic disorder and other anxiety disorders including psychotic depression
1. AVerdadeiro
2. BFalso
138Interact with the monoamine neurotransmitter systems in the brain, particularly the neurotransmitters
1. Anorepinephrine and serotonin
2. BEpinephrine and dopamine
139Antidepressants have a Black Box Warning for increased risk of suicide in
1. Aadolescents
2. Belderly
3. Cwomen
140Contraindications for antidepressants include
1. Aadolescents
2. Bblood pressure medications
3. Ccardiac disease or seizure disorder
4. DMAO's within 14 days
141Psychiatric syndrome of antidepressants include
1. ANeuroleptic Malignant Syndrome
2. Bserotonin syndrome
142Serotonin syndrome occurs from excessive serotoninergic activity this can occur because
1. Aoverdose
2. Bdrug interaction
3. Cstopping medication abruptly
4. Dnot informing provider of other medication
143manifestations of serotonin syndrome include confusion to coma, hypothermia, labile BP/HR and
1. Ahyper-reflexia
2. Bdry mouth
144Atypical or novel antidepressants MOA differ structurally and seem to work with less defined mechanisms than the other antidepressants
1. AVerdadeiro
2. BFalso
145Atypical or novel antidepressants are the oldest drugs for depression but are not used as much because of side effects.
1. AVerdadeiro
2. BFalso
146MOA of ti-cyclic antidepressants block the presynaptic re-uptake of neurotransmitters (norephinephrine & serotonin). Result is increased norephinephrine in the synapse. TCA’s block the muscarinic receptors that bind______________________ – result is anticholinergic effects.
Could also use for shingles cause blocks neurotransmitter
1. Aacetylcholine
2. Bdopamine
3. Cepinephrine
147An important patient teaching for trip-cyclic antidepressants is to use caution when getting up or driving and
1. Ato take in the morning
2. Bto take in the evening
148Side effects of Tri-cyclic antidepressants are anticholinergic which include
1. Acleared vision
2. Burinary retention
3. Cdry mouth and constipation
4. Dweight loss
149Nursing interventions for tri-cyclic antidepressants include section, weight gain, tachycardia, sexual dysfunction and
1. Aorthostatic hypotension
2. Bhypertension
150Contraindications of tri-cyclic antidepressants include suicide due to the overdose risk
1. AVerdadeiro
2. BFalso
151These are older drugs, along with the TCA’s. They are rarely used and usually a last choice for treatment of major depression. They require high compliance in lifestyle diet from the patient.
1. Aatypical antidepressants
2. Bmood stabilizers
3. CMAO inhibitors
152MAO inhibitors MOA: inhibition of MAO enzyme system result in which neurotransmitters not being broken down so there are higher levels
1. Adopamine
2. Bnorepinephrine
3. Cepinephrine
4. Dserotonin
153Side effects of MAO inhibitors include sedation, insomnia, dry mouth, orthostatic hypotension, sexual dysfunction and
1. Aweight loss
2. Bweight gain
154Psychotic emergency of MAO inhibitors are
1. Aserotonin syndrome
2. Bhypertensive crisis
155Hypertensive crisis occurs because excessive tyramine or sympathomimetic drugs and example of this is
1. AOTC allergy medication
2. BOTC cold medicine
156Which drug do you need to teach patients to avoid tyramine foods such as (aged cheeses, aged meats, beer and wine, sauerkraut, soy sauce) as well as sympathomimetic drugs
1. AMAO inhibitors
2. Btri-cyclic antidepressents
3. CAtypical antipsychotics
157Mood stabilizers drugs include
1. Alithium carbonate
2. Banticonvulsant medications
3. CDepakote
4. DLamictal
158Mood stabilizing drugs are use to treat anxiety
1. AVerdadeiro
2. BFalso
159Which drug was the first drug specific Bipolar Disorder (manic depression)Replaced in the 1980’s with usage of the anticonvulsants.
1. ADepakote
2. BLamictal
3. CLithium carbonate
160Which is true regarding lithium carbonate MOA:
1. Anot fully understood
2. BA salt; the ions alter sodium ion transport in nerve cells
3. Ccauses an excessive release of dopamine
161Lithium Carbonate has the most narrow therapeutic index of all psychotropic medications
1. AVerdadeiro
2. BFalso
162Lithium carbonate has a black box warning that can occur even when doses close to a therapeutic range
1. AVerdadeiro
2. BFalso
163Side effects of lithium carbonate include nausea, diarrhea anorexia and
1. Afine hand tremors
2. Bblurred vision
3. Cdry mouth
164Nursing interventions for Lithium Carbonate include fatigue, weight gain, acne, cardiac (non-therapeutic levels) and
1. Apolydipsia and poyuria
2. Bnight sweats and terrors
165Patient teaching for Lithium Carbonate include taking with food, avoid alcohol and NSAIDS, ensuring the HCP of all other meds and having monthly blood levels drawn _______ hours after last dose. (maintain therapeutic levels between 0.5–1.5 mEq/L)
1. A8
2. B24
3. C12
166Adverse effects of Lithium Carbonate include long term kidney and thyroid disease, lithium toxicity and
1. Ablurred vision
2. Bharm to a fetus
167therapeutic level for lithium carbonate are
1. A0.5-1.5 mEq/L
2. B1.5-2 mEq/L
3. C2-2.5 mEq/L
1681.5–2 mEq/L are what levels for lithium carbonate and can cause coarse hand tremors, ECG change and persistent GI upsets
1. Amid to moderate toxic reactions
2. Bmoderate to severe toxic reactions
1692-2.5 mEq/L is what level for lithium carbonate and can cause ataxia, serious ECG changes, large dilute urine output and fatalities secondary to pulmonary complications?
1. Amoderate to sever toxic reactions
2. Bmild to moderate toxic reactions
170____________________are used as mood stabilizers to treat mania in bipolar disorder. Lamictal and Depakote are used to treat bipolar depression. They are prescribed alone, with lithium, or with an antipsychotic drug to control mania.
1. AMAO inhibitors
2. BTri-cyclic antidepressents
3. CAnticonvulsants
171Interventions for anticonvulsants include
1. Afrequent rests
2. Btherapy animals
3. Cperiodic blood levels
172Anticonvulsant medications carry MANY Black Box warnings. Among them:
1. Afetal risk
2. Bpancreatitis and hepatotoxicity
3. CRash (Stevens-Johnson)
4. DAplastic Anemia/Agranulocytosis
173Anticonvulsant medications carry MANY Black Box warnings. The one that is a psychiatric emergency is
1. AIncreased Hepatoxicity Risk in Mitochondrial Disease
2. BAplastic Anemia/Agranulocytosis
3. CSteven-Johnson Syndrome
174Side effects of anticonvulsants include sedation, dizziness, blurred vision, dry mouth, nausea, heartburn, muscle tremors and
1. Aweight gain
2. Bweight loss
175Patient teaching for anticonvulsants include impaired operation due to sedation, may require blood levels, notify MD immediately of rash and
1. Amay need to increase in dosage of hormonal birth control methods
2. Bmay need to be taken with an anti anxiety agent
176Adverse effects of anticonvulsants include Stevens-Johnson syndrome, evere stomach pain, bruising, jaundice (pancreatitis, liver involvement, thrombocytopenia) and potential harm to a fetus from
1. Adepakote
2. Blamictal
177Which medications are used to treat anxiety disorders, PTSD, alcohol withdrawal
1. Atri-cyclic antidepressents
2. BMAO inhibitors
3. CAnxiolytics
178Anxiolytics include
1. ADepakote
2. Bbenzodiazepines
3. Cbuspirone (BuSpar)
179This is the MOA for which drug:
Moderate the actions of GABA, increases the receptor responsiveness to GABA
1. Aanticonvulsants
2. Banxiolytics
3. Cantidepressants
180side effects of anxiolytics include sedation, drowsiness, poor concentration, impaired memory, cloudy sensations and
1. Atolerance and dependance
2. Bimpaired and blurry vision
181Patient teaching for anxiolytics include use caution while driving due to slower reflexes, avoid alcohol and
1. Aabrupt withdrawal can be fatal
2. Boverdose can cause serotonin syndrome
182Antianxietys and Anxiolytics have very similar side effects and patient teachings
1. AVerdadeiro
2. BFalso
183CNS stimulate drugs are used to manage which of the following
1. AADHD
2. Bnarcolepsy
3. Cautism
4. Ddiabetes
184The MOA of CNS stimulate drugs is stimulate brain function, increasing release of neurotransmitters (norepinephrine & dopamine)and blocking re-uptake. Reduces action of _______.
1. Adopamine
2. BGABA
3. Cserotonin
185CNS stimulants are at extreme risk for...
1. Arespiratory depression
2. Babuse and dependence
186Side effects for CNS stimulates include anorexia, nausea, irritability and
1. Aweight loss
2. Bweight gain
187Patient teaching for CNS stimulants include long-term use can cause dependency, tolerance develops and
1. Ataking before meals
2. Btaking after meals
188For this drug patients learn when they need to take the med.
Example: to focus on school work, cognitive tasks; drug holiday on weekends
1. Aanti-anxiety
2. BCNS stimulate
189cognitive enhancers work on neurons are destroyed and this lowers the available ____________ for nervous system transmission. (dementia for example)
1. Adopamine
2. Bacetyocholine
3. CGABA
190Cognitve enhancers are used for Alzheimers disease, with their MOA lowering acetylcholine. Examples of these drugs include
1. ADonepezil (Aricept),
2. BRivastigmine (Exelon),
3. Cbuspirone (BuSpar)
4. DGalantamine HBR (Razadyne)
191cognitive enhancers work by blocking the enzyme acetylcholinesterase and make available more of the neurotransmitter, ___________________
1. Adopamine
2. Bacetylcholine
3. CGABA
192For cognitive enhancers it is important to note in patient teachings that the medication does not reverse the disease process and
1. Amay take up to 6 weeks to work
2. Bmay take up to 6 months to work

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Descrição: Quiz sobre Medication Test , criado por brittny beauford em 06-10-2016.
Autor: brittny beauford
Idioma: English
Visualizações: 107
Histórico: Criado em 6 out 2016 · atualizado em 2 nov 2016
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