13.8: Review Questions
The nurse is teaching a client receiving a tricyclic antidepressant. Which of the following symptoms related to its anticholinergic effects could the client experience?
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Xerostomia, constipation, and urinary retention
A client with bipolar disorder has a subtherapeutic lithium level. What will the nurse expect to assess in this client?
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Rapid, pressured speech along with interrupting others
Which of the following observations indicates that lisdexamfetamine has been effective for a 10-year-old diagnosed with ADHD?
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The child is able to sit and play a game for 30 minutes with a friend.
A client has been taking fluoxetine for 2 weeks. They tell the nurse they do not think the medication is working because they still feel depressed. What is the nurse’s best response?
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“This drug takes about 4–6 weeks before you may see full therapeutic effects.”
Which adverse effect should the nurse assess for in a client who is taking haloperidol?
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Tremors
The nurse has completed medication education for a client prior to their receiving phenelzine. The nurse evaluates the education as effective when the client makes which statement?
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“I should use almond milk instead of whole milk and need to avoid aged cheeses.”
A hospitalized client was discharged on clozapine. The client is concerned about the potential significant adverse effects. Instructions on the REMS program were explained. To avoid difficulty with obtaining access immediately after discharge, what would the nurse expect from the inpatient pharmacy to ensure consistency?
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Inpatient pharmacies will dispense a day’s supply of clozapine that aligns with the client’s monitoring frequency.
Which antidepressant would be the best choice for a client experiencing sexual dysfunction from a selective serotonin reuptake inhibitor (SSRI)?
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Bupropion
Zolpidem is the most appropriate choice for clients with which condition?
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Increased sleep latency and maintaining sleep
A 10-year-old child is receiving methylphenidate. The parent tells the nurse the child will not sleep while on the medication. What is the best response?
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“Do not give the medication after 6 p.m.”