NUR 425 / NUR 425 - PHARM PSYCH FINAL STUDY GUIDE/NOTES.
Pharm Kee study guide 23
1. A patient’s wandering and hostility levels have increased per
... [Show More] family reports. What should concern the
nurse in this patient who is taking memantine (Namenda) 10 mg/d? - The patient is not taking enough
of the medication
2. What statement by the patient indicates an understanding of how to relieve some side effects
associated with the use of benzotropine mesylate (Cogentin)?
“I can suck on hard candy or chew sugarless gum to prevent dry mouth”
Pharm Kee 27
1. The nurse is caring for a patient who has begun taking chlorpromazine HCl (Thorazine) 75 mg BID to
treat schizophrenia. A family member tells the nurse that the patient’s agitation, hallucinations, and
delusional symptoms have improved, 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
a. all symptoms will eventually resolve over time with this medication.
b. the patient may need an increased dose of the antipsychotic medication.
c. these results may indicate that the patient does not have schizophrenia.
d. they should consider discussing adding another medication.
ANS: D
2. The nurse is assessing a young adult patient with schizophrenia who recently began taking
fluphenazine (Prolixin). The patient is exhibiting spasms of facial muscles along with grimacing, and the
nurse notes upward eye movements. The nurse suspects which side effect?
a. Acute dystonia
b. Akathisia
c. Pseudoparkinsonism
d. Tardive dyskinesia
ANS: A
3. The nurse is preparing to administer loxapine (Loxitane) 50 mg to a patient who has schizophrenia.
The patient has been taking this medication twice daily for 15 months. The nurse notes smacking lip
movements and involuntary movements of all extremities. Which action by the nurse is correct?
a. Administer the medication as ordered to treat these symptoms of psychosis.
b. Hold the dose and notify the provider of these medication adverse effects.
c. Request an order for an anticholinergic medication such as benztropine (Cogentin).
d. Suggest that the provider increase the dose to 125 mg twice daily.
ANS: B
4. A patient who takes loxapine (Loxitane) to treat schizophrenia is noted to be restless and fidgety and is
pacing around the room. The nurse caring for this patient will perform which action?
a. Contact the provider to discuss changing to benztropine (Cogentin).
b. Notify the provider of these symptoms and request an order for lorazepam (Ativan).
c. Question the patient about adherence to the drug regimen.
d. Recognize these signs of a serious adverse drug reaction and notify the provider.
ANS: B
5. A patient arrives in the emergency department with dehydration. The patient reports taking
fluphenazine (Prolixin) to treat schizophrenia. The nurse notes rigid muscles and an altered mental
status. The patient has a temperature of 103.6° F, a heart rate of 98 beats per minute, and a blood
pressure of 90/58 mm Hg. The nurse will anticipate administering which medication?
a. Dantrolene (Dantrium)
b. Haloperidol (Haldol)
c. Propranolol (Inderal)
d. Tetrabenazine (Xenazine)
ANS: A
6. The parent of a young adult who has schizophrenia is concerned that the patient spits out pills that
are given. The nurse will suggest contacting the patient’s provider to discuss which intervention?
a. Changing to a liquid form of the mediation
b. Providing a home health nurse to supervise medication administration
c. Teaching the patient the importance of taking the medication
d. Weekly intramuscular injections of the medication
ANS: A
7. The nurse is preparing to administer intramuscular haloperidol (Haldol) to a patient who has
schizophrenia. What action will the nurse perform?
a. Massage the site after injecting the medication to ensure complete absorption.
b. Teach the patient to return every week to receive medication doses.
c. Use a small bore needle when injecting the medication.
d. Use the Z-track method and inject the medication into deep muscle tissue.
ANS: D
8. The nurse is teaching a patient who will be discharged home on a typical antipsychotic medication to
treat schizophrenia. Which statement by the patient indicates a need for further teaching?
a. “I should not drink alcohol while taking this medication.”
b. “I should use a heating pad to treat muscle spasms while taking this medication.”
c. “I should use sunscreen while taking this medication.”
d. “I will need frequent blood tests while taking this medication.”
ANS: B
9. A patient who is about to begin taking the atypical antipsychotic medication clozapine (Clozaril) is
concerned about side effects. What information will the nurse include when teaching the patient about
this medication?
a. “You are more likely to experience dry mouth, constipation, and urinary retention.”
b. “You may experience weight gain, drowsiness, and headaches.”
c. “You will not experience extrapyramidal side effects with this medication.”
d. “You will not need frequent lab work while taking this medication.”
ANS: B
10. A family member of a patient who has been taking fluphenazine (Prolixin) for 3 months calls to
report that the patient is exhibiting agitation and restlessness. The nurse learns that the patient’s
delusional thinking and hallucinations have stopped since taking the medication. The nurse will perform
which action?
a. Reassure the family member that tolerance to these side effects will subside over time.
b. Remind the family member that complete drug effects may not occur for several more weeks.
c. Suggest that the family member contact the provider to discuss an order for a benzodiazepine.
d. Tell the family member to withhold the medication and notify the patient’s provider.
ANS: C
11. A patient has been taking risperidone (Risperdal) for 2 weeks. The patient reports drowsiness and
headache. What will the nurse do?
a. Counsel the patient to request changing to aripiprazole (Abilify).
b. Reassure the patient that these are common side effects of the medication.
c. Suggest that the patient have serum glucose testing.
d. Suggest that these may be signs of agranulocytosis.
ANS: B
12. The nurse is performing a medication history on a patient who reports taking lorazepam (Ativan) for
the past 6 months to treat an anxiety disorder. The patient states that the medication is not working as
well as previously. The nurse will
a. contact the provider to discuss changing to another benzodiazepine.
b. notify the provider and discuss increasing the dose of lorazepam.
c. suspect worsening of the anxiety disorder.
d. understand that the patient has developed tolerance to this drug.
ANS: D
13. A patient who is taking chlorpromazine calls the clinic to report having reddish-brown urine. What
action will the nurse take?
a. Notify the provider and request orders for creatinine clearance and BUN levels.
b. Reassure the patient that this is a harmless side effect of this medication.
c. Tell the patient to come to the clinic for a urinalysis.
d. Tell the patient to discard any drug on hand and request a new prescription.
ANS: B
14. A patient has begun taking [Show Less]