NURS 6670 Lehn's CH 32 & 33 Pharmacology Elaborate Exam 2023
The nurse is planning care for a patient taking imipramine (Tofranil). Which finding, if
... [Show More] present, would most likely be an adverse effect of this drug?
Sedation and dry mouth
The nurse is monitoring a patient with depression in the early phase of treatment with amitriptyline (Elavil). Which question is most important for the nurse to ask the patient?
"Have you had any changes in your mood or anxiety level?"
The nurse is caring for a patient receiving fluoxetine (Prozac) for depression. Which adverse effect is most likely associated with this drug?
Sexual dysfunction
The nurse is caring for a patient in the emergency department who reports the onset of agitation, confusion, muscle twitching, diaphoresis, and fever about 12 hours after beginning new prescription for escitalopram (Lexapro). Which is the most likely explanation for these symptoms?
Serotonin syndrome
The nurse is preparing to adminster phenelzine (Nardil) to a patient with depression. Why is this durg considered a second- or third-line agent in the treatment of depression?
It has more side effects and drug interactions
A nurse teaches a patient who takes an MAOI about important dietary restrictions. Which foods will the nurse caution that patient to avoid?
Aged cheese and sherry
The nurse is caring for a group of patient being treated for depression. Why might an SSRI be chosen over a TCA? To reduce the risk of suicide with overdose
The nurse identifies which most common serious adverse effect of TCA therapy? Orthostatic hypotension
The nurse is teaching a patient who has a new prescription for citalopram (Celexa). Which statement is appropriate to include in the teaching plan? (Select all)
-"This medication may cause some sexual side effects. Let you healthcare provider know about this if it occurs."
-"When you stop taking this medication, you . should not withdraw it abruptly."
-"Let your family or your healthcare provider know if you experience a worsening mood, agitation, or increased anxiety."
Which instruction does the nurse include when teaching a patient about phelezine (Nardil) therapy? (Select all)
-"If you experience a severe headache, inform your healthcare provider."
-"Avoid eating avocados when taking this drug."
Which drug does the nurse identify as a selective serotonin reuptake inhibitior? (select all)
-Fluoxetine (Prozac)
-Sertraline (zoloft)
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