Nokea
A nurse is caring for a client with suicidal tendencies. Which of the following would be most important for the nurse to do after administering the drug orally?
- A. Inspect the oral cavity to ensure that the drug is swallowed
- B. Monitor body temperature for changes
- C. Monitor blood pressure for unusual changes
- D. Inspect pulse rate for unusual changes
Correct Answer: A
Rationale: Ensuring the drug is swallowed is critical in clients with suicidal tendencies to confirm medication adherence and prevent hoarding.
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A client is receiving lithium therapy at a health care facility. The client informs the nurse that he is taking antacids for heartburn. The nurse would be alert for which of the following due to the interaction of the two drugs?
- A. Decreased effectiveness of lithium
- B. Increased risk of lithium toxicity
- C. Increased risk for bipolar disorder
- D. Increased psychotic symptoms
Correct Answer: A
Rationale: Antacids can reduce lithium absorption, leading to decreased effectiveness of the drug.
After teaching a group of nursing students about the action of antidepressants, the instructor determines that the teaching was successful when the students identify which of the following classes as exerting their effects by inhibiting reuptake of norepinephrine and serotonin?
- A. Amitriptyline
- B. Bupropion
- C. Clomipramine
- D. Duloxetine
- E. Venlafaxine
Correct Answer: A,C
Rationale: Tricyclic antidepressants like amitriptyline and clomipramine inhibit the reuptake of norepinephrine and serotonin, increasing their availability in the synaptic cleft.
The nurse is reviewing the medical records of several clients who are receiving lithium. Which of the following would the nurse identify as being at increased risk for the development of lithium toxicity?
- A. Clients receiving furosemide (Lasix)
- B. Clients experiencing diarrhea
- C. Clients with renal insufficiency
- D. Clients with liver cirrhosis
- E. Clients experiencing vomiting
Correct Answer: A,B,C,E
Rationale: Diuretics like furosemide, diarrhea, vomiting, and renal insufficiency increase lithium levels by reducing clearance, heightening toxicity risk.
A group of nursing students are reviewing information about antidepressants. The students demonstrate understanding of the information when they identify which of the following as an example of a serotonin/norepinephrine and dopamine/norepinephrine reuptake inhibitor?
- A. Doxepin
- B. Venlafaxine
- C. Bupropion
- D. Sertraline
- E. Escitalopram
Correct Answer: B,C
Rationale: Venlafaxine and bupropion inhibit reuptake of serotonin, norepinephrine, and/or dopamine, distinguishing them from other antidepressants.
Which of the following antidepressants exert their effects by inhibiting the reuptake of serotonin?
- A. Amitriptyline
- B. Bupropion
- C. Clomipramine
- D. Fluoxetine
- E. Escitalopram
Correct Answer: D,E
Rationale: Selective serotonin reuptake inhibitors (SSRIs) like fluoxetine and escitalopram specifically target serotonin reuptake, enhancing serotonin levels in the brain.