Nursing I- EXAM 3 MEDS

What should be assessed before giving Benztropine? (Select all that apply.)

bowel function, presence of urinary retention, HR

A nurse is providing teaching to a client prescribed benztropine for extrapyramidal symptoms. Which instruction is most important for the nurse to include?

increase fluid and fiber intake to prevent constipation

A nurse is evaluating the effectiveness of Benztropine therapy in conjunction with antipsychotic medication. Which finding best indicates that the medication is effective?

decreased muscle rigidity and tremors

A nurse is evaluating the effectiveness of benztropine prescribed with an antipsychotic medication. Which assessment finding best indicates that benztropine therapy is effective?

decreased muscle rigidity and tremors

A nurse is explaining how benztropine is used to reduce extrapyramidal symptoms (EPS). Which statement best describes the mechanism of action of benztropine?

Restores the balance between acetylcholine and dopamine in the central nervous system

What are common or serious side effects of Benztropine? (Select all that apply.)

blurred vision, urinary retention, dry mouth

A nurse is evaluating the effectiveness of haloperidol in a client diagnosed with a psychotic disorder. Which finding best indicates that the medication is therapeutic?

decreased hallucinations and delusional thinking

What assessments should the nurse perform before administering haloperidol?
(Select all that apply.)

LOC, vitals (including BP), assessment for EPS

Before administering haloperidol, which assessment finding is most important for the nurse to report immediately?

fever

Haloperidol is commonly used to treat which condition?

schizophrenia

Which are common or serious side effects of Haloperidol? (Select all that apply.)

tardive dyskinesia, EPS, NMS

A nurse is explaining how Haloperidol is used to treat a psychotic disorder. Which statement best describes the mechanism of action of Haloperidol?

blocks dopamine receptors in the brain

What assessments should be performed before giving Risperidone? (Select all that apply.)

blood glucose levels, assess for EPS, baseline weight and BMI

What teaching is most important for the nurse to provide to a client taking risperidone?

report increased thirst or frequent urination

A nurse is evaluating the effectiveness of Risperidone in a patient with a psychotic disorder. Which finding best indicates that the medication is therapeutic?

decreased hallucinations and delusional thinking

Risperidone is commonly used to treat which condition?

schizophrenia

A nurse is explaining how Risperidone is used to treat a psychotic disorder. Which statement best describes the mechanism of action of Risperidone?

blocks dopamine and serotonin receptors in the brain

What are common or serious side effects of Risperidone? (Select all that apply.)

EPS, hyperglycemia, NMS

What should you assess before administering Buspirone? (Select all that apply.)

renal function, liver enzymes, mood

What education should be provided to a client taking Buspirone? (Select all that apply)

avoid driving until medication response is known, avoid grapefruit juice, report any invol muscle movements

A nurse is teaching a client who has been prescribed buspirone. Which condition is buspirone primarily intended to treat?

generalized anxiety disorder

A nurse is evaluating the effectiveness of buspirone therapy in a client diagnosed with generalized anxiety disorder. Which finding best indicates that the medication is therapeutic?

the client demonstrates decreased anxiety after 3 weeks of therapy

A nurse is explaining how buspirone reduces anxiety. Which statement best describes the mechanism of action of buspirone?

it acts as a partial agonist at serotonin (5-HT1A receptors)

Which are common or serious side effects of Buspirone? (Select all that apply.)

headache, nausea, tremors

What should you assess before administering Diazepam? (Select all that apply.)

CBC, liver enzymes, mood

What education should be provided to a client taking Diazepam?

taper med slowly

A nurse is evaluating the effectiveness of diazepam prescribed for anxiety. Which finding best indicates that the medication is therapeutic?

the client reports decreased anxiety and appears calmer

Diazepam is commonly prescribed to treat which condition?

panic disorder

A nurse is explaining how diazepam produces its therapeutic effects. Which statement best describes the mechanism of action of diazepam?

it enhances the inhibitory effects of GABA in CNS

Which are common or serious side effects of Diazepam? (Select all that apply.)

nausea, resp depression, sedation

What should you assess before administering Escitalopram? (Select all that apply.)

mood, liver enzymes, renal function

A nurse is providing discharge teaching to a client who has been prescribed escitalopram. Which statement by the nurse is most appropriate?

it may take several weeks before you notice the full benefit of this med

A nurse is evaluating the effectiveness of escitalopram therapy in a client diagnosed with major depressive disorder. Which finding best indicates that the medication is therapeutic?

the client reports feeling less depressed after 3 weeks of therapy

Escitalopram is commonly prescribed to treat which condition?

major depressive disorder

A nurse is explaining how escitalopram helps improve mood in clients with depression. Which statement best describes the mechanism of action of escitalopram?

it selectively inhibits the reuptake of serotonin in the brain

Which are common or serious side effects of Escitalopram? (Select all that apply.)

serotonin syndrome, sexual dysfunction, suicidal thoughts/behavior

What should you assess before administering Venlafaxine? (Select all that apply.)

renal function, mood, CBC

A nurse is providing discharge teaching to a client who has been prescribed venlafaxine. Which statement by the nurse is most appropriate?

it may take several weeks before you notice the full benefit of this med

A nurse is evaluating the effectiveness of venlafaxine therapy in a client diagnosed with major depressive disorder. Which finding best indicates that the medication is therapeutic?

the client reports improved mood after 3 weeks of therapy

Venlafaxine is commonly prescribed to treat which condition?

major depressive disorder

A nurse is explaining how venlafaxine improves depressive symptoms. Which statement best describes the mechanism of action of venlafaxine?

it inhibits the reuptake of serotonin and norepinephrine

Which are common or serious side effects of Venlafaxine? (Select all that apply.)

suicidal thoughts/behaviors, paresthesia (numbness), bleeding

What is the mechanism of action of guaifenesin?

increases resp tract fluid to help mobilize and clear secretions

Which finding indicates that guaifenesin has been effective for a client?

the client has easier clearance of mucus

Which instruction should the nurse give a client taking guaifenesin?

increase water intake to help thin secretions

Which are potential side effects of guaifenesin? (Select all that apply.

rash, headache, nausea

What should the nurse assess before giving guaifenesin? (Select all that apply.)

cough type, sputum production, hydration status

What is the primary indication for guaifenesin?

loosening thick mucus

Which finding indicates that ipratropium has been effective for a client?

the client has decreased dyspnea and improved airflow

Which patient statement indicates understanding of ipratropium?

i should not exceed 12 doses within 24 hours

Which are common or serious side effects of ipratropium? (Select all that apply.)

headache, palpitations, blurred vision

What should the nurse assess before administering ipratropium? (Select all that apply.)

RR, allergy to atropine

What is the mechanism of action of ipratropium?

inhibits cholinergic receptors in bronchial smooth muscle, causing bronchodilation

Which condition is commonly treated with ipratropium bromide

COPD maintenance

Which statement by the patient who has a new prescription for albuterol indicates a need for further teaching?

i can use it as often as i want for tightness

Which of the following are common or serious side effects of albuterol? (Select all that apply.)

hyperglycemia, hypokalemia, tremors

Which assessments are essential before giving albuterol? (Select all that apply.)

RR, oxygen saturation, HR

Albuterol stimulates what leading to bronchodilation.

beta-2 adrenergic receptors in the airway

Which of the following is an appropriate indication for albuterol?

acute bronchospasm

Which finding indicates that albuterol has been effective for a client?

reduced wheezing and improved oxygen saturation

What assessments should be performed before giving Carbamazepine? (Select all that apply.)

mood and behavior, platelet count

What teaching is important for a client taking Carbamazepine?

report rashes or fevers (SJS)

A nurse is evaluating the effectiveness of Carbamazepine in a client diagnosed with a mood disorder. Which finding best indicates that the medication is therapeutic?

The client demonstrates stabilized mood with fewer mood swings

Carbamazepine is commonly used to treat which condition?

bipolar disorder

A nurse is explaining how Carbamazepine reduces the symptoms of mania. Which statement best describes the mechanism of action of Carbamazepine?

It stabilizes neuronal membranes by reducing sodium channel activity

Which are common or serious side effects of Carbamazepine? (Select all that apply.)

SJS, suicidal thoughts, hyponatremia (low Na)

What assessments should be performed before giving Lithium? (Select all that apply.)

thyroid function test, serum sodium levels, renal function test

What teaching is important for a client taking Lithium?

avoid caffeine or diuretics

A nurse is evaluating the effectiveness of Lithium prescribed for a mood disorder. Which finding indicates that the medication is therapeutic?

The client demonstrates stabilized mood with decreased manic symptoms

Lithium is commonly used to treat which condition?

bipolar disorder

A nurse is explaining how Lithium is used to treat a mood disorder. Which statement best describes the mechanism of action of Lithium?

It alters sodium transport and decreases neuronal excitability

Which are common or serious side effects of Lithium? (Select all that apply.)

fine hand tremor, polyuria and polydipsia, hypothyroidism

What assessments should be performed before giving Valproic Acid? (Select all that apply.)

platelet count, liver function tests, pregnancy status

What teaching is important for a client taking Valproic Acid?

report abdominal pain, nausea, or jaundice

A nurse is evaluating the effectiveness of Valproic Acid therapy in a patient with a mood disorder. Which finding best indicates that the medication is therapeutic?

the client demonstrates stabilized mood with reduced manic symptoms

Valproic Acid is commonly used to treat which condition?

bipolar disorder

A nurse is explaining how Valproic Acid is used to treat a mood disorder. Which statement best describes the mechanism of action of Valproic Acid?

it increases GABA levels in the brain

Which are common or serious side effects of Valproic Acid? (Select all that apply.)

thrombocytopenia, weight gain, hepatotoxicity

The nurse is monitoring a client receiving clonidine.
Which finding indicates a serious adverse effect that requires immediate nursing intervention?

HR of 42 bpm (bradycardia)

Before giving clonidine, which three priority assessments should the nurse complete?

LOC, BP, HR

A nurse is evaluating the effectiveness of Clonidine therapy in a client diagnosed with elevated blood pressure due to substance use withdrawal. Which finding best indicates that the medication is therapeutic?

BP is reduced to within the prescribed target range

A nurse is teaching a client who has been prescribed Clonidine. Which condition is Clonidine primarily intended to treat?

hypertension

A nurse is preparing to give a patient Clonidine to a patient to help lower their blood pressure. Which statement best describes the mechanism of action of Clonidine?

stimulates alpha-2 adrenergic receptors in CNS, reducing sympathetic outflow

Which instruction is most important for the nurse to include when teaching a client about clonidine?

do not stop med abruptly

Which are common or serious side effects of methadone?
(Select all that apply.)

constipation, sedation, hypotension, resp depression

Before administering methadone, which assessments should the nurse complete?
(Select all that apply.)

oxygen sat, RR and depth, LOC

Which outcome best indicates methadone therapy is effective?

client reports decreased opioid cravings and absence of withdrawal symptoms

A nurse is teaching a client who has been prescribed Methadone. Which condition is Methadone primarily intended to treat?

opioid use disorder

A nurse is explaining how Methadone reduces the cravings for opioids. Which statement best describes the mechanism of action of Methadone?

Activates opioid receptors as a long-acting agonist, preventing withdrawal and cravings

A nurse is providing discharge teaching to a client who has been prescribed Methadone. Which statement by the nurse is most appropriate?

“Take this medication exactly as prescribed and do not change the dose on your own.”

Which are common or serious side effects of naloxone?
(Select all that apply.)

ventricular arrhythmias, acute opioid withdrawal symptoms, hypertension, N/V

What should the nurse assess before and after administering Naloxone? (Select all that apply.)

LOC, oxygen sat, pupillary response, RR

Which outcome best indicates that naloxone therapy is effective?

RR increases from 6-14 breaths per minute

Naloxone is primarily used to treat which condition?

opioid overdose

A nurse is explaining how naloxone works. Which statement best describes its mechanism of action?

it competitively binds to opioid receptors and displaces opioids

A nurse is providing discharge teaching to a client who has been administered naloxone.
Which statement by the nurse is most appropriate?

you should call 911 immediately after giving naloxone