NURS 3365 - Pharmacology in Nursing Practice:
Psychotherapeutic Drugs Questions With Complete
Solutions
"-pam" and "-lam" Correct Answers Benzodiazepines
A client is prescribed alprazolam for anxiety. What is the most
important information for the nurse to provide when providing
education to the client?
a) Avoid drinking alcohol when you take a dose of your
medication
b) You can quit attending your support group now that you have
medication
c) Take this medication every day on scheduled basis
d) Take this medication whenever you feel anxious Correct
Answers a) Avoid drinking alcohol when you take a dose of
your medication
A client is prescribed buspirone for anxiety. What is the reason
that buspirone is chosen over a benzodiazepine in the treatment
for anxiety?
a) It does not have any severe adverse reactions
b) It has less physical and psychological dependency issues
c) It is not metabolized with the CYP 450 system
d) It has no known interactions with herbal supplements Correct
Answers b) It has less physical and psychological dependency
issues
,A client prescribed citalopram presents with mental changes and
hyperreflexia. After reviewing the client's chart shown below.
What item on the home-medication list may be causing these
symptoms?
a) Alprazolam
b) Garlic
c) Ibuprofen
d) St. John's Wort Correct Answers d) St. John's Wort
A client was found unresponsive with an empty bottle of
alprazolam. If determined to be necessary, what is the
appropriate antidote in this situation? Correct Answers
Flumazenil
A patient has been diagnosed with Neuroleptic Malignant
Syndrome (NMS). The RN anticipates administration of which
medication to treat the patient?
a) Dantrolene
b) Tetrabenazine
c) Propranolol
d) Benztropine Correct Answers a) Dantrolene
Acute dystonia (EPS) Correct Answers Muscle spasms of face,
tongue, neck, and back
Facial grimacing
Involuntary upward eye movement
Laryngeal spasms
,Symptoms occur over days to weeks of starting the drug. Can
cause torticollis, the twisting of neck muscles that causes the
head to tilt at odd angles.
Treatment
Alert HCP to the pts symptoms.
Slowly withdraw the drug.
Diphenhydramine and benztropine can be given for symptom
management.
Benzodiazepines can be given if muscle spasms are severe
enough.
Aripiprazole: MOA Correct Answers Blocks serotonin and
dopaminergic D4 receptors.
Aripiprazole: Nursing Interventions Correct Answers Monitor
pt weight frequently.
Monitor CBC frequently during initial onset of drug therapy
(can cause an increase in CK levels and a decrease in WBC
count).
Monitor blood glucose and cholesterol levels prior to starting
and throughout therapy.
Aripiprazole: Side Effects Correct Answers Hyperglycemia
Drowsiness
Memory impairment
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