322 Meds for the Final

<p>Modafinil (C)</p> Signup and view all the answers

<p>Palpitations (A), Insomnia (C), Euphoria (D), Dry mouth (E)</p> Signup and view all the answers

<p>Sleep-related behaviors (C)</p> Signup and view all the answers

<p>It increases GABA's inhibitory action. (C)</p> Signup and view all the answers

<p>Hypotension and headaches (D)</p> Signup and view all the answers

<p>It is a short-acting drug that might cause early awakening. (D)</p> Signup and view all the answers

<p>The drug should be taken only for 21 days. (D)</p> Signup and view all the answers

<p>Agranulocytosis and thrombocytopenia. (B)</p> Signup and view all the answers

<p>It is classified as an ultra-short–acting hypnotic. (D)</p> Signup and view all the answers

<p>Sleep-related behaviors. (D)</p> Signup and view all the answers

<p>Bronchospasm (B), Palpitations (D)</p> Signup and view all the answers

<p>Bronchial asthma (B)</p> Signup and view all the answers

<p>Increased myocardial contractility (A)</p> Signup and view all the answers

<p>Increased blood pressure (B)</p> Signup and view all the answers

<p>Metoprolol (A), Propranolol (D)</p> Signup and view all the answers

<p>Craving that results in drug-seeking behaviors (D)</p> Signup and view all the answers

<p>Opioid withdrawal (C)</p> Signup and view all the answers

<p>Intravenous fluids (A), Thiamine (C)</p> Signup and view all the answers

<p>Report the finding to the nursing supervisor (A)</p> Signup and view all the answers

<p>Common food products containing alcohol (A), Importance of taking the medication every day (B)</p> Signup and view all the answers

<p>It disrupts alcohol metabolism (B)</p> Signup and view all the answers

<p>Nausea and vomiting may occur (D)</p> Signup and view all the answers

<p>Certain medications (B), Baking products (D)</p> Signup and view all the answers

<p>Acute dystonia (A)</p> Signup and view all the answers

<p>Blocking actions of dopamine (B)</p> Signup and view all the answers

<p>Tremors, rigidity, and shuffling gait (A)</p> Signup and view all the answers

<p>Clozapine (A), Olanzapine (B)</p> Signup and view all the answers

<p>Treating anxiety and status epilepticus (D)</p> Signup and view all the answers

<p>Monitor vital signs for orthostatic hypotension (D)</p> Signup and view all the answers

<p>Gastric lavage (B)</p> Signup and view all the answers

<p>It is used to absorb toxins after drug ingestion (C)</p> Signup and view all the answers

<p>Tonic-clonic (C)</p> Signup and view all the answers

<p>Monitor complete blood count levels for early detection of blood dyscrasias. (C)</p> Signup and view all the answers

<p>The patient is unsure about the correct usage of phenytoin. (D)</p> Signup and view all the answers

<p>Valproic acid (D)</p> Signup and view all the answers

<p>Diazepam (C)</p> Signup and view all the answers

<p>Gum erosion (C)</p> Signup and view all the answers

<p>Hold the medication and notify the health care provider. (A)</p> Signup and view all the answers

<p>It requires regular dental checkups to prevent gum issues. (B)</p> Signup and view all the answers

<p>Divalproex (D)</p> Signup and view all the answers

<p>St. John's wort (A), Feverfew (B)</p> Signup and view all the answers

<p>Paroxetine (B)</p> Signup and view all the answers

<p>Instruct the patient to avoid beer and cheddar cheese. (C)</p> Signup and view all the answers

<p>NSAIDs may increase lithium levels. (D)</p> Signup and view all the answers

<p>Observe the patient for orthostatic hypotension. (B), Tell the patient that the drug will be effective immediately. (C)</p> Signup and view all the answers

<p>Monitor the patient for motor tremors and hypotension. (D)</p> Signup and view all the answers

For a 12-year-old on methylphenidate, the nurse primarily monitors height and weight for growth impact.

The nurse observing for ADHD should look for a difficulty completing tasks; lack of focus is key.

Withdrawal symptoms from methylphenidate may show as tremors.

Modafinil is a medication used to treat narcolepsy, a sleep disorder.

Potential side effects when taking phentermine include dry mouth and insomnia.

Secobarbital is a short-acting barbiturate that can cause early morning awakenings due to its rapid metabolism.

Lorazepam, a benzodiazepine, works by enhancing the effects of GABA, an inhibitory neurotransmitter, in the brain.

Ramelteon, a melatonin receptor agonist used for insomnia, can cause sleep-related behaviors like sleepwalking or sleep-eating.

After spinal anesthesia, the nurse should prioritize monitoring for hypotension and headaches, which are common side effects.

Zolpidem, a nonbenzodiazepine hypnotic, is typically used for short-term treatment, ideally less than 10 days.

When taking triazolam, a benzodiazepine hypnotic, it's crucial to avoid alcohol and smoking, as they can worsen its effects.

Benzodiazepines, like lorazepam and triazolam, depress the central nervous system, leading to relaxation and sedation.

Barbiturates, like secobarbital, can be highly addictive with prolonged use, leading to dependence.

While a patient is taking albuterol, a nurse should watch for potential side effects including palpitations, hypertension, hypotension, blurred vision, and bronchospasm.

Beta-adrenergic blockers, like nadolol, are contraindicated for patients with bronchial asthma because they can worsen airway constriction.

When beta1 receptors are stimulated, the heart muscle contracts more strongly. This is different from the effects of beta2 stimulation.

Epinephrine, a sympathomimetic (adrenergic agonist), increases blood pressure and heart rate. A nurse should monitor for these effects.

The nurse should be aware that metoprolol, a beta-blocker, can interact with other medications like albuterol, propranolol, digoxin, and methyldopa.

A patient exhibiting craving leading to drug-seeking behaviors strongly suggests opioid use disorder.

Opioid withdrawal symptoms include nausea, vomiting, abdominal cramps, and restlessness.

Treatment for alcohol toxicity commonly involves intravenous fluids, thiamine, and glucose solutions.

When witnessing drug diversion by a nurse, the best action is to report the finding to the nursing supervisor.

When educating about disulfiram, emphasize the potentially fatal consequences of alcohol consumption while on the medication.

Disulfiram helps with alcohol use disorder by disrupting the metabolism of alcohol, leading to unpleasant reactions.

Naloxone reverses the effects of opioids by blocking their receptors. It's used in opioid overdose situations.

Thiamine is given to patients with alcohol toxicity because alcohol can deplete thiamine stores, which are vital for nerve function.

A serious side effect of antipsychotic medications characterized by involuntary muscle spasms, particularly in the neck, face, and tongue.

Antipsychotics work primarily by blocking the actions of dopamine, a neurotransmitter involved in mood regulation and movement.

A group of side effects caused by antipsychotics, leading to muscle stiffness, tremors, and involuntary movements.

A newer class of antipsychotics that have fewer side effects than traditional antipsychotics and are more effective in treating negative symptoms.

Lorazepam is a benzodiazepine used to treat anxiety, seizures, insomnia, and to induce sedation.

Nursing interventions for patients taking aripiprazole include monitoring vital signs, assessing for neuroleptic malignant syndrome, and observing for extrapyramidal symptoms.

Treatment for phenothiazine overdose includes gastric lavage, maintaining an airway, administering activated charcoal, and ensuring adequate hydration.

A rare but serious side effect of antipsychotics characterized by high fever, muscle rigidity, altered mental status, and autonomic dysfunction.

A type of seizure characterized by generalized body contractions followed by jerking of the arms and legs.

Monitor complete blood counts for early detection of blood dyscrasias, which are abnormalities in blood cells.

Instruct the patient to shake the oral suspension well before administering, to ensure a consistent dose.

Ethosuximide is a medication commonly prescribed for absence seizures, which are characterized by brief periods of unresponsiveness.

Diazepam and midazolam are commonly administered to terminate status epilepticus, a life-threatening condition marked by prolonged seizures.

Gum erosion is a potential adverse effect of phenytoin, leading to swollen, red, or bleeding gums.

If the serum level of valproic acid is above the therapeutic range (150 mcg/mL), the nurse should hold the medication and notify the health care provider.

A type of seizure characterized by brief, sudden muscle jerks or spasms, often involving the arms or legs.

Divalproex is an anticonvulsant medication used to treat bipolar affective disorder in some patients, particularly those who don't respond well to lithium.

Serotonin syndrome is a potentially life-threatening condition that occurs when there is too much serotonin in the body. It can be caused by interactions between certain medications and herbs.

SSRIs are a class of antidepressants that work by increasing serotonin levels in the brain. Paroxetine is an example of an SSRI.

Tranylcypromine sulfate is a MAOI antidepressant that requires strict dietary restrictions to prevent dangerous drug interactions. Avoid foods containing tyramine, like aged cheese and beer.

The therapeutic range for lithium, a mood stabilizer used to treat bipolar disorder, is 0.6 to 1.2 mEq/L. Levels outside this range can lead to side effects or toxicity.

When administering antidepressants, nurses must prioritize patient safety by monitoring for suicidal tendencies, potential side effects like orthostatic hypotension, and ensuring adequate hydration.

Nurses caring for patients taking lithium monitor for potential side effects such as tremors and ensure adequate fluid intake. Avoid caffeinated foods and beverages.

Nonsteroidal anti-inflammatory drugs (NSAIDs) can increase lithium levels in the body, requiring careful monitoring and potential dosage adjustments.