Podcast
Questions and Answers
What condition would the nurse monitor a patient taking albuterol for?
What condition would the nurse monitor a patient taking albuterol for?
- Hypoglycemia
- Uterine contractions
- Blurred vision
- Palpitations (correct)
Why is nadolol contraindicated for patients with bronchial asthma?
Why is nadolol contraindicated for patients with bronchial asthma?
- Bronchial asthma (correct)
- Hypothyroidism
- Angina pectoris
- Liver dysfunction
What condition results from the stimulation of beta1 receptors?
What condition results from the stimulation of beta1 receptors?
- Increased myocardial contractility (correct)
- Decreased uterine contractility
- Decreased blood flow to skeletal muscles
- Increased bronchodilation
What should the nurse monitor for in a patient given epinephrine?
What should the nurse monitor for in a patient given epinephrine?
Which drugs may have possible interactions with epinephrine when taken together?
Which drugs may have possible interactions with epinephrine when taken together?
What should the nurse monitor for in a patient prescribed metoprolol for hypertension?
What should the nurse monitor for in a patient prescribed metoprolol for hypertension?
What is an important consideration for a nurse teaching a patient about zolpidem?
What is an important consideration for a nurse teaching a patient about zolpidem?
What instruction about triazolam is important for the nurse to include?
What instruction about triazolam is important for the nurse to include?
What drug administration should the nurse expect for conscious sedation during a minor surgical procedure?
What drug administration should the nurse expect for conscious sedation during a minor surgical procedure?
Which type of seizure involves generalized contraction of the body followed by jerkiness of the arms and legs?
Which type of seizure involves generalized contraction of the body followed by jerkiness of the arms and legs?
What effect may zolpidem have as a side effect?
What effect may zolpidem have as a side effect?
What effect should a nurse warn patients about when taking triazolam?
What effect should a nurse warn patients about when taking triazolam?
What is an important instruction for a patient taking aspirin before dental work?
What is an important instruction for a patient taking aspirin before dental work?
What side effect/adverse reaction might a patient expect from taking infliximab?
What side effect/adverse reaction might a patient expect from taking infliximab?
Which nonopioid medication is least likely to cause gastrointestinal distress?
Which nonopioid medication is least likely to cause gastrointestinal distress?
What is the maximum recommended dosage of acetaminophen per day for a patient with acute pain?
What is the maximum recommended dosage of acetaminophen per day for a patient with acute pain?
What finding would be most concerning for a patient receiving periodic morphine via intravenous push?
What finding would be most concerning for a patient receiving periodic morphine via intravenous push?
What is an important precaution for a patient regarding aspirin before surgery?
What is an important precaution for a patient regarding aspirin before surgery?
What is true regarding lorazepam?
What is true regarding lorazepam?
Which nursing intervention(s) should be included in a patient's care plan when receiving aripiprazole?
Which nursing intervention(s) should be included in a patient's care plan when receiving aripiprazole?
Which medication is sometimes used instead of lithium to treat bipolar affective disorder?
Which medication is sometimes used instead of lithium to treat bipolar affective disorder?
What interventions may be used to treat phenothiazine overdose?
What interventions may be used to treat phenothiazine overdose?
Which medication is not commonly used to treat bipolar affective disorder?
Which medication is not commonly used to treat bipolar affective disorder?
What effect does lorazepam have on plasma levels when combined with cimetidine?
What effect does lorazepam have on plasma levels when combined with cimetidine?
What drug can reverse respiratory depression caused by opioid overdose?
What drug can reverse respiratory depression caused by opioid overdose?
After intravenous morphine administration, what medication is likely needed for a patient with cold, clammy skin, bradycardia, and constricted pupils?
After intravenous morphine administration, what medication is likely needed for a patient with cold, clammy skin, bradycardia, and constricted pupils?
What action should the nurse take for a patient taking acetaminophen?
What action should the nurse take for a patient taking acetaminophen?
What should the nurse do for a patient taking nalbuphine?
What should the nurse do for a patient taking nalbuphine?
Which drug should be used during a migraine attack?
Which drug should be used during a migraine attack?
What is the primary concern with a patient showing signs of opioid overdose?
What is the primary concern with a patient showing signs of opioid overdose?
What is the action of bethanechol used to treat?
What is the action of bethanechol used to treat?
Which side effect should a patient receiving atropine expect?
Which side effect should a patient receiving atropine expect?
For which condition is benztropine an effective treatment?
For which condition is benztropine an effective treatment?
What condition is dicyclomine, an anticholinergic, used to treat?
What condition is dicyclomine, an anticholinergic, used to treat?
Which neurotransmitter do cholinergic agonists mimic?
Which neurotransmitter do cholinergic agonists mimic?
What is an expected cholinergic effect when administering bethanechol?
What is an expected cholinergic effect when administering bethanechol?
What condition is effectively treated with dicyclomine, an anticholinergic?
What condition is effectively treated with dicyclomine, an anticholinergic?
How is lorazepam classified in terms of its duration of action and associated effects?
How is lorazepam classified in terms of its duration of action and associated effects?
How does lorazepam work pharmacologically?
How does lorazepam work pharmacologically?
Which side effect is associated with ramelteon use for insomnia?
Which side effect is associated with ramelteon use for insomnia?
What is the most critical aspect for a nurse to monitor in a patient who received spinal anesthesia?
What is the most critical aspect for a nurse to monitor in a patient who received spinal anesthesia?
Which mechanism of action describes benzodiazepines like lorazepam?
Which mechanism of action describes benzodiazepines like lorazepam?
Why is monitoring for potential dependence important in patients taking some benzodiazepines?
Why is monitoring for potential dependence important in patients taking some benzodiazepines?
Which symptom may indicate a concerning adverse reaction to ramelteon in a patient with insomnia?
Which symptom may indicate a concerning adverse reaction to ramelteon in a patient with insomnia?
What effect might be observed if a patient has a seizure after prolonged use of a certain drug?
What effect might be observed if a patient has a seizure after prolonged use of a certain drug?
What is the most appropriate action for the nurse to take when a patient's serum valproic acid level is 150 mcg/mL?
What is the most appropriate action for the nurse to take when a patient's serum valproic acid level is 150 mcg/mL?
Which condition is characterized by facial grimacing, involuntary upward eye movement, and muscle spasms of the tongue and face?
Which condition is characterized by facial grimacing, involuntary upward eye movement, and muscle spasms of the tongue and face?
How do antipsychotic drugs primarily work to help patients feel better?
How do antipsychotic drugs primarily work to help patients feel better?
Which symptoms may a patient experience as a result of extrapyramidal syndrome (EPS) while taking fluphenazine?
Which symptoms may a patient experience as a result of extrapyramidal syndrome (EPS) while taking fluphenazine?
Which category of medications includes atypical antipsychotics?
Which category of medications includes atypical antipsychotics?
What is a common side effect of atypical antipsychotic medications?
What is a common side effect of atypical antipsychotic medications?
What is a potential adverse effect associated with antipsychotic drugs like haloperidol?
What is a potential adverse effect associated with antipsychotic drugs like haloperidol?
What are some symptoms of neuroleptic malignant syndrome (NMS) that may occur in patients taking antipsychotic medications?
What are some symptoms of neuroleptic malignant syndrome (NMS) that may occur in patients taking antipsychotic medications?
What advice should the nurse give to a patient taking aspirin before dental work?
What advice should the nurse give to a patient taking aspirin before dental work?
Which side effect/adverse reaction should a patient taking infliximab expect?
Which side effect/adverse reaction should a patient taking infliximab expect?
For a patient with acute pain, what is the maximum recommended daily dosage of acetaminophen?
For a patient with acute pain, what is the maximum recommended daily dosage of acetaminophen?
What finding would be of utmost concern to a nurse for a patient receiving periodic morphine via intravenous push?
What finding would be of utmost concern to a nurse for a patient receiving periodic morphine via intravenous push?
What is an important consideration for a patient regarding aspirin before surgery?
What is an important consideration for a patient regarding aspirin before surgery?
When administering nonopioid medication, which one is least likely to cause gastrointestinal distress?
When administering nonopioid medication, which one is least likely to cause gastrointestinal distress?
What should a patient be taught about the dosage of acetaminophen for acute pain?
What should a patient be taught about the dosage of acetaminophen for acute pain?
Which finding would be most concerning for a patient taking morphine via intravenous push?
Which finding would be most concerning for a patient taking morphine via intravenous push?
What is a potential side effect of aripiprazole that the nurse should monitor for in a patient?
What is a potential side effect of aripiprazole that the nurse should monitor for in a patient?
Which medication is commonly used to treat bipolar affective disorder as an alternative to lithium?
Which medication is commonly used to treat bipolar affective disorder as an alternative to lithium?
What may happen to plasma levels when lorazepam is combined with cimetidine?
What may happen to plasma levels when lorazepam is combined with cimetidine?
Which intervention may be used to treat an overdose of phenothiazines?
Which intervention may be used to treat an overdose of phenothiazines?
What is a common use of lorazepam in patient care?
What is a common use of lorazepam in patient care?
Which medication interferes with the binding of dopamine receptors?
Which medication interferes with the binding of dopamine receptors?
What is an important nursing intervention for a patient receiving aripiprazole?
What is an important nursing intervention for a patient receiving aripiprazole?
Study Notes
Adrenergic Agonists and Beta Blockers
- Albuterol is monitored for conditions such as palpitations, hypertension, hypoglycemia, bronchospasm, and uterine contractions.
- Nadolol is contraindicated for patients with bronchial asthma.
- Beta1 receptor stimulation leads to increased myocardial contractility.
- Epinephrine, an adrenergic agonist, can cause increased blood pressure, and the patient should be monitored for this condition.
- Possible drug interactions with epinephrine include albuterol, metoprolol, propranolol, and digoxin.
- Metoprolol is monitored for conditions such as bradycardia, hypotension, diaphoresis, agitation, and erythema.
Sedatives and Hypnotics
- Zolpidem is used for short-term treatment (less than 10 days) and the maximum dose is 20 mg/day.
- Triazolam is an ultra-short–acting medication, and its use should be avoided with alcohol and smoking.
- Conscious sedation for a minor surgical procedure may include the administration of propofol, midazolam, or ketamine.
Antipsychotics and Anxiolytics
- Lorazepam is used to treat anxiety, status epilepticus, insomnia, and sedation induction.
- Aripiprazole is an atypical antipsychotic that can cause symptoms of neuroleptic malignant syndrome, acute dystonia, akathisia, and tardive dyskinesia.
- Phenothiazines can cause symptoms of extrapyramidal syndrome (EPS), including tremors, rigidity, and shuffling gait.
Anticholinergics and Cholinergics
- Bethanechol is used to treat urinary retention, delayed gastric emptying, and gastroesophageal reflux disease.
- Atropine can cause side effects such as blurred vision, dry mouth, and urinary retention.
- Benztropine is used to treat Parkinsonism, and dicyclomine is used to treat irritable bowel syndrome.
- Cholinergic agonists, such as bethanechol, mimic the action of acetylcholine.
Antidepressants and Mood Stabilizers
- Divalproex is used to treat bipolar affective disorder.
- Infliximab can cause side effects such as fatigue, headache, chest pain, renal damage, and severe infections.
Analgesics and Anti-inflammatory Agents
- Aspirin can cause gastrointestinal distress, and the patient should be advised to avoid alcohol and inform the dentist and surgeon of the dosage.
- Acetaminophen dosage should not exceed 3 g/day.
- Morphine can cause respiratory depression, and naloxone is used to reverse respiratory depression caused by opioid overdose.
- Nalbuphine is an opioid agonist-antagonist, and its use should be avoided with alcohol to prevent respiratory depression.
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Description
Test your knowledge of psychiatric medications with this quiz focusing on drug names and their uses. Questions cover drugs like clozapine, fluphenazine, and aripiprazole as well as their indications and side effects.