Psychiatric Medications Quiz
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Questions and Answers

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?

  • Bronchial asthma (correct)
  • Hypothyroidism
  • Angina pectoris
  • Liver dysfunction

    • 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?

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

    Which drugs may have possible interactions with epinephrine when taken together?

    <p>Metoprolol</p> Signup and view all the answers

    What should the nurse monitor for in a patient prescribed metoprolol for hypertension?

    <p>Diaphoresis</p> Signup and view all the answers

    What is an important consideration for a nurse teaching a patient about zolpidem?

    <p>The drug should only be used for 21 days or less.</p> Signup and view all the answers

    What instruction about triazolam is important for the nurse to include?

    <p>Long-term use is encouraged.</p> Signup and view all the answers

    What drug administration should the nurse expect for conscious sedation during a minor surgical procedure?

    <p>Propofol to reduce anxiety.</p> Signup and view all the answers

    Which type of seizure involves generalized contraction of the body followed by jerkiness of the arms and legs?

    <p>Tonic-clonic seizure.</p> Signup and view all the answers

    What effect may zolpidem have as a side effect?

    <p>Excitation.</p> Signup and view all the answers

    What effect should a nurse warn patients about when taking triazolam?

    <p>Respiratory depression.</p> Signup and view all the answers

    What is an important instruction for a patient taking aspirin before dental work?

    <p>Instruct the patient to inform the dentist of the aspirin dosage before having dental work</p> Signup and view all the answers

    What side effect/adverse reaction might a patient expect from taking infliximab?

    <p>Renal damage</p> Signup and view all the answers

    Which nonopioid medication is least likely to cause gastrointestinal distress?

    <p>Celecoxib</p> Signup and view all the answers

    What is the maximum recommended dosage of acetaminophen per day for a patient with acute pain?

    <p>4 g/day</p> Signup and view all the answers

    What finding would be most concerning for a patient receiving periodic morphine via intravenous push?

    <p>Decreased respirations</p> Signup and view all the answers

    What is an important precaution for a patient regarding aspirin before surgery?

    <p>Instruct the patient to inform the surgeon of the aspirin dosage before having surgery</p> Signup and view all the answers

    What is true regarding lorazepam?

    <p>It is used to treat anxiety, status epilepticus, insomnia, and sedation induction.</p> Signup and view all the answers

    Which nursing intervention(s) should be included in a patient's care plan when receiving aripiprazole?

    <p>Monitor vital signs to detect orthostatic hypotension.</p> Signup and view all the answers

    Which medication is sometimes used instead of lithium to treat bipolar affective disorder?

    <p>Divalproex</p> Signup and view all the answers

    What interventions may be used to treat phenothiazine overdose?

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

    Which medication is not commonly used to treat bipolar affective disorder?

    <p>Fluphenazine</p> Signup and view all the answers

    What effect does lorazepam have on plasma levels when combined with cimetidine?

    <p>Decreased levels</p> Signup and view all the answers

    What drug can reverse respiratory depression caused by opioid overdose?

    <p>Naloxone</p> Signup and view all the answers

    After intravenous morphine administration, what medication is likely needed for a patient with cold, clammy skin, bradycardia, and constricted pupils?

    <p>Naloxone</p> Signup and view all the answers

    What action should the nurse take for a patient taking acetaminophen?

    <p>Report side effects immediately due to severe hepatic damage risk</p> Signup and view all the answers

    What should the nurse do for a patient taking nalbuphine?

    <p>Monitor any changes in respirations</p> Signup and view all the answers

    Which drug should be used during a migraine attack?

    <p>Ergotamine</p> Signup and view all the answers

    What is the primary concern with a patient showing signs of opioid overdose?

    <p>Respiratory depression</p> Signup and view all the answers

    What is the action of bethanechol used to treat?

    <p>Urinary retention</p> Signup and view all the answers

    Which side effect should a patient receiving atropine expect?

    <p>Blurred vision</p> Signup and view all the answers

    For which condition is benztropine an effective treatment?

    <p>Parkinsonism</p> Signup and view all the answers

    What condition is dicyclomine, an anticholinergic, used to treat?

    <p>Irritable bowel syndrome</p> Signup and view all the answers

    Which neurotransmitter do cholinergic agonists mimic?

    <p>Acetylcholine</p> Signup and view all the answers

    What is an expected cholinergic effect when administering bethanechol?

    <p>Increased pupil constriction</p> Signup and view all the answers

    What condition is effectively treated with dicyclomine, an anticholinergic?

    <p>Irritable bowel syndrome</p> Signup and view all the answers

    How is lorazepam classified in terms of its duration of action and associated effects?

    <p>Long-acting with potential dependence</p> Signup and view all the answers

    How does lorazepam work pharmacologically?

    <p>Creating an epidural block by local anesthetic placement</p> Signup and view all the answers

    Which side effect is associated with ramelteon use for insomnia?

    <p>Sleep-related behaviors manifestation</p> Signup and view all the answers

    What is the most critical aspect for a nurse to monitor in a patient who received spinal anesthesia?

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

    Which mechanism of action describes benzodiazepines like lorazepam?

    <p>Enhancing GABA action at GABA receptors</p> Signup and view all the answers

    Why is monitoring for potential dependence important in patients taking some benzodiazepines?

    <p>To address the development of hangover effects</p> Signup and view all the answers

    Which symptom may indicate a concerning adverse reaction to ramelteon in a patient with insomnia?

    <p>Laryngospasms</p> Signup and view all the answers

    What effect might be observed if a patient has a seizure after prolonged use of a certain drug?

    <p>Laryngospasm occurrence</p> Signup and view all the answers

    What is the most appropriate action for the nurse to take when a patient's serum valproic acid level is 150 mcg/mL?

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

    Which condition is characterized by facial grimacing, involuntary upward eye movement, and muscle spasms of the tongue and face?

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

    How do antipsychotic drugs primarily work to help patients feel better?

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

    Which symptoms may a patient experience as a result of extrapyramidal syndrome (EPS) while taking fluphenazine?

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

    Which category of medications includes atypical antipsychotics?

    <p>Second-generation antipsychotics</p> Signup and view all the answers

    What is a common side effect of atypical antipsychotic medications?

    <p>Metabolic disturbances</p> Signup and view all the answers

    What is a potential adverse effect associated with antipsychotic drugs like haloperidol?

    <p>QT interval prolongation</p> Signup and view all the answers

    What are some symptoms of neuroleptic malignant syndrome (NMS) that may occur in patients taking antipsychotic medications?

    <p>Elevated temperature and severe muscle rigidity</p> Signup and view all the answers

    What advice should the nurse give to a patient taking aspirin before dental work?

    <p>Inform the dentist of the aspirin dosage before dental work.</p> Signup and view all the answers

    Which side effect/adverse reaction should a patient taking infliximab expect?

    <p>Renal damage</p> Signup and view all the answers

    For a patient with acute pain, what is the maximum recommended daily dosage of acetaminophen?

    <p>4 g/day</p> Signup and view all the answers

    What finding would be of utmost concern to a nurse for a patient receiving periodic morphine via intravenous push?

    <p>Decreased respirations</p> Signup and view all the answers

    What is an important consideration for a patient regarding aspirin before surgery?

    <p>Informing the surgeon of the aspirin dosage before surgery.</p> Signup and view all the answers

    When administering nonopioid medication, which one is least likely to cause gastrointestinal distress?

    <p>Celecoxib</p> Signup and view all the answers

    What should a patient be taught about the dosage of acetaminophen for acute pain?

    <p>&lt; 4 g/day</p> Signup and view all the answers

    Which finding would be most concerning for a patient taking morphine via intravenous push?

    <p>Decreased respirations</p> Signup and view all the answers

    What is a potential side effect of aripiprazole that the nurse should monitor for in a patient?

    <p>Orthostatic hypotension</p> Signup and view all the answers

    Which medication is commonly used to treat bipolar affective disorder as an alternative to lithium?

    <p>Divalproex</p> Signup and view all the answers

    What may happen to plasma levels when lorazepam is combined with cimetidine?

    <p>Levels increase</p> Signup and view all the answers

    Which intervention may be used to treat an overdose of phenothiazines?

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

    What is a common use of lorazepam in patient care?

    <p>Insomnia management</p> Signup and view all the answers

    Which medication interferes with the binding of dopamine receptors?

    <p>Clozapine</p> Signup and view all the answers

    What is an important nursing intervention for a patient receiving aripiprazole?

    <p>[[Reminding]] the patient to skip doses if feeling better</p> Signup and view all the answers

    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.

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