PN VATI PHARMACOLOGY
1. A nurse is caring for a client who has bipolar disorder and a new
prescrip- tion for valproate. Which of the following instructions should the
nurse give the client about the use of this med?
A. Thyroid function tests should be performed every 6 months.
B. A pretreatment EEG will be done.
C. Liver function tests must be monitored.
D. High serum sodium levels can cause toxic levels of valproate.: C.
Liver function tests must be monitored.
2. A nurse is caring for a client who has been hospitalized for treatment
of bipolar disorder and will be discharged with a prescription for lithium.
The nurse's discharge teaching should include information cautioning
against which of the fallowing factors that may cause lithium toxicity?
A. Experiencing diarrhea
B. Exercising moderately
C. Increase sodium intake
D. Drinking green tea: A. Experiencing diarrhea
3. A nurse is caring for a client who has Schiz. and is experiencing hal-
lucinations. The provider prescribed chlorpromazine 50 mg IM every 4 hr
as needed. Available is chlorpromazine injection 25 mg/mL. How many
mL should the nurse administer per dose? (round to whole number: 2 mL
4. A nurse in an acute care mental health facility is preparing to
administer morning meds for a client who has been taking lithium for 2
weeks and has a current lithium level of 1.0 mEq/L. Which of the fallowing
actions should the nurse take?
A. Prepare for gastric lavage due to an extremely elevated lithium level.
B. Administer the morning dose of lithium.
C. Check the client's med record to assess whether the client has
been refusing her lithium.
D. Hold the med and assess for early manifestation of toxicity.: B.
Administer the morning dose of lithium.
therapeutic range 0.8 - 1.3 mEq/L
5. A nurse in a substance abuse clinic is assessing a client who recently
started taking disulfiram. The client reports having diconinued the med
after experiencing severe nausea and vomiting. Which of the following
reasons should the nurse suspect to be a likely cause of the clients
distress?
1/6
, A. Client demonstrated an allergic response to med
B. The client experienced a common side effect to medication.
C. Client consumed alcohol while taking the med.
2/6
1. A nurse is caring for a client who has bipolar disorder and a new
prescrip- tion for valproate. Which of the following instructions should the
nurse give the client about the use of this med?
A. Thyroid function tests should be performed every 6 months.
B. A pretreatment EEG will be done.
C. Liver function tests must be monitored.
D. High serum sodium levels can cause toxic levels of valproate.: C.
Liver function tests must be monitored.
2. A nurse is caring for a client who has been hospitalized for treatment
of bipolar disorder and will be discharged with a prescription for lithium.
The nurse's discharge teaching should include information cautioning
against which of the fallowing factors that may cause lithium toxicity?
A. Experiencing diarrhea
B. Exercising moderately
C. Increase sodium intake
D. Drinking green tea: A. Experiencing diarrhea
3. A nurse is caring for a client who has Schiz. and is experiencing hal-
lucinations. The provider prescribed chlorpromazine 50 mg IM every 4 hr
as needed. Available is chlorpromazine injection 25 mg/mL. How many
mL should the nurse administer per dose? (round to whole number: 2 mL
4. A nurse in an acute care mental health facility is preparing to
administer morning meds for a client who has been taking lithium for 2
weeks and has a current lithium level of 1.0 mEq/L. Which of the fallowing
actions should the nurse take?
A. Prepare for gastric lavage due to an extremely elevated lithium level.
B. Administer the morning dose of lithium.
C. Check the client's med record to assess whether the client has
been refusing her lithium.
D. Hold the med and assess for early manifestation of toxicity.: B.
Administer the morning dose of lithium.
therapeutic range 0.8 - 1.3 mEq/L
5. A nurse in a substance abuse clinic is assessing a client who recently
started taking disulfiram. The client reports having diconinued the med
after experiencing severe nausea and vomiting. Which of the following
reasons should the nurse suspect to be a likely cause of the clients
distress?
1/6
, A. Client demonstrated an allergic response to med
B. The client experienced a common side effect to medication.
C. Client consumed alcohol while taking the med.
2/6
