UPDATE 100% CORRECT
87. A client is receiving doxepin (Silenor). For which most dangerous side effect
of tricyclic antidepressants should a nurse monitor the client?
A. Mydriasis
B. Dry mouth
C. Constipation
D. Urinary retention Answer - A. Mydriasis
88. A client with schizophrenia is actively psychotic, and a new medication
regimen is prescribed. A student nurse asks the primary nurse, "Which of the
prescribed medications will be most helpful for reducing psychotic signs and
symptoms?" What should the nurse respond?
A. Citalopram (Celexa)
B. Ziprasidone (Geodon)
C. Benztropine (Cogentin)
D. Acetaminophen with hydrocodone (Lortab) Answer - B. Ziprasidone
(Geodon)
89. A client with a psychosis is receiving olanzapine (Zydis). What is important
for a nurse to consider when administering this drug?
A. It can be given intramuscularly
B. A special tyramine-free diet is required
C. It dissolves instantly after oral administration
, D. An empty stomach increases its effectiveness Answer - C. It dissolves
instantly after oral administration
90. Antipsychotic drugs can cause extrapyramidal side effects. Which responses
should the nurse document as indicating pseudoparkinsonism? SATA
A. Rigidity
B. Tremors
C. Mydriasis
D. Photophobia
E. Bradykinesia Answer - A. Rigidity
B. Tremors
E. Bradykinesia
91. A client with schizophrenia is taking benztropine (Cogentin) in conjunction
with an antipsychotic. The client tells a nurse, "Sometimes I forget to take the
Cogentin." What should the nurse teach the client to do if this happens again?
A. Use 2 pills at the next regularly scheduled dose
B. Notify the health care provider about the missed dose immediately
C. Take a dose as soon as possible, up to 2 hours before the next dose
D. Skip the dose, and then take the regularly scheduled dose 2 hours early
Answer - C. Take a dose as soon as possible, up to 2 hours before the next dose
92. Olanzapine (Zyprexa) is prescribed for a client with bipolar disorder, manic
episode. What cautionary advice should the nurse give the client?
A. Sit up slowly
B. Report double vision
C. Expect increased salivation
D. Take the medication on an empty stomach Answer - A. Sit up slowly