Pharmacology EDGT Exam Study Guide Questions And
Answers Verified 100% Correct |well explained|
A client is experiencing both positive and negative symptoms of schizophrenia. Which of
the following drugs is appropriate for this client?
Loxapine
Quetiapine
Haloperidol
Perphenazine - ANSWER Quetiapine
A nurse observes a client becoming more restless. He cannot sit still in group therapy
and is pacing the hallway. The nurse recognizes that he is demonstrating which of the
following extrapyramidal symptoms?
akathisia
oculogyric crisis
dyskinesia
akinesia - ANSWER akathisia
The irreversible antipsychotic effect that includes facial grimacing, lip smacking, and
tongue protrusion is called:
neuroleptic malignant syndrome.
tardive dyskinesia.
Parkinson's syndrome.
extrapyramidal symptoms. - ANSWER tardive dyskinesia.
The nurse must teach clients and their families to monitor for an often-fatal side effect of
antipsychotic medications characterized by muscular rigidity, high fever, leukocytosis,
and increased production of muscle enzymes. This side effect is:
Tardive dyskinesia
Extrapyramidal side effects
Akathisia
Neuroleptic malignant syndrome (NMS) - ANSWER Neuroleptic malignant syndrome
(NMS)
A client is experiencing side effects consisting of frightening and painful spasms of
specific muscle groups. These side effects are referred to as:
Pseudoparkinsonism
, Akathisia
Dystonic reactions
NMS - ANSWER Dystonic reactions
A schizophrenic client will be discharged on an antipsychotic medication. The nurse
should include all of the following in the teaching plan EXCEPT:
avoid excessive exposure to sunlight.
eliminate cheese and chocolate from the diet.
immediately report chills and sore throat.
continue the medication exactly as prescribed. - ANSWER eliminate cheese and
chocolate from the diet.
A client's lithium blood level during maintenance therapy is 0.7 mEq/L. This result is:
Abnormally high.
Abnormally low.
Within normal limits.
Within normal limits only if the client is being treated for an acute manic episode. -
ANSWER Within normal limits.
Explanation: Therapeutic blood levels are 0.6 to 1.2 mEq/L during maintenance therapy
and 1.0 to 1.5 mEq/L during an acute manic episode.
A client is prescribed valproic acid (Depakote). It is important that the nurse teaches the
client that:
Valproic acid must be avoided by anyone with liver disease (hepatic disease) or poor
liver function.
Taking valproic acid with alcohol can cause significant CNS stimulation.
Valproic acid may safely be taken by pregnant females.
Valproic acid is used to treat the symptoms of depression in bipolar disorder. -
ANSWER Valproic acid must be avoided by anyone with liver disease (hepatic disease)
or poor liver function.
Explanation: Depakote must be avoided by anyone with liver disease or poor liver
function.
A nurse is counseling a client about the drug lithium, which was prescribed to treat
bipolar disorder. The nurse will tell the client all of the following EXCEPT:
An estimated 70% to 80% of clients find that lithium helps in the treatment of bipolar
disorder.
Lithium treats bipolar behaviors as well as the extent and frequency of cycling.
Answers Verified 100% Correct |well explained|
A client is experiencing both positive and negative symptoms of schizophrenia. Which of
the following drugs is appropriate for this client?
Loxapine
Quetiapine
Haloperidol
Perphenazine - ANSWER Quetiapine
A nurse observes a client becoming more restless. He cannot sit still in group therapy
and is pacing the hallway. The nurse recognizes that he is demonstrating which of the
following extrapyramidal symptoms?
akathisia
oculogyric crisis
dyskinesia
akinesia - ANSWER akathisia
The irreversible antipsychotic effect that includes facial grimacing, lip smacking, and
tongue protrusion is called:
neuroleptic malignant syndrome.
tardive dyskinesia.
Parkinson's syndrome.
extrapyramidal symptoms. - ANSWER tardive dyskinesia.
The nurse must teach clients and their families to monitor for an often-fatal side effect of
antipsychotic medications characterized by muscular rigidity, high fever, leukocytosis,
and increased production of muscle enzymes. This side effect is:
Tardive dyskinesia
Extrapyramidal side effects
Akathisia
Neuroleptic malignant syndrome (NMS) - ANSWER Neuroleptic malignant syndrome
(NMS)
A client is experiencing side effects consisting of frightening and painful spasms of
specific muscle groups. These side effects are referred to as:
Pseudoparkinsonism
, Akathisia
Dystonic reactions
NMS - ANSWER Dystonic reactions
A schizophrenic client will be discharged on an antipsychotic medication. The nurse
should include all of the following in the teaching plan EXCEPT:
avoid excessive exposure to sunlight.
eliminate cheese and chocolate from the diet.
immediately report chills and sore throat.
continue the medication exactly as prescribed. - ANSWER eliminate cheese and
chocolate from the diet.
A client's lithium blood level during maintenance therapy is 0.7 mEq/L. This result is:
Abnormally high.
Abnormally low.
Within normal limits.
Within normal limits only if the client is being treated for an acute manic episode. -
ANSWER Within normal limits.
Explanation: Therapeutic blood levels are 0.6 to 1.2 mEq/L during maintenance therapy
and 1.0 to 1.5 mEq/L during an acute manic episode.
A client is prescribed valproic acid (Depakote). It is important that the nurse teaches the
client that:
Valproic acid must be avoided by anyone with liver disease (hepatic disease) or poor
liver function.
Taking valproic acid with alcohol can cause significant CNS stimulation.
Valproic acid may safely be taken by pregnant females.
Valproic acid is used to treat the symptoms of depression in bipolar disorder. -
ANSWER Valproic acid must be avoided by anyone with liver disease (hepatic disease)
or poor liver function.
Explanation: Depakote must be avoided by anyone with liver disease or poor liver
function.
A nurse is counseling a client about the drug lithium, which was prescribed to treat
bipolar disorder. The nurse will tell the client all of the following EXCEPT:
An estimated 70% to 80% of clients find that lithium helps in the treatment of bipolar
disorder.
Lithium treats bipolar behaviors as well as the extent and frequency of cycling.
