NURSING > EXAM > NR 293 ADVANCED PHARMACOLOGY / NR 293 EXAM 2 (All)

NR 293 ADVANCED PHARMACOLOGY / NR 293 EXAM 2

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NR 293 EXAM 2 A patient diagnosed with depression tells the RN "I want to try supplementing my selective serotonin reuptake inhibitor with St. John's wort. What action would the nurse take first? A. assess the patient for depression and risk for suicide B. suggest the patient decrease the antidepressant dose C. advise the patient of the danger of serotonin syndrome D. suggest that aromatherapy may produce better results A patient experiences a sudden episode of severe anxiety. Of these medications in the medical record, which is most appropriate to give as a PRN anxiolytic? A. desipramine B. buspirone C. lorzepam D. amitriplyline Which medication from the MAR should an RN administer to provide immediate intervention for a psychotic patient whose aggressive behavior continues to escalate despite verbal intervention? A. lithium B. trazodone C. olanzapine D. valproic acid The RN is caring for a client who is taking lithium for the treatment of bipolar disorder. The client's most recent lab findings reveal a serum lithium level of 1.4 mEq/L. What assessment findings should the nurse attribute to the client's lithium level? A. the client is lethargic and weak B. lung auscultation reveals rales, and the client is SOB on exertion C. RN observes personality change, and the client is disoriented to time D. the client has decreased bowel sounds and has had no BM in 3 days A client's medication has been changed to clozapine. What lab should the nurse check before administering the first dose of the medication? A. C reactive protein B. potassium C. BUN D. WBC A client's thought disorder has been treated with haloperidol. What adverse effect should the nurse most closely monitor for the client? A. bradycardia B. extrapyramidal effects (EPS) C. hypotension D. SOB Which of the following foods should be avoided by a patient taking an MAOI due to increasing the risk of a hypertensive crisis? A. bananas B. grapefruit C. raisins D. cheese The RN recognizes which of the following symptoms as a sign of lithium toxicity? A. yellow vision B. increased bruising C. ringing of the ears D. hypotension The RN questions the order for which classification of med when prescribed for a suicidal patient? A. antipsychotic B. SSRI C. MAOI D. tricyclic antidepressant Which of the following teaching points is important to include when educating a patient recently prescribed an antidepressant medication? A. "you will get an EKG before the med is started" B. "the med may take 2-4 weeks to work" C. "you will require frequent blood draws" D. "avoid pickled foods when taking this med" A patient who has a history of type 1 diabetes is in need of enteral nutrition. Which enteral formulation does the nurse anticipate administering to this patient? A. Ensure B. Glucerna C. Polycose D. Jevity

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