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Advanced Pharmacology Final - Practice Quiz Questions Latest with Complete Solutions

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Advanced Pharmacology Final - Practice Quiz Questions Latest with Complete Solutions Escitalopram may cause serious, potentially fatal reactions when used with _______________. (select all that apply... ) {{Ans- Duloxetine, amitriptilyne, sertraline, St. John's Wort Mixing two serotonin agents can cause serotonin syndrome. The therapeutic effects of imipramine develop over _____________. {{Ans- Several weeks The FDA-approved indications for fluoxetine include: (select all that apply) {{Ans- Obsessive compulsive disorder, major depressive disorder, bulimia nervosa Taking food with buspirone alters absorption. {{Ans- False May be taken with food to minimize gastric irritation Venlafaxine is extensively metabolized on first pass through the ___________. {{Ans- Liver Signs and symptoms of lithium toxicity include: (select all that apply) {{Ans- Slurred speech, drowsiness Valproate acid has FDA-approved indications for: (select all that apply) {{Ans- Acute mania, simple and complex absence seizures, prevention of migraine headaches Atomoxetine selectively ____________ the presynaptic reuptake of norepinephrine resulting in a(n) ________________ attention span. {{Ans- Inhibits, improved Phenelzine does not need to be discontinued several days before elective surgery that requires anesthesia. {{Ans- False Bupropion can be used for smoking cessation. {{Ans- True Methylphenidate is not effective for narcoleptic patients. {{Ans- False Clozapine may cause: (select all that apply) {{Ans- Syncope, orthostatic hypotension, cardiac arrest Causes bradycardia which could lead to syncope and cardiac arrest Administering risperidone with levodopa is contraindicated. {{Ans- True It decreases the effects of levodopa The ___________ form of ziprasidone is frequently used for control of acutely agitated patients. {{Ans- Intramuscular (IM) Anticonvulsants are frequently used as mood stabilizers for the treatment of mania and bipolar spectrum disorders because they: {{Ans- Reduce synaptic kindling A patient was started on fluoxetine for depression 3 days ago. She now complains that it "doesn't help" and refuses to take it. Understanding the psychopharmacology, the nurse's best first action is to: {{Ans- Discuss with the patient that these types of medications often take several weeks before seeing the results. Which of the following is a common side effect of both first- and second-generation antipsychotic drugs? (select all that apply) {{Ans- Extrapyramidal side effects such as pseudo-parkinsonism or acute dystonia, neuroleptic malignant syndrome, excessive sedation A male patient who is taking the second-generation antipsychotic reports to the nurse that he has observed a clear fluid leaking from his right nipple for the past month. The nurse's best initial intervention is: {{Ans- Inform the patient that this could be a side effect of the medication The physician discusses the appropriateness of prescribing a serotonin/norepinephrine reuptake inhibitor (SNRI) for a patient. Which of the following medications are in this category? {{Ans- Venlafaxine and duloxetine A patient has been prescribed a selective serotonin reuptake inhibitor (SSRI) for depression. The nurse should counsel the patient about which of the following possible side effects, among others? {{Ans- Fever, sweating, agitation, rapid heartbeat A nurse counsels a patient who has been prescribed a monoamine oxidase inhibitor (MAOI) to treat depression to avoid foods containing tyramine. Which of the following foods should the patient avoid? (select all that apply) {{Ans- Yogurt, tofu, pepperoni A patient with severe kidney disease is started on lithium by a new resident. As the nurse on duty your best initial response would be to: {{Ans- Contact the resident to remind him that the client has kidney disease and lithium is contraindicated [Show More]

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