Elsevier Qs: Antidepressants and Anxiety – Flashcards
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Which patient is a poor candidate for therapy with diazepam (Valium) to treat generalized anxiety disorder?
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Alcohol Abuse *the potential for substance abuse and the adverse effects of therapy
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A patient is taking tricyclic antidepressant (TCA) therapy for the treatment of insomnia. On reviewing the prescription, the nurse finds that the patient is also taking phenelzine (Nardil). Which symptoms does the nurse monitor for in the patient? Select all that apply.
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Shivering, muscle spasms, and hyperthermia
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A patient is being switched from amitriptyline (Elavil) to citalopram (Celexa). Which statement made by the patient reflects understanding of patient education?
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I will not get as dizzy when I change positions *Elavil causes orthostatic hypotension
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A male patient tells the nurse that he wants to stop taking citalopram (Celexa) because of the sexual side effects. Which instruction should the nurse provide while educating the patient to help relieve the patient's sexual dysfunction? Select all that apply.
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Take infrequent "drug holidays." (ed drugs) Avoid alcoholic beverages. Maintain the current pharmacotherapy. Report complaints to the psychiatrist.
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The nurse is assessing a patient who has been prescribed alprazolam (Xanax) to treat panic disorder. Which adverse effects does the nurse monitor for in the patient? Select all that apply.
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Ataxia, dizziness, confusion
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A patient with panic disorder has been prescribed anxiolytic medications. Which medication is prescribed to the patient if the nurse uses the intramuscular route for administration of the diluted drug?
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Lorazepam
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The nurse is assessing a patient with depression who has been prescribed nortriptyline (Pamelor). Following the assessment, the nurse finds that the patient has constipation and urinary retention due to interaction between the prescribed medications. Which class of medication found in the patient's prescription is responsible for these effects?
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Anticholinergics
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A patient is detoxifying from alcohol abuse. Which type of medication is indicated to help the patient manage withdrawal symptoms?
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Benzodiazepine
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The nurse prepares a patient who is taking sertraline (Zoloft) for discharge. Which instruction should the nurse include in patient education?
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Take it at the same time q day
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Which nursing diagnosis has the highest priority for an older adult patient who has received a sedative-hypnotic agent?
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Fall risk
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Which food can be included in the diet of a patient who is taking monoamine oxidase inhibitors?
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Cottage Cheese
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The nurse is assessing an elderly patient who has severe anxiety who was prescribed clonazepam (Klonopin). The patient's family members inform the nurse that for the last few days, the patient has experienced dizziness, and suddenly becomes aggressive and confused. What does the nurse infer from this?
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pt has withdrawl symptoms
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The nurse finds that a patient who has been prescribed tricyclic antidepressant (TCA) therapy consumes alcohol regularly. What intervention will the nurse expect to perform to promote drug safety?
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Administer multiple doses of activated charcoal
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The primary health care provider reviews the medical history of a patient who is receiving buspirone (BuSpar). The health care provider instructs the nurse to continuously monitor the patient's blood pressure to prevent hypertension due to drug interaction. Which other medication is the patient taking?
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MAOI
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A patient takes sertraline (Zoloft) for depression related to chronic pain. The nurse avoids administering which analgesic agent to help prevent serotonin syndrome?
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Tramadol
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The primary health care provider instructs the nurse to administer flumazenil (Romazicon) to a patient who is taking an anxiolytic medication. What assessments may have prompted the order to administer flumazenil (Romazicon) to the patient? Select all that apply.
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The patient might have been sleeping for a long time. The patient might have difficulty breathing
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A patient diagnosed with depression is started on a tricyclic antidepressant (TCA) after failure to improve symptoms on a selective serotonin reuptake inhibitor (SSRI). The nurse should include which teaching point when educating the patient about the new medication?
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There is a risk of toxicity when this medication is taken with alcohol.
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A patient currently prescribed duloxetine (Cymbalta) comes to the health clinic complaining of restlessness, agitation, diaphoresis, and tremors. The nurse suspects serotonin syndrome and questions the patient regarding concurrent use of which substance?
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St. Johns Wort
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A patient who has depression is prescribed duloxetine (Cymbalta). Which tests will the nurse suggest to the provider before the therapy is started?
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liver function test
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The nurse recalls that which is another approved and indicated use for bupropion (Zyban), a second-generation antidepressant?
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Smoking cessation
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The nurse is assessing a patient who has been prescribed alprazolam (Xanax) to treat panic disorder. Which adverse effects will the nurse monitor for in the patient? Select all that apply.
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confusion, dizziness, ataxia
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The nurse is caring for a patient who is being treated with anxiolytics drugs. What is the most important nursing responsibility for ensuring patient safety?
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Monitor the postural blood pressure
