ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 16 : Psychotherapeutic Drugs Questions
Question 1 of 5
A patient who has been taking a selective serotonin reuptake inhibitor (SSRI) states that he -felt awful when he started taking an over-the-counter St. John's wort herbal product at home. The nurse suspects that he is experiencing serotonin syndrome. Which of these are symptoms of serotonin syndrome?
Correct Answer: A,C,E
Rationale: Common symptoms of serotonin syndrome include delirium, agitation, tachycardia, sweating, hyperreflexia, shivering, coarse tremors, and others.
Question 2 of 5
Which statements are true regarding the selective serotonin reuptake inhibitors (SSRIs)?
Correct Answer: C,D
Rationale: During SSRI therapy, therapeutic effects may not be seen for 4 to 6 weeks.
To prevent the potentially fatal pharmacodynamic interactions that can occur between the SSRIs and the MAOIs, a 2- to 5-week washout period is recommended between uses of these two classes of medications. The other options apply to other classes of psychotherapeutic drugs, not SSRIs.
Question 3 of 5
A patient is to receive an intravenous dose of lorazepam. The order reads, -Give lorazepam, 1 mg, IV push, now. Identify how many milliliters the nurse will administer for this dose. The medication vial contains 2 mg/mL.
Correct Answer: 0.5 mL
Rationale: 2 mg : 1 mL :: 1 mg : x mL; (2 * x) = (1 * 1); 2x = 1; x = 0.5 mL.
Question 4 of 5
The nurse reads in the patient's medication history that the patient is taking buspirone. The nurse interprets that the patient may have which disorder?
Correct Answer: A
Rationale: Buspirone is indicated for the treatment of anxiety disorders, not depression, schizophrenia, or bipolar disorder.
Question 5 of 5
Before beginning a patient's therapy with selective serotonin reuptake inhibitor (SSRI) antidepressants, the nurse will assess for concurrent use of which medications or medication class?
Correct Answer: B
Rationale: Use of selective serotonin reuptake inhibitor (SSRI) antidepressants with warfarin results in an increased anticoagulant effect. SSRI antidepressants do not interact with the other drugs or drug classes listed.