ATI RN
Psychotherapeutic Drugs Quiz Questions
Question 1 of 5
A patient appears to have had an overdose of phenothiazines. The nurse anticipates that which intervention(s) may be used to treat phenothiazine overdose? (Select all that apply.)
Correct Answer: C
Rationale: Correct Answer: C - Maintaining an airway Rationale: 1. Priority in phenothiazine overdose is airway management to prevent respiratory distress. 2. Maintaining airway ensures adequate oxygenation and ventilation. 3. Gastric lavage is not recommended due to the risk of aspiration. 4. Adequate hydration may be needed, but not a primary intervention. 5. Fluphenazine is a phenothiazine and not a treatment for overdose.
Question 2 of 5
The nurse realizes that some complementary and alternative therapies interact with selective serotonin reuptake inhibitors. Which complementary and alternative therapy interactions may cause serotonin syndrome? (Select all that apply.)
Correct Answer: C
Rationale: Rationale: St. John's wort can cause serotonin syndrome when combined with selective serotonin reuptake inhibitors due to its serotonin-enhancing effects. St. John's wort increases serotonin levels, leading to potentially dangerous levels when combined with SSRIs. Feverfew, Ma-huang, and Ginkgo biloba do not directly affect serotonin levels, making them unlikely to cause serotonin syndrome when combined with SSRIs.
Question 3 of 5
A selective serotonin reuptake inhibitor is prescribed for a patient. The nurse knows that which drug is a selective serotonin reuptake inhibitor?
Correct Answer: A
Rationale: The correct answer is A: Paroxetine. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) that works by increasing serotonin levels in the brain. It is commonly used to treat depression, anxiety disorders, and other conditions. Amitriptyline (B) is a tricyclic antidepressant, not an SSRI. Divalproex sodium (C) is an anticonvulsant used for epilepsy and bipolar disorder, not an SSRI. Bupropion hydrochloride (D) is an atypical antidepressant that works on dopamine and norepinephrine, not serotonin. Therefore, the correct choice is A as it is the only SSRI in the options provided.
Question 4 of 5
A patient is taking tranylcypromine sulfate for depression. What advice should the nurse include in the teaching plan for this medication?
Correct Answer: B
Rationale: The correct answer is B: Instruct the patient to avoid beer and cheddar cheese. Tranylcypromine sulfate is a monoamine oxidase inhibitor (MAOI), and consuming foods high in tyramine, such as beer and cheddar cheese, can lead to a hypertensive crisis due to the interaction with MAOIs. It is crucial for the nurse to advise the patient to avoid these foods to prevent serious complications. Incorrect choices: A: Warn the patient about severe hypotension - This is incorrect because MAOIs are known to cause hypertensive crises, not hypotension. C: Encourage the patient to take ginseng and ephedra - This is incorrect because ginseng and ephedra can interact with MAOIs and lead to an increased risk of hypertensive crisis. D: Encourage the patient to eat fruit such as bananas - This is incorrect because while a healthy diet is important, there is no specific indication for bananas
Question 5 of 5
Which statement is true concerning lithium?
Correct Answer: D
Rationale: The correct answer is D because concurrent use of NSAIDs can increase lithium levels by reducing its renal clearance. This is due to NSAIDs inhibiting the renal excretion of lithium, leading to potential lithium toxicity. Option A is incorrect as the maximum dose of lithium is typically around 2.4 g/day. Option B is also incorrect as the therapeutic range for lithium is usually between 0.6 to 1.2 mEq/L for acute mania and 0.6 to 1.0 mEq/L for maintenance therapy. Option C is incorrect because lithium is known to inhibit the release of neurotransmitters, including gamma-aminobutyric acid, rather than increasing receptor sensitivity.