Keiser University, Sarasota

NURSING 1211C

Quiz 4

1)The client prescribed an antidepressant one (1) week ago tells the nurse, "I really don't think this medication is helping me." Which statement by the nurse is most appropriate?

2. The nurse is assessing the client who has begun therapy with

duloxetine (Cymbalta). Which assessment parameter should be the nurse's priority?

3. The client diagnosed with depression is prescribed phenelzine (Nardil), a monoamine oxidase (MAO) inhibitor. Which statement by the client indicates to the nurse the medication teaching is effective?
4. A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity due to an overdose. Which of the following actions is the nurse's priority?
5. The client is beginning treatment with bupropion (Wellbutrin) for depression. After meeting with the healthcare provider, the client tells the nurse, "I'm also taking Zyban to help me stop smoking." Which is the most appropriate action for the nurse?
6. The client diagnosed with a general anxiety disorder is prescribed

alprazolam (Xanax), a benzodiazepine. Which information should the nurse discuss with the client?

7. Which of the following symptoms are seen when a client abruptly stops taking diazepam (Valium) after many years of use?
8. The conscious client was admitted to the emergency department with an overdose of the anxiolytic alprazolam (Xanax). What is the reversal agent (antagonist) for benzodiazepine overdoses?
9. At discharge, the nurse documents that the client taking lithium has an accurate understanding of self-care. On which client statement should the nurse base this judgment?
10. A nurse is assessing a client who takes lithium carbonate for the treatment of bipolar disorder. The nurse should recognize which of the following findings as a possible indication of toxicity to this medication?
11. The nurse is reviewing diet restrictions with the client taking an MAOI. The nurse should inform the client of which symptom that can occur when the client is nonadherent to diet restrictions?
12. A client is scheduled for discharge and will be taking phenobarbital sodium (Luminal) for an extended period. The nurse would place highest priority on teaching the client which point that directly relates to client safety?
13. A nurse is teaching a client who has obsessive-compulsive disorder and has a new prescription for paroxetine (Paxil). Which of the following instructions should the nurse include?
14. A nurse is teaching a client who has a new prescription for

escitalopram (Lexapro) for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the teaching?

15. The client with depression and fibromyalgia is started on a tricyclic antidepressant (TCA). Which common side effect should the nurse address with the client?
16. Order: 20,000 units heparin IV in 250 mL to infuse at 25 units/kg/hr. The client weighs 184 pounds. How many units per hour will the client receive?

Do not use the units of measure in your answer; only the number. Do not use punctuation marks, such as commas. Round to the nearest whole number.

17. Order: Give 50 mL of a medication over 1 hour Supply: 15 gtt/mL tubing

What will be the drip rate (in gtt/min)? Do not include the unit of measure in your answer; only the number. Round to the nearest whole number.