exam 4 review

Front

A client with major depressive disorder is prescribed fluoxetine. Which finding should the nurse report to the healthcare provider immediately? Options: weight gain, increased energy and insomnia, dry mouth, suicidal ideation

Back

suicidal ideation

Front

A nurse is caring for a client taking lithium carbonate. Which statement by the client requires immediate intervention? "I’ve been drinking more water lately." "I take ibuprofen for headaches." "I avoid salty foods." "I feel a little shaky sometimes."

Back

"I take ibuprofen for headaches."

Front

Which teaching should the nurse include for a client starting sertraline? Options: “You will feel better in 24 hours.”, “Avoid tyramine-containing foods.”, “It may take several weeks to feel the effects.”, “Take this medication on an empty stomach.”

Back

“It may take several weeks to feel the effects.”

Front

A client taking phenelzine reports a headache and palpitations after eating aged cheese. What is the nurse’s priority action?

Back

Notify the provider immediately

Front

A nurse observes a client with bipolar disorder pacing and shouting during a manic episode. What is the nurse’s best initial action?

Back

Provide a quiet environment and reduce stimuli

Front

Which lab value requires intervention in a client on lithium therapy? Options: Sodium 138 mEq/L, Lithium level 1.2 mEq/L, Lithium level 2.0 mEq/L, Potassium 4.1 mEq/L

Back

Lithium level 2.0 mEq/L

Front

A client taking amitriptyline complains of urinary retention and blurred vision. These are most likely:

Back

Expected anticholinergic side effects

Front

A client reports taking St. John’s Wort for depression while also taking sertraline. What is the nurse most concerned about?

Back

Risk of serotonin syndrome

Front

Which medication is commonly used for maintenance therapy in bipolar disorder?

Back

Lithium

Front

A client taking lamotrigine develops a rash. What is the nurse's priority action?

Back

Notify the provider immediately