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WorksheetsAntidepressant, Antimanic & Anticonvulsant Review
Total questions: 10
Worksheet time: 8mins
Education for the patient who is taking an MAOI should include which of the following?
Fluid and sodium replacement when appropriate, frequent drug blood levels, signs and symptoms of toxicity
Lifetime of continuous use, possible tardive dyskinesia, advantages of an injection every 2 to 4 weeks
Short-term use, possible tolerance to beneficial effects, careful tapering of the drug at end of treatment
Tyramine-restricted diet, prohibitive concurrent use of over-the-counter medications without physician notification
There is a very narrow margin between the therapeutic and toxic levels of lithium carbonate. Symptoms of toxicity are most likely to appear if the serum levels exceed which of the following levels?
0.15 mEq/L
1.5 mEq/L
15 mEq/L
150 mEq/L
Initial symptoms of lithium toxicity include which of the following?
Constipation, dry mouth
Dizziness, thirst
Vomiting, diarrhea
Anuria, arrhythmias
Which statement below best describes the mechanism of action of how SSRIs work?
"SSRIs inhibit the reuptake of GABA by blocking the reuptake of serotonin from the pre-synaptic neuron."
"SSRIs enhance the reuptake of GABA by amplifying the action of the serotonin receptors found on the post-synaptic neuron."
"SSRIs inhibit the reuptake of the neurotransmitter serotonin by the pre-synaptic neuron."
"SSRIs enhance the reuptake of serotonin by the receptors on the post-synaptic neuron."
A nurse provides instructions to a client taking fluoxetine (Prozac) a selective serotonin reuptake inhibitors (SSRI) antidepressant. The nurse tells the client to take the medication:
In the morning
At lunchtime
At dinnertime
At bedtime
A nurse is giving instructions to a client receiving lithium citrate. The nurse tells the client to do which of the following to prevent lithium toxicity:
Avoid becoming dehydrated during exercise.
Instruct the client to change positions slowly.
Restrict salt intake in the diet.
Limit fluid intake.
Although historically lithium has been the medication of choice for mania, several others have been used with good results. Which of the following are used in the treatment of bipolar disorder? Select all that apply.
Antidepressants
Anticonvulsants
Anticholinergics
Antispasmodics
Aira has taken amitriptyline HCL (Elavil) for 3 days, but now complains that it “doesn’t help” and refuses to take it. What should the nurse say or do?
Withhold the drug.
Record the client’s response.
Encourage the client to tell the doctor.
Suggest that it takes a while before seeing the results.
Josefina is to be discharged on a regimen of lithium carbonate. In the teaching plan for discharge the nurse should include:
Advising the client to watch the diet carefully.
Suggesting that the client take the pills with milk.
Reminding the client that a CBC must be done once a month.
Encouraging the client to have blood levels checked as ordered.
Tranylcypromine sulfate (Parnate) is prescribed for a depressed client who has not responded to the tricyclic antidepressants. After teaching the client about the medication, Nurse Marian evaluates that learning has occurred when the client states, “I will avoid:
Citrus fruit, tuna, and yellow vegetables.
Chocolate milk, aged cheese, and yogurt.
Green leafy vegetables, chicken, and milk.
Whole grains, red meats, and carbonated soda.
