When reviewing the adverse effects of drug therapy with a patient, a healthcare professional should explain that orhtostatic hypotension is a common adverse reaction of which of the following drugs?
- Venlafaxine
- Bupropion (Wellbutrin)
- Imipramine ( Tofranil)
- Valporic acid (Depakote)
- Imipramine ( Tofranil)
A health care profesisonal is caring for a patient who is about to begin amitriptyline therapy to treat major depression. The health care professional should include which of the following instructions when talking with the patient about taking the drug? (Select All)
- Change position slowly from sitting or lying to standing
- Do not stop taking the drug abruptly
- Wear sunscreen and protective clothing.
- Take the drug at bedtime to prevent daytime drowsiness.
- Increase fiber and fluid intake.
- Change position slowly from sitting or lying to standing
- Do not stop taking the drug abruptly
- Take the drug at bedtime to prevent daytime drowsiness.
- Increase fiber and fluid intake.
A health care professional is caring for a patient who is taking lithium carbonate (Lithobid) to treat bipolar disorder. Which of the following diagnostic tests should the health care professional recommend periodically for the patient?
- Chest x-ray
- Tonometry
- Thyroid function tests
- Endoscopic retrograde cholangiopacreatography (ERCP)
Thyroid function test
A health care professional should question the use of alprazolam (Xanax) for a patient who
- takes valporic acid (Depakote) for seizure disorder
- drinks two 8-oz glasses of wine each evening
- has a history of thromboembolism
- takes prednisolone (Prelone) for heumatoid arthritis
Drinks tow 8-oz glasses of wine each evening.
A health care professional is obtaining a patient's drug history when he finds that the patient is taking lithium carbonate (Lithobid) for bipolar disorder. Which of the following findings in the patient's drug history should alert the health care professional to monitor for lithium toxicity.
- Furosemide (Lasix) for HTN
- Acetaminophen (Tylenol) for headaches
- Ciprofloxacin (Cipro) for a UTI
-Montelukast (Singulair) for asthma
- Furosemide (Lasix) for HTN
A health care professional should monitor an older adult patient who is taking alprazolam (Xanax) for which of the following adverse effects? (Select all)
- Tolerance
- Anxiety
- Sedation
- Respiratory depression
- Constipation
- Tolerance
- Anxiety
- Sedation
- Respiratory depression
A health care professional is talking to a patient who is taking lithium carbonate (Lithobid). Which of the following instructions should be included to reduce the risk of lithium toxicity.
- Consume a low-sodium diet
- reduce fluid intake
- avoid taking NSAIDs
- take the drug with food
Avoid taking NSAIDs
Which of the following instructions should a health care professional include when advising a patient about instilling pilocarpine (Isopto Carpine) for managing open-angle glaucoma? (Select all)
- Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops.
- Do not touch the tip of the dropper.
- Wash hands after instilling the drops.
- Rub eyes gently after instilling the drops.
- Remove contact lenses prior to instilling the drops.
- Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops.
- Do not touch the tip of the dropper.
- Remove contact lenses prior to instilling the drops.
A patient is admitted to the emergency department with spasms of his face and back. He has recently begun taking chlorpromazine to treat schizophrenia. Which of the following adverse reactions should the health care professional suspect?
- Cholinergic crisis
- serotonin syndrome
- Stevens-Johnson syndrome
- Acute dystonia
acute dystonia
A health care professional is caring for a patient who is taking venlafaxine to treat major depression. The health care professional should recognize that which of the following drugs can cause serotonin syndrome when patients take it concurrently with venlafaxine?
- Alprazolam (Xanax)
- Phenytoin (Dilantin)
- Phenelzine (Nardil)
- Pilocarpine (Isopto Carpine)
Phenelzine (Nardil)
A health care professional is caring for a patient who has been taking alprazolam (Xanax) for an extended period of time to treat anxiety. The health care professional should recognize that stopping alprazolam therapy suddenly can result in which of the following?
- Anterograde amnesia
- Respiratory depression
- Paradoxical reaction
- Withdrawal symptoms
withdrawal symptoms
Soon after beginning fluoxetine (Prozac), a patient is admitted to the emergency department with agitation and confusion. The health care professional should suspect which of the following?
- Neuroleptic malignant syndrome
- Stevens-Johnson syndrome
- Extrapyramidal symptoms
- Serotonin syndrome
Serotonin syndrome
A health care professional is caring for a young adult patient who is taking fluoxetine (Prozac) to treat depression. The health care professional should tell the patient and the patient's family to report which of the following?
- Suicidal thoughts
- Excessive salvation
- Double vision
- Fever
Suicidal thoughts
While talking with a patient about taking chlorpromazine, which of the following instructions should the health care professional include?
- Stop taking the drug immediately with the first sign of a sore throat.
- Wear sunscreen when exposed to sunlight.
- Take the drug with food to reduce GI distress.
- Take the drug in the morning to prevent nocturia.
Wear sunscreen when exposed to sunlight
When talking to a patient about taking buspirone, the health care professional should include which of the following instructions?
- Take the drug with grapefruit juice to increase absorption.
- Use the drug only as needed for anxiety
- Allow 2 to 4 weeks before expecting to feel better
- Take the drug on an empty stomach
- Allow 2 to 4 weeks before expecting to feel better
A health care professional should advise a patient who is taking phenelzine (Nardil) to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions?
- Respiratory depression
- Hypertensive crisis
- Neuroleptic malignant syndrome
- Serotonin syndrome
Hypertensive crisis
When reviewing the indications for various antidepressants, a health care professional should understand that bupropion hydrochloride (Wellbutrin) is an appropriate choice for patients who have which of the following? (Select all)
- motion sickness
- seasonal affective disorder
- insomnia
- nicotine addiction
- depression
- seasonal affective disorder
- nicotine addiction
- depression
A health care professional is caring for a patient who is about to begin using betaxolol (Betoptic) eye drops to treat open-angle glaucoma. The health care profesional should advise the patient to expect which of the following reactions?
- diaphoresis
- ocular stinging
- eyelid twitching
- nasal discharge
ocular stinging
During and immediately following IV administration of chlorpromazine to a patient who has schizoaffective disorder, the health care professional should monitor which of the following?
- cardiac output
- blood pressure
- urine specific gravity
- oxygen saturation
blood pressure
A health care professional is caring for a patient who is about to begin taking echothiophate (Phospholne Iodide) to treat glaucoma. The health care professional should monitor the patient for the development of which of the following adverse effects?
- cataracts
- tachycardia
- farsightedness
- urinary retention
cataracts
A health care professional is caring for a patient who is about to begin taking lithium carbonate (Lithobid) to treat bipolar disorder. The health care professional should caution the patient to watch for which of the following indications of lithium toxicity? (Select all)
- Tremors
- Confusion
- Bronchospasm
- Nausea
- Muscle weakness
- Tremors
- Confusion
- Nausea
- Muscle weakness
When caring for a patient who is taking risperidone (Risperdal) for schizophrenia, the health care professional should monitor for which of the following adverse effects of the drug?
- polyuria
- seizures
- chest pain
- paresthesia
polyuria
A health care professional should question the use of timolol (Timoptic) for a patient who has which of the following disorders?
- asthma
- seizure disorder
- diabetes mellitus
- rheumatoid arthritis
Asthma
A health care professional should expect which of the following adverse effects for a patient who is taking betazolol (Betoptic) eye drops to treat glaucoma?
- constricted pupils
- discoloration of the iris
- hypertension
- bradycardia
bradycardia
A health care professional is collecting data from a patient who is taking bupropion hydrochloride (Wellbutrin) to treat depression. The health care professional notes that the patient has a recent history of head injury. She should recognize that the drug is inappropriate for the patient because of the increased risk for which of the following?
- ischemic stroke
- drowsiness
- respiratory depression
- seizure activity
seizure activity