A patient has been prescribed an SNRI for depression and reports feeling more fatigued since starting the medication. The nurse should:

Discontinue the medication immediately.

Increase the dose of the medication.

Encourage the patient to continue taking the medication as prescribed.

Administer a stimulant medication.

Answer and Explanation

The Correct Answer is C

This is because fatigue is a common side effect of SNRIs (serotonin and norepinephrine reuptake inhibitors) that usually improves over time. SNRIs are a type of antidepressant that work by correcting chemical imbalances of neurotransmitters in the brain.

Choice A is wrong because Discontinue the medication immediately is wrong because abruptly stopping an SNRI can cause withdrawal symptoms such as nausea, headache, and dizziness.

The patient should consult with their provider before stopping or changing their medication.

Choice B is wrong because Increase the dose of the medication is wrong because increasing the dose of an SNRI can increase the risk of adverse effects such as high blood pressure, anxiety, and sexual dysfunction.

The patient should follow the prescribed dose and not adjust it without medical advice.

Choice D is wrong because Administer a stimulant medication is wrong because stimulant medications can interact with SNRIs and cause serious problems such as serotonin syndrome, which is a potentially life-threatening condition characterized by agitation, confusion, fever, and muscle rigidity. The patient should avoid taking any other medications without consulting their provider.

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Correct Answer is C

Explanation

Risperidone is an atypical antipsychotic medication that can help improve the negative symptoms of schizophrenia, such as lack of grooming and flat affect.It can also reduce positive symptoms, such as hallucinations and delusions.

Choice A is wrong because Chlorpromazine (Thorazine) is wrong because it is a conventional antipsychotic medication that mainly treats positive symptoms of schizophrenia, but has little effect on negative symptoms.

Choice B is wrong because Thiothixene (Navane) is wrong for the same reason as choice A.It is also a conventional antipsychotic medication that mainly treats positive symptoms of schizophrenia, but has little effect on negative symptoms.

Choice D is wrong because Haloperidol (Haldol) is wrong for the same reason as choice A and B.It is also a conventional antipsychotic medication that mainly treats positive symptoms of schizophrenia, but has little effect on negative symptoms.

A. Fever B. Polyuria C. Muscle rigidity D. Diaphoresis E. Tremors.

Correct Answer is ["A","C","D","E"]

Explanation

These are all possible signs ofneuroleptic malignant syndrome (NMS), a rare but serious adverse effect of risperidone and other antipsychotic medications.

NMS is a life-threatening condition that requires immediate medical attention.It is characterized by fever, muscle rigidity, altered mental status, autonomic instability and elevated creatine kinase levels.

Choice B is wrong because polyuria is not a common side effect of risperidone.Polyuria can be caused by other conditions such as diabetes mellitus, diabetes insipidus or diuretic use.

Normal ranges for vital signs and laboratory values are as follows:

• Temperature: 36.5°C to 37.5°C (97.7°F to 99.5°F)

• Heart rate: 60 to 100 beats per minute

• Blood pressure: 120/80 mm Hg or lower

• Respiratory rate: 12 to 20 breaths per minute

• Oxygen saturation: 95% or higher

• Creatine kinase: 22 to 198 U/L for males and 10 to 171 U/L for females

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A patient has been prescribed an SNRI for depression and reports feeling more fatigued since starting the medication. The nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should anticipate a prescription of which of the following medications?

Correct Answer is C

Explanation

A nurse is caring for a client who has schizophrenia and is taking risperidone (Risperdal). Which of the following findings should alert the nurse to a potential adverse effect of this medication? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A patient has been prescribed an SNRI for depression and reports feeling more fatigued since starting the medication. The nurse should:

A nurse is teaching a client who has been prescribed hydroxyzine (Vistaril) for anxiety and pruritus due to an allergic reaction. Which of the following instructions should the nurse include in the teaching?

Select all that apply: A client has been prescribed an MAOI for depression and reports eating aged cheese and drinking red wine at dinner last night.

A nurse is caring for a client who has bipolar disorder and is taking lithium carbonate (Lithobid). Which of the following laboratory tests should be monitored periodically while the client is taking this medication?

A nurse is teaching a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who has bipolar disorder and is prescribed lamotrigine (Lamictal). Which of the following instructions should be included in the teaching? (Select all that apply.)

A client is prescribed clozapine (Clozaril). The nurse should closely monitor the client for which potential adverse effect?

A nurse is providing discharge teaching to a client who has a new prescription for imipramine (Tofranil). Which of the following instructions should the nurse include in the teaching?