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Questions

Question 1

According to the text, the use of clozapine is limited to which specific condition?

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Question 2

What is the primary mechanism of action for typical antipsychotic agents like phenothiazines and haloperidol?

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Question 3

Which antipsychotic medication is noted to have the greatest potential for causing extrapyramidal reactions?

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Question 4

What is a significant contraindication for the use of antipsychotics related to a specific eye condition?

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Question 5

A patient on clozapine is at risk for developing which serious hematological condition?

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Question 6

What is the potential interaction when antipsychotics are taken with antacids?

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Question 7

A patient exhibiting restlessness and a desire to keep moving while on an antipsychotic is likely experiencing which side effect?

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Question 8

According to the nursing implications, how often should a patient be monitored for extrapyramidal side effects during antipsychotic therapy?

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Question 9

What are the key symptoms of Neuroleptic Malignant Syndrome (NMS) that require immediate notification of a health care professional?

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Question 10

To minimize hypotensive effects after parenteral administration of an antipsychotic, how long should the patient remain recumbent?

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Question 11

What instruction should be given to a patient taking an oral concentrate of an antipsychotic medication regarding administration?

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Question 12

What potential symptoms can occur from abrupt withdrawal of an antipsychotic medication?

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Question 13

Which precaution is necessary for patients on antipsychotics due to the risk of photosensitivity?

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Question 14

The text states that parkinsonian side effects from antipsychotics are more common in which patient population?

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Question 15

The text states that dystonias as a side effect of antipsychotics are more common in which patient population?

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Question 16

Which group of medications can be used to control extrapyramidal symptoms such as parkinsonian effects and dystonia?

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Question 17

What is a defining characteristic of tardive dyskinesia that distinguishes it from other movement disorders?

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Question 18

Concurrent use of antipsychotics with which of the following can lead to additive CNS depression?

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Question 19

What is the primary reason to avoid exposure to extremes in temperature for a patient taking antipsychotics?

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Question 20

Which medication is specifically mentioned for use in treating intractable hiccups?

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Question 21

What is a distinguishing feature of atypical antipsychotics compared to typical antipsychotics, according to the text?

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Question 22

The text warns that antipsychotics may decrease the therapeutic response to which medication used for Parkinson's disease?

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Question 23

For how long after discontinuing antipsychotic therapy should a patient be monitored for extrapyramidal side effects?

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Question 24

Which of the following describes the parkinsonian side effect known as 'mask-like face'?

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Question 25

What is a primary nursing assessment for a patient taking antipsychotics, related to their mental status?

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Question 26

Why must patients on antipsychotics be used cautiously in those with respiratory insufficiency?

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Question 27

Which phenothiazine antipsychotic has the greatest potential for causing anticholinergic effects?

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Question 28

Which of these is listed as a potential symptom of dystonia, an extrapyramidal side effect?

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Question 29

What is the potential consequence of the irreversible nature of tardive dyskinesia?

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Question 30

When administering an oral antipsychotic, what can be done to minimize gastric irritation?

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Question 31

What is a key desired outcome for a patient being treated with antipsychotics for psychosis?

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Question 32

A patient is prescribed an antipsychotic and an antihypertensive. What potential interaction should the nurse monitor for?

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Question 33

Which condition is a contraindication for antipsychotic use due to the risk of exacerbating CNS depression?

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Question 34

Which atypical antipsychotic has a notable precaution for causing agranulocytosis?

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Question 35

According to the 'Patient/Family Teaching' section, what advice should be given to manage the constipating effects of antipsychotics?

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Question 36

The text lists several atypical antipsychotics. Which of the following is NOT listed as an atypical antipsychotic?

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Question 37

A nurse is monitoring a patient for parkinsonian effects. Which of the following symptoms would be consistent with this side effect?

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Question 38

What is the primary reason for cross-sensitivity among phenothiazines?

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Question 39

The peripheral effects of antipsychotics include alpha-adrenergic blockade and what other property?

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Question 40

The text suggests that phenothiazines differ in their ability to produce sedation. Which two drugs are listed as having the greatest sedative effects?

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Question 41

When monitoring a patient on antipsychotics, what is the significance of observing if medication is actually taken and not hoarded?

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Question 42

What is the potential interaction when phenobarbital is used concurrently with antipsychotics?

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Question 43

When monitoring for tardive dyskinesia, what specific symptom is described as 'rapid or worm-like movements of tongue'?

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Question 44

In the 'Precautions' section, why should antipsychotics be used cautiously in patients with prostatic hypertrophy?

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Question 45

What is the potential effect of antipsychotics on the seizure threshold?

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Question 46

A patient taking an antipsychotic is also prescribed an antithyroid agent. What is the potential risk of this combination?

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Question 47

In addition to treating psychosis, the text mentions that selected antipsychotics are also used as antiemetics and what other type of agent?

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Question 48

What is the rationale for monitoring BP in sitting, standing, and lying positions during dosage adjustment of antipsychotics?

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Question 49

What is a key patient teaching point regarding alcohol use while on antipsychotic therapy?

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Question 50

What is the potential impact of lithium on the effectiveness of phenothiazine antipsychotics?

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Other chapters

HOW TO USE DAVIS'S DRUG GUIDE FOR NURSESEVIDENCE-BASED PRACTICE AND PHARMACOTHERAPEUTICS: Implications for NursesPHARMACOGENOMICSMEDICATION ERRORS: Improving Practices and Patient SafetyDETECTING AND MANAGING ADVERSE DRUG REACTIONSOVERVIEW OF RISK EVALUATION AND MITIGATION SYSTEMS (REMS)SPECIAL DOSING CONSIDERATIONSTHE CYTOCHROME P450 SYSTEMEDUCATING PATIENTS ABOUT SAFE MEDICATION USEAnti-Alzheimer's agentsAntianemicsAntianginalsAntianxiety agentsAntiarrhythmicsAntiasthmaticsAnticholinergicsAnticoagulantsAnticonvulsantsAntidepressantsAntidiabeticsAntidiarrhealsAntiemeticsAntifungalsAntihistaminesAntihypertensivesAnti-infectivesAntineoplasticsAntiparkinson agentsAntiplatelet agentsAntipyreticsAntirheumaticsAntiulcer agentsAntiviralsBeta blockersBone resorption inhibitorsBronchodilatorsCalcium channel blockersCentral nervous system stimulantsCorticosteroidsDiureticsHormonesImmunosuppressantsLaxativesLipid lowering agentsMinerals/electrolytes/pH modifiersNonopioid analgesicsNonsteroidal anti-inflammatory agentsOpioid analgesicsSedative/hypnoticsSkeletal muscle relaxantsThrombolyticsVaccines/immunizing agentsVitaminsDRUGS APPROVED IN CANADANATURAL/HERBAL PRODUCTSMEDICATION SAFETY TOOLSAppendix A. Recent Drug ApprovalsAppendix E. Administering Medications to ChildrenAppendix G. Pediatric Dosage CalculationsAppendix I. Controlled Substance SchedulesAppendix L. Insulins and Insulin TherapyAppendix M. Canadian and U.S. Pharmaceutical PracticesAppendix N. Routine Pediatric and Adult Immunizations