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EXAM: EAQs Pharmacology Exam with Complete Solutions

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EXAM: EAQs Pharmacology Exam with Complete Solutions Which adverse effect is least likely to occur in a client who is prescribed clozapine? CORRECT ANS-Myocarditis Rationale: A primary healthcare provider prescribes oxazepam for a client who is beginning to experience withdrawal symptoms...

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  • September 1, 2024
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EXAM: EAQs Pharmacology Exam with
Complete Solutions
Which adverse effect is least likely to occur in a client who is prescribed clozapine?

CORRECT ANS-Myocarditis




Rationale:




A primary healthcare provider prescribes oxazepam for a client who is beginning to

experience withdrawal symptoms while undergoing detoxification. What are the primary

reasons that oxazepam is given during detoxification? CORRECT ANS-Reduces the anxiety-

tremor state and prevents more serious withdrawal symptoms




Rationale: Oxazepam potentiates the actions of gamma-aminobutyric acid, especially in the

limbic system and reticular formation and thus minimizes withdrawal symptoms. This drug

helps reduce the risk for seizures but does not prevent injury or protect the client during a

seizure.




Nortriptyline three times a day is prescribed for a depressed client. When does the nurse

expect a therapeutic response? CORRECT ANS-2-3 weeks

, EXAM: EAQs Pharmacology Exam with
Complete Solutions
Rationale: most tricyclics take 2-3 weeks for optimal therapeutic effects to occur




A nurse notes that haloperidol is most effective for clients who exhibit which type of

behavior? CORRECT ANS-Overactivity




Rationale: Haloperidol reduces emotional tension, excessive psychomotor activity, panic, and

fear. It is used for clients with thought disorders and hyperactivity. Clients exhibiting excited-

depressed behavior do not respond well to haloperidol, because it tends to worsen the

depression. Haloperidol appears to have few stimulating effects for a withdrawn client and, in

fact, increases feelings of lassitude and fatigue. Haloperidol does not decrease manipulative

behavior. Clients who are capable of manipulation usually do not exhibit behavior that

involves overactivity, fear, and panic.




A client with schizophrenia is given an antipsychotic drug. The nurse recalls all the

extrapyramidal effects associated with this type of medication and anticipates that the drug

will be discontinued if which occurs? CORRECT ANS-Tardive dyskinesia

, EXAM: EAQs Pharmacology Exam with
Complete Solutions
Rationale: The protrusion and ventricular movement of the tongue, chewing and puckering of

the lips and puffing of the cheeks. Adverse effects may not be reversed when antipsychotic

drugs are withdrawn




An antianxiety medication is prescribed for an extremely anxious client. The client says, "I'm

afraid to take this medication because I heard they're addictive." The nurse teaches the client

that antianxiety medications have what properties? CORRECT ANS-Antianxiety

medications have the potential for physiologic and psychological dependence; the nurse

should teach the client about both the advantages and disadvantages of taking this drug.

Physiologic or psychological dependence may develop, even when the dosage is controlled.

Tolerance does develop and can lead to dependence.




Which monoamine oxidase inhibitor is used to treat Parkinson disease? CORRECT ANS-

Selegiline




It is a monoamine oxidase-B inhibitor used to treat Parkinson disease. Phenelzine,

isocarboxazid, and tranylcypromine are nonselective inhibitors of both type A and B used in

the treatment of depression.

, EXAM: EAQs Pharmacology Exam with
Complete Solutions
Which is a second-generation antidepressant drug? CORRECT ANS-Citalopram is an

example of a second-generation antidepressant drug. Doxepin, protriptyline, and

trimipramine are examples of first-generation antidepressant drugs.




Which drug may lead to bruxism? CORRECT ANS-Levomilnacipran




Serotonin reuptake inhibitors and serotonin/epinephrine reuptake inhibitors may lead to

bruxism. Levomilnacipran is a serotonin/epinephrine reuptake inhibitor that may cause

bruxism. Vilazodone is an atypical antidepressant that does not cause bruxism. Isocarboxazid

is a monoamine oxidase inhibitor that does not cause bruxism. Clomipramine is a tricyclic

antidepressant that does not cause bruxism.




A client with a history of methamphetamine use is admitted to the medical unit. What clinical

manifestation does the nurse expect when assessing the client? CORRECT ANS-Increased

heart rate




Methamphetamine is a stimulant that causes the release of adrenaline, which activates the

sympathetic nervous system. The pupils will dilate, not constrict, because the sympathetic

nervous system is activated. Clients withdrawing from opioids, not methamphetamine,

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