NCLEX-RN Neurological & Psychotropic Flashcards

What is the therapeutic maintenance serum level range for Lithium?

Complete the rule regarding Lithium and Sodium intake:

A client taking lithium presents with vomiting, diarrhea, and coarse hand tremors. What is the priority nursing action?

List 3 hallmark signs of Serotonin Syndrome.

Why is close monitoring required for young adults (18-24) during the first few weeks of SSRI therapy?

Name 3 tyramine-rich foods that must be avoided while taking MAOIs.

What medical emergency occurs if a client on MAOIs consumes high-tyramine foods?

Which nursing instruction best manages the anticholinergic side effects of Amitriptyline (TCA)?

What is the primary cause of death in Tricyclic Antidepressant (TCA) overdose?

Match the Extrapyramidal Symptom (EPS) to its description:

Which specific laboratory value requires weekly monitoring for a client prescribed Clozapine?

A client on Haloperidol develops a temperature of 104°F (40°C), "lead pipe" muscle rigidity, and tachycardia. What is the suspected condition?

What is the pharmacological antidote for Benzodiazepine overdose?

Which information should the nurse include when teaching a client about Buspirone?

What symptoms characterize the Disulfiram reaction if a client consumes alcohol?

Which assessment finding indicates the presence of Tardive Dyskinesia?

Second-generation antipsychotics (e.g., Olanzapine) require monitoring for metabolic syndrome. Complete the monitoring requirements:

Why is it critical to taper benzodiazepines gradually rather than stopping abruptly after long-term use?

What is the priority assessment data to obtain before administering morphine?

A patient receiving hydromorphone becomes unresponsive with a respiratory rate of 6 breaths/min and pinpoint pupils. What is the priority nursing action?

Which instruction is critical for the safe use and disposal of a fentanyl transdermal patch?

What is the earliest subjective sign of aspirin toxicity (salicylism)?

A 7-year-old child presents with flu-like symptoms and fever. Which medication is contraindicated due to the risk of Reye's syndrome?

What is the primary gastrointestinal risk associated with NSAID use (e.g., ibuprofen, naproxen), and what should patients report?

Select the correct mechanism and contraindication for NSAIDs:

What is the maximum recommended daily dose of acetaminophen for a healthy adult?

What is the antidote for acetaminophen overdose?

What is the therapeutic serum range for phenytoin?

Which instruction is essential for a client taking phenytoin to prevent a common adverse effect?

A client taking carbamazepine should immediately report fever and sore throat. What serious adverse effect does this suggest?

Complete the teaching regarding Levodopa-Carbidopa:

A patient taking haloperidol develops muscle rigidity and a shuffling gait. Which PRN medication should the nurse administer?

Which history finding requires the nurse to question a prescription for sumatriptan?

Select the major toxicity and pregnancy risk associated with Valproic Acid:

Select the correct administration requirements for IV Phenytoin:

A patient's spouse asks if they can push the PCA button while the patient is sleeping. What is the correct nursing response?

What is the primary clinical indication for gabapentin?