Pharmacology & Medication Management Flashcards
7 cards from real BHP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pharmacology & Medication Management flashcards as text
A client taking an MAOI antidepressant asks if they can eat aged cheese. What is the primary concern?
Answer: Tyramine-induced hypertensive crisis
MAOIs block tyramine metabolism, and tyramine-rich foods like aged cheese can trigger a life-threatening hypertensive crisis.
Which medication class is most commonly associated with tardive dyskinesia as a long-term side effect?
Answer: First-generation antipsychotics
First-generation (typical) antipsychotics block dopamine D2 receptors extensively, leading to tardive dyskinesia with prolonged use.
A client on lithium reports coarse tremor, confusion, and vomiting. The BHP's priority action is to:
Answer: Withhold the dose and contact the prescriber immediately
These symptoms indicate lithium toxicity, which is a medical emergency requiring immediate prescriber notification and medication hold.
Buprenorphine/naloxone (Suboxone) is prescribed for opioid use disorder. The naloxone component serves primarily to:
Answer: Deter intravenous misuse by precipitating withdrawal
Naloxone is poorly absorbed sublingually but becomes active if injected, precipitating opioid withdrawal to deter IV misuse.
Which of the following is a key nursing consideration when a client is prescribed clozapine?
Answer: Obtain regular CBC to detect agranulocytosis
Clozapine can cause agranulocytosis, so regular CBC monitoring is mandatory under the REMS program.
A client stabilized on an SSRI begins taking St. John's Wort for mild depression. The BHP should be most concerned about:
Answer: Serotonin syndrome
Combining an SSRI with St. John's Wort, which also increases serotonergic activity, raises the risk of serotonin syndrome.
When educating a client about taking oral naltrexone for alcohol use disorder, which statement is most accurate?
Answer: It reduces cravings and blunts the rewarding effects of alcohol
Naltrexone blocks opioid receptors involved in alcohol's rewarding effects, reducing cravings and the reinforcing pleasure of drinking.