BHP Pharmacology & Medication Management 2

Question 1

A client taking an MAOI antidepressant asks if they can eat aged cheese. What is the primary concern?

Accepted Answer

Tyramine-induced hypertensive crisis

Answer

MAOIs block tyramine metabolism, and tyramine-rich foods like aged cheese can trigger a life-threatening hypertensive crisis.

Question 2

Which medication class is most commonly associated with tardive dyskinesia as a long-term side effect?

Accepted Answer

First-generation antipsychotics

Answer

First-generation (typical) antipsychotics block dopamine D2 receptors extensively, leading to tardive dyskinesia with prolonged use.

Question 3

A client on lithium reports coarse tremor, confusion, and vomiting. The BHP's priority action is to:

Accepted Answer

Withhold the dose and contact the prescriber immediately

Answer

These symptoms indicate lithium toxicity, which is a medical emergency requiring immediate prescriber notification and medication hold.

Question 4

Buprenorphine/naloxone (Suboxone) is prescribed for opioid use disorder. The naloxone component serves primarily to:

Accepted Answer

Deter intravenous misuse by precipitating withdrawal

Answer

Naloxone is poorly absorbed sublingually but becomes active if injected, precipitating opioid withdrawal to deter IV misuse.

Question 5

Which of the following is a key nursing consideration when a client is prescribed clozapine?

Accepted Answer

Obtain regular CBC to detect agranulocytosis

Answer

Clozapine can cause agranulocytosis, so regular CBC monitoring is mandatory under the REMS program.

(BHP) Behavioral Health Professional Certification Practice Test