D bread products raised with yeast do not contain

(D) Bread products raised with yeast do not contain tyramine.
Question 660
A client suffering from schizophrenia has been taking chlorpromazine (Thorazine) for 6 months. On one
of his follow-up visits to the mental health
center, the nurse reports to the physician that he has developed tardive dyskinesia. Which of the
following symptoms might she have observed in
the client to support this conclusion?
A. High fever, tachycardia, stupor, renal failure
B. Lip smacking, chewing, blinking, lateral jaw movements
C. Photosensitivity, orthostatic hypotension, dry mouth
D. Constipation, blurred vision, drowsiness
Correct Answer: B
(A) These symptoms are found in clients with neuroleptic malignant syndrome. (B) These symptoms are
found in clients with tardive
dyskinesia. (C) These are normal side effects found in clients taking antipsychotic medications. (D) These
are also normal side effects found in
clients taking antipsychotic medications.
Question 661
On morning rounds, the nurse found a manic-depressive client who is taking lithium in a confused
mental state, vomiting, twitching, and exhibiting
a coarse hand tremor. Which one of the following nursing actions is essential at this time?

A. Administer her next dosage of lithium, and then call the physician.
B. Withhold her lithium, and report her symptoms to the physician.
C. Place her on NPO to decrease the excretion of lithium from her body, and call the physician.
D. Contact the lab and request a lithium level in 30 minutes, and call the physician.
Correct Answer: B
(A) The client has lithium toxicity, and the nurse must withhold further dosages. (B) Because of her level
of toxicity, further lithium could cause coma and death.
The nurse needs further orders from the physician to stabilize the clients lithium level. (C) Ensuring
adequate intake of sodium chloride will promote excretion of lithium and will assist in managing the
clients lithiumtoxicity. (D) A lithium blood level must be drawn immediately to
determine the seriousness of the toxicity and to provide the physician with data for medical orders.
Question 662
In acute episodes of mania, lithium is effective in 12 weeks, but it may take up to 4 weeks, or even a few
months, to treat symptoms fully.
Sometimes an antipsychotic agent is prescribed during the first few days or weeks of an acute episode
to manage severe behavioral excitement
and acute psychotic symptoms.
In addition to the lithium, which one of the following medications might the physician prescribe?
A. Diazepam (Valium)
B. Haloperidol (Haldol)
C. Sertraline (Zoloft)
D. Alprazolam (Xanax)
Correct Answer: B
(A) Diazepam is an antianxiety medication and is not designed to reduce psychotic symptoms. (B)
Haloperidol is an antipsychotic medication
and may be used until the lithium takes effect. (C) Sertraline is an antidepressant and is used primarily to
reduce symptoms of depression. (D)
Alprazolam is an antianxiety medication and is not designed to reduce psychotic symptoms.