Page 2382 - Saunders Comprehensive Review For NCLEX-RN

851. Answer: 2

Rationale: Buspirone is not recommended for the treatment of paranoid thought
disorders, drug or alcohol withdrawal, or schizophrenia. Buspirone most often is
indicated for the treatment of anxiety.
Test-Taking Strategy: Note the strategic word, effective. Note the words absence of
which manifestation in the question. Recalling that buspirone is an antianxiety
medication will direct you to the correct option.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Pharmacology: Psychotherapeutics: Antianxiety/ Anxiolytics
Health Problem: Mental Health: Anxiety Disorder
Priority Concepts: Anxiety; Evidence
Reference: Varcarolis (2017), p. 46.

852. Answer: 1

Rationale: Maintenance serum levels of lithium are 0.6 to 1.2 mEq/L (0.6 to 1.2
mmol/L). Symptoms of toxicity begin to appear at levels of 1.5 mEq/L (1.5 mmol/L).
Lithium toxicity requires immediate medical attention and the primary health care
provider is notified if symptoms of toxicity occur.
Test-Taking Strategy: Focus on the subject, therapeutic serum medication level of
lithium. Recalling that the high end of the maintenance level is 1.2 mEq/L (1.2
mmol/L) will direct you to the correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Planning
Content Area: Pharmacology: Psychotherapeutics: Mood Stabilizers
Health Problem: Mental Health: Mood Disorders
Priority Concepts: Clinical Judgment; Safety
Reference: Varcarolis (2017), p. 46, 236-237.

853. Answer: 4

Rationale: Clomipramine is a tricyclic antidepressant used to treat obsessive-
compulsive disorder. Sedation sometimes occurs. Insomnia seldom is a side effect.
Weight gain and tachycardia are side and adverse effects of this medication.
Test-Taking Strategy: Focus on the subject, noncompliance with clomipramine.
Recalling that this medication is a tricyclic antidepressant used to treat obsessive-
compulsive disorder will direct you to the correct option.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Pharmacology: Psychotherapeutics: Tricyclic Antidepressants
Health Problem: Mental Health: OCD
Priority Concepts: Adherence; Evidence

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