ATI reviews Flashcards
Anorexia nervosa
Manifestation/mentally
-obsessed with thoughts of food
-intense fear of gaining weight
-intense exercise regimen
-think they are severely overweight and sees this image reflected in the mirror
Anorexia nervosa
Manifestation/physically
lanugo on back and face
pale skin from anemia
yellow skin from hypercarotenemia
hypoactive bowel sounds
(constipation)
Anorexia nervosa
care
watch the pt one hour before and after meals
encourage the social aspect of eating and don’t discuss food during meals
do NOT let them exercise until goal weight is reached
during panic attack
I’m going to die!
DO NOT leave them alone
Repetition and simple phrases when speaking with the client
crisis
a) assese?
b) nursing diagnosis
a) suicidal ideation
b) infective coping
disturbed thought process
fear
schizophrenia
positive sing
hallucinations
delusions
alternations speech
Clang association
Neologisms
Echolalia
Word salads
Oh fox, box, lox……
Made up new words
repeat words
words jumbled together
effective communications
encouraging expression of feelings
Use what if or smellier question
Delirium
risk factor
-infection
-substance withdrawal
-head injury
-pain
What is delirium?
altered level of consciousness
rapid change in personality
sudden confusion
Contraindication
selegiline
Pt who take carbamazepine or oxcarbazepine(anticonvulsant )
risk for increase blood pressure
Clozapine ADRs
Fatal agranulocytosis
(monitor WBCs)
Contraindication
Aripiprazole
dystonia
EPS?
Fix with benztropin
It’s okay to give lithium with a current level of?
1.0-1.2
What low level indicate lithium toxicity?
Low sodium level
128 is low (135-145)
Improved sing mood stabilizer
Verbalization of improvement in mood
Ability perform ADLs
Appropriate interaction with peers
CAGE
assess for?
diagnosis alcohol disorder