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NURS 1446 Psych PART 2 > Med Quiz Mix > Flashcards

Med Quiz Mix Flashcards

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1
Q

Seizure HCP orders 6 mg phenobarbital STAT what is nurses best reaction

A

Question order

Too small usually dose is 30- 120mg

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2
Q

Child is prescribed CNS stimulate. Arrives at ICU for seizures after head injury. HCP orders phenytoin & lorazepam to be admin every time child has a seizure. What is the nurses priority….

A

Call HCP & question Phenytoin

Phenytoin & CNS Stimulants increase drug levels

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3
Q

Psychotic admitt3d to ED and receives 25 mg intramuscular Chlorpromazine. What is nurses priority assessment

Apical HR
Behavior & cognition
Postural BP
Pupillary reflexes

A

Behavior & cognition

Med was given to bring about positive changes in this area

Others not priority

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4
Q

Client gets drug induced Parkinson’s disease from treatment with Metoclopramide. Nurse should anticipate treatment with which medication that is also an antiviral.

Diphenhydramine
Amantadine
Ropinirole
Entacapone

A

Amantadine: increases release of dopamine to stop EPS with Parkinsons

Ropinirole is a dopaminergic antiparkonsons drugs

Entacapone is a adjunctive treatment for idiopathic Parkinsons with Levodopa-carbidopa for clients feeling “wearing off “ of drugs effects

Diphenhydramine treats Parkinsons in children.

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5
Q

Parkinsons client been prescribed Apomorpine to treat hypomobility. What should nurse teach

  1. IM q3day 1 - 1.5 mL
  2. PO 20mg q3Day
  3. IM q3day 2 - 6 mg
  4. IV 50mg q3days
A
  1. IM q3day 2 - 6 mg

Available in dosage pen

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6
Q

Levodopa prescribed for client with Parkinsons. What health teaching is provided.

ID Foods high in B⁶

Weekly blood work for first 6 weeks

Matching daily dose to severity of symptoms

Adverse SE will subside in about 4 weeks

A

ID Foods high in B⁶

Avoid B⁶ (Grains)
Speeds conversion of levodopa to dopamine

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7
Q

Parkinsons pt has severe Dysphagia. Which drug is available in parenteral form

Apomorphine
Ropinirole
Bromocriptine
Levodopa

A

Apomorphine: Available in parenteral

Only Available Orally
Ropinirole
Bromocriptine
Levodopa

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8
Q

Standard initial Dose of Trihexyphenidyl

A

1 - 2 mg daily
Titrated up to 6 - 10
Max 15

Trihexyphenidyl is adjunctive therapy to levodopa in treatment of Parkinsons but can be us3d alone to control drug induced EPS

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9
Q

6 yr old treated with methylphenidate
Priority assessment

A

Weight, Blood Count, Cardiac arrhythmias.

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10
Q

Newly prescribed phenothiazine. Which is important teaching.

  1. Might feel agitated & have trouble sleeping
  2. Diarrhea is common first few days
  3. Discoloration of urine to pink or reddish
  4. If dev a rash use moisturizer until it subsides.
A
  1. Discoloration of urine to pink or reddish

Other symptoms are the oppsite of what is expected

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11
Q

Manic phase of bipolar being sent home on an antimanic drug. Which will provide best longterm maintenance.

Haloperidol
Lamotrigine
Ziprasidone
Aripiprazole

A

Lamotrigine 3 - 14

Aripiprazole & Ziprasidone are used for acute manic & mixed episodes

Haldol isn’t for bipolar but schizophrenia

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12
Q

Which is a bigger factor in schizophrenia

Genetic Factor or Biochemical distuptions

A

Biochemical distuptions

Which are often inherited

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13
Q

Meds changed to clozapine

Which assessment should the nurse perform to ID life-threatening adverse SE early.

Observe for bleeding
Lung Ausculation
VS
I & O

A

VS

Neuroleptic malignant syndrome can be deadly SE of atypical nonphenothiazines.

Cause variation in all VS

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14
Q

Bipolar 1 & 2

During which phase (depressed / manic) is the pt. Most likely to be hospitalized in each…

A

1 = Manic
2 = Depressed

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15
Q

Which anticholinergic works best for TD….

A

Anticholinergic don’t work for TD

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16
Q

Bradyphenia =

A

Slowed thinking

17
Q

Both Symptoms of TD

rare condition in which the neck muscles contract, causing the head to twist to one side.

a condition that causes a person to arch their back and throw their head backward, resulting in a severe abnormal posture

Opisthotonos

Torticollos

A

Torticollos
rare condition in which the neck muscles contract, causing the head to twist to one side.

Opisthotonos
a condition that causes a person to arch their back and throw their head backward, resulting in a severe abnormal posture

18
Q

Valbenazine / Deutetrabenazine

AIMS screening

Used for …..

A

TD

19
Q

Lack of filfran, Epicanthal folds, non symmetrical ears

Could mean this disease

A

Fetal alcohol spectrum disorder

20
Q

What is CARE’s main responsibility…

A

Gatekeeper

Screening for Fetal Alcohol syndrome

21
Q

What does RUCC stand for and do

A

Recovery United Community Center

Provide resources for people

22
Q

RUCC

SMILE
Start making it livable for everyone

Resources

A

Divorce

23
Q

RUCC

PATTS

Resources

A

Anger Management

24
Q

RUCC

INDEPTH

Resources

A

Vaping/ Tabaco

25
Q

RUCC Prime for life 420

Resources

A

Anti pot

26
Q

RUCC

Paper people & Second Step

Resources

A

Stops small children from drugs

Second Step for older kids

27
Q

RUCC

7 C’s

A

Motto for drug addict parents

28
Q

Bipolar II

Never psychotic

T or F

A

F

Can be psychotic in Depression but Not in mania

29
Q

Comorbid for Bipolar

Chronic fatigue
Asthma
Migrane
Chemical sensitive
Metabolic Syndrome
_______

A

Gastric Ulcers

30
Q

Environmental risk factors for Bipolar…

A

ACES
Upper socioeconomic
High education
High Occupation level
Creative people

31
Q

Pressured speech
Circumstantiality
Tangential / loose associations
Clang associations

Describe….

A

Bipolar bear

32
Q

3 criteria for hospitalization in bipolar

A

Harm self/others
Psychosis
Catatonia

33
Q

Tests before taking lithium

A

KFT
EKG
Thyroid
Preggers

34
Q

This medication for bipolar

Drowsiness
OH
Liver function / Platelets
Bone Marrow Suppression

Toxicity in <18 yrs
Nystagmus, Dystonia, Respitory Depression

Not for Asians

A

Carbamazepine (Tegretol) 2nd line

Range 4 - 12

35
Q

ECT when in bipolar (2)

A

Rapid cyclers

Severe mania

36
Q

Psychological & environmental factors

Prenatal stressor

Poor Maternal nutrition, Hypoxia
Viral infections
Father >35
Born late winter / early spring

A

Schizophrenia

37
Q

Which type of symptoms are more likely to appear early in the illness.

A

Positive

Negative develope slowly

38
Q

False fixed belief that cannot be changed by logic

A

Delusion

NURS 1446 Psych PART 2 (6 decks)

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