MH Dosing Quiz

Question 1

Normal serum lithium levels

Answer 1

0.6-1/2 mEq/dL

Question 2

Normal serum Divalproex Sodium levels

Answer 2

50-100 mEq/dL

Question 3

This medication will steady or balance your mood

Answer 3

Lithium

Question 4

This med will steady your mood

Answer 4

Divalproex Sodium

Question 5

What electrolyte level will the nurse examine carefully in the client who is confused?

Answer 5

Sodium

Question 6

What is the special diet of someone who is taking an MAOI antidepressant?

Answer 6

Tyramine free. AVOID aged cheeses, pepperoni, salami, avocados, figs, bananas, raisins, smoked fish, some beets with vinegar, red wine, smoked fish including salmon and pickled herring)

Question 7

Why does a person on an MAOI antidepressant need to be on a special diet?

Answer 7

Because consuming tyramine while taking this medication can increase the risk of hypertensive crisis, stroke, and death

Question 8

What are the questions that the nurse asks the client on an MAOI?

Answer 8

Check BP, ask if they have a headache, ask if they are following diet. No decongestants or cold remedies.

Question 9

What is NMS?

Answer 9

Neuroleptic malignant syndrome is a life threatening syndrome caused by antidepressants

Question 10

What causes NMS?

Answer 10

NMS is caused by dopamine antagonists

Question 11

What is the treatment of NMS?

Answer 11

Dantrolene, Bromocriptine, and Amantadine

Question 12

Is NMS an emergency?

Answer 12

Yes it is an emergency

Question 13

How do you recognize signs and symptoms of NMS?

Answer 13

Lead pipe rigidity in all muscle groups and hyporeflexia. Increased HR, BP, RR, and temperature. Variable mental status from coma, stupor, to alert. onset 1-3 days

Question 14

What is serotonin syndrome?

Answer 14

Serotonin syndrome is a serious drug reaction that can cause high build up of serotonin in the body.

Question 15

How does serotonin syndrome differ from NMS?

Answer 15

Differs from NMS because the pt will display hyperreflexia, clonus, pupilss dilated and bowel sounds hyperactive. Agitation

Question 16

Is Serotonin syndrome an emergency

Answer 16

It is an emergency

Question 17

What are early signs of lithium toxicity?

Answer 17

GI Distress, loose stools, mild thirst/hypotension

Question 18

What should the systolic blood pressure be when administering Clonidine (Catapress)

Answer 18

Above 90 cause the med can cause the systolic to drop 20 points

Question 19

What does H.S mean?

Answer 19

Hour of sleep

Question 20

Any unusual, unique side effects of trazodone?

Answer 20

Priapism- prolonged and painful erection

Question 21

If someone overdoses on a tricyclic antidepressant, what is a likely outcome and why?

Answer 21

Death because overdoses are fatal due to the drug possibly causing fatal cardiac arythmias

Question 22

Should nurse hold the client’s Clozapine (Clozaril) if the client complains of a sore throat or flu like symptoms? Why or why not?

Answer 22

We would hold until we draw a WBC level. If the WBC level comes back low, we would hold the medication. If they are normal, you can give the med with a sore throat

Question 23

This medication will reduce thoughts that might be bothersome

Answer 23

Clozapine (Clozaril)

Question 24

This med is given to prevent side effects from other meds youre taking

Answer 24

Benztropine (Congentin)

Question 25

What is Trazodone?

Answer 25

A sedative used for sleep

Question 26

When is Trazodone usually administered?

Answer 26

Administered at night before bedtime