MH final Flashcards
Can a PN monitor findings?
Yes
Can a PN teach?
no, but they can reinforce teaching
What can a PN administer/insert/perform?
- trach care
- suctioning
- checking NG tube patency
- enteral feedings
- inserting urinary catheter
- medications
What can an AP help with?
- ADL’s
- bathing
- grooming
- dressing
- toileting
- ambulating
- feeding w/o swallowing precautions
- bedmaking
- specimen collection
- I&O’s
- vitals of stable patients
What should you do if you hear a nurse being inappropriate towards a patient?
report it to the charge nurse
What should the nurse ALWAYS do FIRST?
assess
What should you avoid with MAOI’s (phenelzine)?
tyramine foods
What are the complications of risperidone and olanzapine?
- DM
- weight gain
- hypercholesterolemia
- ortho hypo
- anticholinergics
- agitation, dizziness, sedation, sleep disruption
- agranulocytosis, neutropenia
- hyperprolactinemia (gynecomastia, amenorrhea)
What are the complications of methylphenidate?
- CNS stimulation
- weight loss, decreased appetite
- dysrhythmias, chest pain, high BP
- tolerance, withdrawal, toxicity
What are the complications of atomoxetine and Bupropion?
- weight loss, decreased appetite
- N/V
- SI
- hepatotoxicity
- seizures
What are the complications of TCA’s/”-mines”?
- suicide
- ortho hypo
- anticholinergic
- weight gain
- sedation
- toxicity
- seizures
- sweating
What are the complications of guanfacine and clonidine?
- sedation, drowsiness, fatigue
- hypotension, bradycardia
- weight gain
What are the complications of fluoxetine and sertraline?
- serotonin syndrome (agitation, confusion, hallucinations)
- weight changes
- withdrawal (dizziness, nausea, tremors)
- SI
- EPS
- dizziness, fatigue, insomnia, agitation
- sexual dysfunction
- dysrhythmias
How can you distract a patient who is hearing voices?
- music
- activities
- walking
- talking to a trusted person
- telling the voices to stop/go away
How can you show acceptable behavior for impulse control/conduct/ADHD?
modeling
