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PN NUR 160 > Mod 5 Study Set > Flashcards

Mod 5 Study Set Flashcards

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NCLEX-PN® flashcards
1
Q

Sedation, Anticholinergic effects (dry mouth, dry eyes, urinary retention, constipation)

A

Tricyclic Antidepressants (TCAs)

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2
Q

Amitriptyline (Elavil)
Clomipramine

A

Tricyclic Antidepressants (TCAs)

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3
Q

Monitor for cardiac symptoms.

Ask about St Johns Wort

Taper when discontinuing the drug.

Overdose can be lethal; there is no antidote—only supportive care.

A

Tricyclic Antidepressants (TCAs)

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4
Q

hypotension, vertigo, dizziness, nausea, constipation, dry mouth, diarrhea, headache, restlessness, blurred vision, hypertensive crisis

A

Monoamine Oxidase Inhibitors (MAOIs)

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5
Q

A hypertensive crisis occurs if large amounts of fermented foods, alcohol, or aged cheese are ingested.

foods high in tyramine can lead to hypertensive crisis

Monitor for increased risk of serotonin syndrome if taken with SSRI/SNRI.

A

Monoamine Oxidase Inhibitors (MAOIs)

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6
Q

Isocarboxazid (Marplan)
Phenelzine (Nardil)

A

Monoamine Oxidase Inhibitors (MAOIs)

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7
Q

Citalopram (Celexa)

Escitalopram (Lexapro)

Fluoxetine (Prozac)

Paroxetine (Paxil)

Sertraline (Zoloft)

A

Selective Serotonin Reuptake Inhibitors (SSRIs)

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8
Q

Nausea, dry mouth, sweating, insomnia, anorexia, sexual dysfunction

A

Selective Serotonin Reuptake Inhibitors (SSRIs)

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9
Q

Screen for suicidal ideation.

Monitor for serotonin syndrome.

Taper dose when discontinuing drug.

Taking the herbal St. John’s wort can increase risk of serotonin syndrome.

Sexual dysfunction may be reduced by dividing the dose or delaying dosing until after sexual activity.

A

Selective Serotonin Reuptake Inhibitors (SSRIs)

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10
Q

Duloxetine (Cymbalta)
Venlafaxine (Effexor XR)

A

Serotonin–Norepinephrine Reuptake Inhibitors (SNRIs)

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11
Q

Agitation, dizziness, dry mouth, insomnia, sedation, headache, nausea, vomiting, tremor, constipation, weight loss, anorexia, excess sweating, sexual dysfunction

A

Serotonin–Norepinephrine Reuptake Inhibitors (SNRIs)

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12
Q

Monitor for serotonin syndrome.

Dose must be titrated down when stopping drug.

Taking the herbal St. John’s wort can increase the risk of serotonin syndrome.

Instruct male clients about treating priapism (erection longer than 4 hours).

A

Serotonin–Norepinephrine Reuptake Inhibitors (SNRIs)

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13
Q

Bupropion (Wellbutrin)

A

Norepinephrine–Dopamine Reuptake Inhibitors (NDRIs)

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14
Q

Dry mouth, nausea, headache, dizziness, blurred vision, tachycardia, anxiety, restlessness, agitation, aggression, racing thoughts, loss of interest in sex, suicidal ideation

A

Norepinephrine–Dopamine Reuptake Inhibitors (NDRIs)

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15
Q

Do not administer Wellbutrin with Zyban.

Avoid if there is a history of seizures, hypertension, glaucoma, bipolar disorder, liver disease, or kidney disease.

Consult primary provider if contemplating pregnancy; avoid if breastfeeding.

A

Norepinephrine–Dopamine Reuptake Inhibitors (NDRIs)

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16
Q

Diazepam (Valium)
Oxazepam
Nitrazepam
Temazepam (Restoril)
Alprazolam (Xanax, Xanax XR)

A

Benzodiazepines

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17
Q

Eszopiclone (Lunesta)
Ramelteon (Rozerem)
Zolpidem (Ambien)

A

Nonbenzodiazepine

Sedative - Hypnotics

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18
Q

Bupropion (Wellbutrin SR, Wellbutrin XL)
Mirtazapine (Remeron)

A

Atypical Antidepressants

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19
Q

Lithium Carbonate (Lithobid)
Aripiprazole (Ambilify)
Olanzapine (Fluoxetine)
Risperidone

A

Mood-stabilizing agents

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20
Q

first-generation typical antipsychotic

A

haloperidol

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21
Q

exerts its antipsychotic effects by blocking dopamine D2 receptors in the brain

A

haloperidol

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22
Q

Anticholinergic effects include increased body temperature, dry mouth, drowsiness or sedation, constipation, and urinary retention.

Other common adverse effects are sedation, weight gain, erectile dysfunction in males, and oligomenorrhea or amenorrhea in females.

A

haloperidol

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23
Q

Integrates thoughts

Promotes movement in concert with ACh

Stimulates hypothalamic endocrine activity

Enhances judgment

A

Dopamine
(DA)

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24
Q

Stabilizes mood

Induces sleep

Regulates temperature

Controls appetite

A

Serotonin (5-hydroxytryptamine)
(5-HT)

25
Q

Affects attention and concentration

Raises energy level

Heightens arousal

A

Norepinephrine
(NE)

26
Q

Assists memory storage

Promotes movement in concert with DA

Prepares for action

A

Acetylcholine
(ACh)

27
Q

Reduces arousal and aggression

Inhibits excitatory neurotransmitters like NE and DA

Decreases seizure potential

A

Gamma-aminobutyric acid
(GABA)

28
Q

Promotes neuronal excitation

Acts as a neurotoxic mediator in various neurologic disorders

A

Glutamate
(GT)

29
Q

(DA)

A

Dopamine

30
Q

(5-hydroxytryptamine)
(5-HT)

A

Serotonin

31
Q

Norepinephrine

A

(NE)

32
Q

Acetylcholine

A

(ACh)

33
Q

Gamma-aminobutyric acid

A

(GABA)

34
Q

(GT)

A

Glutamate

35
Q

Decreases seizure potential

A

(GABA)

36
Q

Promotes neuronal excitation

A

Glutamate

37
Q

Assists memory storage

Prepares for action

A

Acetylcholine

38
Q

Affects attention and concentration

A

Norepinephrine

39
Q

Induces sleep

Controls appetite

A

(5-hydroxytryptamine)
(5-HT)

40
Q

Integrates thoughts

Stimulates hypothalamic endocrine activity

Enhances judgment

A

Dopamine

41
Q

mental illness that causes unusual shifts in a person’s mood, energy, activity levels, and concentration.

A

Bipolar Disorder

42
Q

mental illness that causes persistent and intense feelings of sadness, hopelessness, and a lack of pleasure

A

Depression

43
Q

mental illness that causes excessive and uncontrollable worry and anxiety about various aspects of life

A

Generalized Anxiety Disorder

44
Q

mental illness involving unhealthy eating behaviors and attitudes toward food, body weight, and body image

A

Eating Disorders

45
Q

mental illness characterized by the harmful use of a substance that leads to significant impairment in daily life

A

Substance Use Disorder

46
Q

a progressive neurological condition that impairs cognitive functioning, including memory, reasoning, and the ability to perform everyday tasks, often affecting behavior and mood.

A

Dementias

47
Q

a vague, uneasy feeling, the cause of which is not readily identifiable. It is evoked when a person anticipates nonspecific danger.

A

Anxiety

48
Q

a feeling of terror in response to someone or something specific that a person perceives as dangerous or threatening.

A

Fear

49
Q

attention is heightened, Sensory perception is expanded, Focus is on stimuli. Reality is intact. Information processing is accurate. Person feels in control. Muscle tone increases. Heart rate, BP, and breathing slightly increase. Perspiration is noticeable.

A

Mild

50
Q

person is more easily distracted, Concentration is slightly impaired. Person can redirect attention. Learning takes more effort. Perception narrows. Problem solving becomes difficult. Person is irritable and feels inadequate. Muscles are tense. Slight leg or hand tremors may occur. Rate, pitch, and volume of speech change. Respiratory depth and vital signs increase. Sleep is disturbed.

A

Moderate

51
Q

attention span decreases. Person cannot concentrate or remain focused. Perception is reduced. Ability to learn is impaired. Information processing is inaccurate or incomplete. Person is aware of extreme discomfort. Effort is needed to control emotions. Person feels incompetent. Symptoms include hyperventilation, dizziness, tachycardia, heart palpitations, and hypertension. Fine motor movement is impaired. Communication is limited.

A

Severe

52
Q

person exaggerates details. Perception is distorted. Learning is disabled. Thoughts are fragmented. Speech is incoherent. Movements are haphazard, usually in an effort to escape. Symptoms include dyspnea, fainting, tremors, and diaphoresis.

A

Panic

53
Q

Building trust

Restoring comfort

Modifying communication

Adjusting teaching

Ensuring safety

Helping problem-solve

A

Six areas of nursing management of anxious clients

54
Q

Generalized anxiety disorder

Panic disorder

Phobic disorders

PTSD

Obsessive-compulsive disorder

A

anxiety disorders

55
Q

Drugs categories to treat anxiety disorders

A

Anxiolytics: benzodiazepines - -pam drugs

Anxiolytics: adjuvant agents – Buspar

Antidepressants – Duloxetine or Venlafaxine

Beta-adrenergic blockers – Atenolol or Metoprolol

56
Q

psychotherapy used to treat anxiety disorders

A

Psychotherapy

Cognitive therapy

Behavioral therapy

57
Q

agitation, anxiety, restlessness, disorientation, diaphoresis, hyperthermia, tachycardia, nausea, vomiting, tremor, muscle rigidity, hyperreflexia, myoclonus, dilated pupils, ocular clonus, dry mucous membranes, flushed skin

A

Symptoms of Serotonin Syndrome

58
Q

a potentially fatal drug-induced condition caused by too much serotonin in synapses in the brain

A

Serotonin Syndrome

PN NUR 160 (40 decks)

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