Nsg 552 Wilkes University EXAM 2 QUESTIONS WITH SOLUTIONS
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Course
Nsg 552 Wilkes University
Institution
Nsg 552 Wilkes University
Nsg 552 Wilkes University EXAM 2 QUESTIONS WITH SOLUTIONS
.5A's of smoking cessation - 1. Ask
2. Advise
3. Assess
4. Assist
5. Arrange
.Acamprosate (Campral) - Likely modulates glutamate transmission
First line trx in maintaining abstinence after detox
Used for relapse prevention(post d...
•****Monitor Height, weight, BP, CBC w/ diff; Pulse quarterly (Height and weight d/t risk of growth
restriction)
•In healthy individuals, it is not necessary to obtain an EKG prior to initiating a stimulant
•Prescription Monitoring Program should be checked
•Note: With stimulants, evidence of growth suppression is not clear, seems transient and resolves in
mid-adolescence
•
, •Note: If a child is taking their medication twice daily (i.e. at home and school) and parents request to
solely administer the medication= consider switching to an extended release form (e.g.
Methylphenidate CD= extended release)
.ADHD treatment: Considering non-stimulant(factors to consider) - •Stimulants are not working well to
control ADHD symptoms
•Stimulants cause too many side effects (often intolerable) - e.g. anxiety
•The child or teen has problems with substance abuse
•The child or teen has a medical condition for which stimulants cannot be used - e.g. tic disorder
Severe: Seizures(12-48 hours consumption); hallucinations; delium tremens(48-96 hrs after last drink)
Anxiety
Anorexia
Nausea/Vomiting
Psychomotor agitation
Use CIWA to monitor withdrawal
.Alcohol intoxication - Impaired fine motor control
Impaired judgment and coordination
Ataxic gait and poor balance
Lethargic, difficulty sitting upright, difficulty with memory
Nausea/Vomiting
Coma=Levels 300mg/dl and over
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