Exam (elaborations)
MARYVILLE NURS 663 EXAM #2 QUESTIONS WITH COMPLETE SOLUTIONS
- Course
- Institution
MARYVILLE NURS 663 EXAM #2 QUESTIONS WITH COMPLETE SOLUTIONS
[Show more]
Content preview
MARYVILLE NURS 663 EXAM #2QUESTIONS WITH COMPLETE
SOLUTIONS
Lithium labs - answer-level, na, ca, p, ekg, creatinine, urinalysis, cbc, tsh
Bipolar meds: depression - answer-lurasidone (13+), olanzapine + fluoxetine (10+)
(symbyax)
Bipolar acute and mixed mania - answer-aripiprazole, risperidone, olanzapine (13+),
quetiapine (acute only), asenapine (10+)
Classic mood stabilizers - answer-lamotrigine (excellent medication to use), lithium,
depakote (avoid in females if possible due to pcos and pregnancy), tegretol, trileptal (no
evidence for true bipolar disorder)
Anti-depressants - answer-class not used w/bipolar disorder
Lithium - answer-anti-manic, antidepressant, anti-suicidal
Lithium side effects - answer-frequent urination, increased thirst, weight gain, sedation
Lithium toxicity - answer-sudden onset tremors, n/v/d, muscle weakness, slurred
speech, confusion, seizures (slowing down, feel really out of it)
Persistent motor or vocal tic disorder - answer-pt in front of you only has one or the
other but not both—they usually don't even know it is a tic, it is only meaningful if it's
affecting their quality of life
Tourette's d/o - answer-multiple motor and at least one vocal tic (some tics come and
go, they don't have them all at the same time to receive the diagnosis)
Hrt - answer-habit reversal training can be used to manage tics
Tics tx - answer-alpha agonists (clonidine, guanfacine); haldol is not the first-line txt
Developmental coordination disorder - answer-a motor disorder characterized by
marked impairment in the development of motor coordination; movement isn't consistent
w/age
Stereotypic movement disorder - answer-a motor disorder characterized by repetitive,
seemingly driven, and apparently purposeless motor behavior, such as hand waving or
head banging, but not include asd sx
, Specific learning disorders - answer-difficulties in the acquisition and use of listening,
speaking, reading, writing, reasoning, or mathematical abilities; dx by other
professionals w/specialized training; np tx comorbid d/o
Anorexia nervosa - answer-an eating disorder in which an irrational fear of weight gain
leads people to starve themselves; restrictive or binge/purge/exercise
Bulimia nervosa - answer-an eating disorder characterized by episodes of overeating,
usually of high-calorie foods, followed by vomiting, laxative use, fasting, or excessive
exercise
Binge-eating disorder - answer-significant binge-eating episodes, followed by distress,
disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise
Avoidant/restrictive eating disorder - answer-avoiding or restricting foods in childhood.
Significantly low bmi; no distortion of body image or fear of gaining wt. R/o delusions
around food
Pica - answer-an abnormal craving or appetite for nonfood substances, such as dirt,
paint, or clay that lasts for at least 1 month; decrs incidence with incr age
Feeding and eating disorders tx - answer-talk therapy (counseling is needed for the
distress) (intensive outpatient, partial inpatient or actual inpatient admission may be
needed); most have associated depression and/or anxiety
Feeding and eating disorders meds - answer-fluoxetine help but not direct tx
Vyvanse approved for binge eating but not because of stimulant effects
Encopresis - answer-a childhood disorder characterized by repeated defecating in
inappropriate places, such as one's clothing
Enuresis - answer-involuntary urination
Encopresis treatment - answer-behavior management: toilet refusal behavior,
scheduled toileting time, incentives.
Prevention of constipation
Counseling
Enuresis treatment - answer-1. First line is behavioral interventions: bed alarms,
toileting at bedtime and during the night, bladder training
2. Reassurance, resolves spontan, normal 4-5 yo
Enuresis meds - answer-desmopressin nasal spray;
Major depressive disorder dx - answer-5+ for at least a 2-week period; either #1 or 2 req
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller biggdreamer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now