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RASMUSSEN NUR 2488 EXAM 2 QUESTIONS
AND ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
Patient Teaching for TCA's - ANS ✓improvement may appear in 7-28 days, the
full effect takes 6-8 weeks, drowsiness, dizziness, and hypotension will dissipate,
use care driving sedation may occur, refrain from drinking alcohol, do not stop
drug suddenly, monitor for urinary retention and constipation, cardiac toxicity
Symptoms of Serotonin Syndrome - ANS ✓Hyperactivity or restlessness,
Tachycardia → cardiovascular shock, Fever, Elevated blood pressure, Altered
mental status (e.g., delirium),
Irrationality, mood swings, hostility, Seizures, Myoclonus, incoordination, tonic
rigidity, Abdominal pain, diarrhea, bloating, Apnea
Interventions for serotonin syndrome - ANS ✓Discontinue offending agent(s).
Initiate symptomatic treatment:
• Serotonin receptor blockade: cyproheptadine, methysergide, propranolol
• Cooling blankets, chlorpromazine for hyperthermia
• Dantrolene, diazepam for muscle rigidity or rigors
• Anticonvulsants
• Artificial ventilation
• Paralysis
Patient teaching for SSRI's - ANS ✓may cause sexual dysfunction, may cause
insomnia and anxiety, may interact with other medications, no OTC drugs should
be taken without consulting provider, alcohol should be avoided, do not
discontinue drug abruptly. monitor for increased risk of suicidal ideation
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Common adverse reactions for MAOI's - ANS ✓Hypotension, Sedation,
weakness, fatigue, Insomnia, Changes in cardiac rhythm, Muscle cramps,
Anorgasmia or sexual impotence, Urinary hesitancy or constipation, Weight gain
Hypertensive crisis signs and symptoms - ANS ✓A severe headache, Stiff, sore
neck
Flushing; cold, clammy skin, Tachycardia
Severe nosebleeds, dilated pupils, Chest pain, stroke, coma, death, Nausea,
and vomiting
Foods that interact with MAOI's - ANS ✓avocados, figs, ripe banana, smoked or
cured meats, pickled herring, smoked salmon, all cheeses, yeast products, some
beers and wines, Chianti, soy sauce, chocolate, fava beans, ginseng, caffeinated
beverages
Drugs that interact with MAOI's - ANS ✓Over-the-counter medications for
colds, allergies, or congestion, Tricyclic antidepressants, Narcotics,
Antihypertensives (e.g., methyldopa, guanethidine, reserpine)
Amine precursors (e.g., levodopa, L-tryptophan), Sedatives (e.g., alcohol,
barbiturates, benzodiazepines)General anesthetics, Stimulants (e.g.,
amphetamines, cocaine)
Potential adverse reactions to ECT - ANS ✓the patient may be confused and
disoriented. Many patients state that they have memory deficits for the first few
weeks after treatment. Memory usually, although not always, recovers, 50% to
60% of patients will respond to treatment
Light Therapy - ANS ✓first-line treatment for seasonal affective disorder with
or without medication. Full-spectrum wavelength light is the specific type of light
used
Communication interventions for acute mania - ANS ✓Use firm and calm
approach: "John, come with me. Eat this sandwich." Use short and concise
explanations or statements. Remain neutral; avoid power struggles and value
judgments. Be consistent with approach and expectations. Have frequent staff
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meetings to plan consistent approaches and to set agreed-on limits. Firmly
redirect energy into more appropriate and constructive channels.
Safety and physical interventions for acute mania - ANS ✓Monitor intake,
output, and vital signs.
Offer frequent high-calorie protein drinks and finger foods (e.g.,
sandwiches, fruit, milkshakes). Frequently remind patient to eat.
Encourage frequent rest periods during the day. Keep patient in areas of
low stimulation.
At night, provide warm baths, soothing music, and medication when
indicated. Avoid giving patient caffeine. Monitor bowel habits; offer fluids
and foods that are high in fiber. Evaluate need for laxative. Encourage
patient to go to the bathroom.
potential nursing diagnosis for bipolar disorder - ANS ✓risk for injury,
impaired mood regulation, imbalanced nutrition, risk for self-directed violence,
labile emotional control, risk for suicide, interrupted family process, ineffective
coping, ineffective impulse control
Indications for Lithium - ANS ✓effective in the acute treatment of mania and
depressive episodes and in the prevention of recurrent mania and depressive
episodes
Side effects of therapeutic level of lithium - ANS ✓Fine hand tremor, polyuria,
and mild thirst. Mild nausea and general discomfort
Weight gain
therapeutic level of lithium - ANS ✓<0.4 to 1 mEq/L
Early level of lithium toxicity - ANS ✓<1.5 mEq/L
Signs of early lithium toxicity - ANS ✓Nausea, vomiting, diarrhea, thirst,
polyuria, slurred speech, muscle weakness
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