NUR1211 TEST 1 QUESTIONS WITH CORRECT
ANSWERS
How do you know if your patient is experiencing lithium toxicity? What increases the pt risk for
lithium toxicity? What additional education for lithium? - CORRECT ANSWER-✔✔✅Signs and
symptoms of early toxicity. include diarrhea, vomiting, drowsiness, muscle weakness, and lack of
coordination. Late toxicity = giddiness, ataxia, blurred vision, tinnitus, and large output of dilute urine.
Additional education can include maintaining a balanced diet and sodium intake and notify HCP
before making any dietary alterations.
What patient is at risk for developing psuedoparkinsonism syndrome (PS) ? What is the typical
presentation of a patient with PS? - CORRECT ANSWER-✔✔✅Also known as drug-induced
parkinsonism, those who have low dopamine levels and are taking antipsychotic medication(s).
Why should a patient on MAOI's avoid foods that are high in Tyramines? What types of food are high-
tyramines? - CORRECT ANSWER-✔✔✅Tyramine accumulates in the bloodstream and has an indirect
sympathomimetic action causing the release of stored catecholamines. S/S begin 15 minutes to an
hour and include hypertension, sever headache (occipital or temporal), palpitations, nausea, and
vomiting. Can be fatal.
Alcoholic beverages, all mature cheeses, sour cream and yogurt, avocados, bananas, fava beans,
canned figs, dried fish, liver, pickled herring, salami, sausage, caffeinated beverages, chocolate,
licorice, sauerkraut, soy sauce, yeast.
What are some nursing considerations for a patient taking antidepressants? What do you teach a pt
about taking antidepressants? - CORRECT ANSWER-✔✔✅Assess patient for cautions and
contraindications (drug allergies, hepatorenal diseases, glaucoma, etc), seizure disorder and suicidal
thoughts, and monitor results of ECG and lab tests. Provide both comfort and safety measures.
Educate patient that they may not see full therapeutic effects of medications until 2-4 weeks. Take
medications as prescribed and to take a dose as soon as they remember, if they missed one. Abrupt
discontinuation can lead to severe withdrawals.
Define neuroleptic malignant syndrome. - CORRECT ANSWER-✔✔✅Due to antipsychotics:
hyperthermia, rigidity, and autonomic dysfunction.
ANSWERS
How do you know if your patient is experiencing lithium toxicity? What increases the pt risk for
lithium toxicity? What additional education for lithium? - CORRECT ANSWER-✔✔✅Signs and
symptoms of early toxicity. include diarrhea, vomiting, drowsiness, muscle weakness, and lack of
coordination. Late toxicity = giddiness, ataxia, blurred vision, tinnitus, and large output of dilute urine.
Additional education can include maintaining a balanced diet and sodium intake and notify HCP
before making any dietary alterations.
What patient is at risk for developing psuedoparkinsonism syndrome (PS) ? What is the typical
presentation of a patient with PS? - CORRECT ANSWER-✔✔✅Also known as drug-induced
parkinsonism, those who have low dopamine levels and are taking antipsychotic medication(s).
Why should a patient on MAOI's avoid foods that are high in Tyramines? What types of food are high-
tyramines? - CORRECT ANSWER-✔✔✅Tyramine accumulates in the bloodstream and has an indirect
sympathomimetic action causing the release of stored catecholamines. S/S begin 15 minutes to an
hour and include hypertension, sever headache (occipital or temporal), palpitations, nausea, and
vomiting. Can be fatal.
Alcoholic beverages, all mature cheeses, sour cream and yogurt, avocados, bananas, fava beans,
canned figs, dried fish, liver, pickled herring, salami, sausage, caffeinated beverages, chocolate,
licorice, sauerkraut, soy sauce, yeast.
What are some nursing considerations for a patient taking antidepressants? What do you teach a pt
about taking antidepressants? - CORRECT ANSWER-✔✔✅Assess patient for cautions and
contraindications (drug allergies, hepatorenal diseases, glaucoma, etc), seizure disorder and suicidal
thoughts, and monitor results of ECG and lab tests. Provide both comfort and safety measures.
Educate patient that they may not see full therapeutic effects of medications until 2-4 weeks. Take
medications as prescribed and to take a dose as soon as they remember, if they missed one. Abrupt
discontinuation can lead to severe withdrawals.
Define neuroleptic malignant syndrome. - CORRECT ANSWER-✔✔✅Due to antipsychotics:
hyperthermia, rigidity, and autonomic dysfunction.
