NR 326 CMS Exam Questions with Correct Answers

Olanzapine uses and teaching Correct Answer -antipsychotic medication that is used to treat psychotic conditions such as schizophrenia and bipolar disorder (manic depression) in adults and children at least 13 years old -report agitation, dizziness, sedation, sleep disruption, agranulocytosis Lithium toxicity Correct Answer -notify the provider of toxicity. -Diarrhea, N/V, thirst, muscle weakness, hand tremors, slurred speech, lethargy, tinnitus, ataxia, seizures, hypotension, respiratory complications. - Instruct pt. To hold medication and notify the provider. -Monitor Na+ and drink 1.5-3 liters of H20 daily O Early - less than 1.5 O Advanced - 1.5-2 O Severe- 2 - 2.5 O Greater than 2.5 - coma and death, initiate dialysis. O Avoid in hepatic, renal, or cardiac patients and schizophrenia Atomoxetine s/s and teaching Correct Answer - appetite and growth suppression, GI effects (n/v, upper abdominal pain, suicidal ideations in children and adolescents, hepatotoxicity(flu like symptoms), headache, insomnia, irritability. Take medication with food. Methylphenidate uses and side effects Correct Answer - sold under the trade name Ritalin among others, is a stimulant medication used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy - insomnia, restlessness, weight loss, growth suppression, cardiovascular effects, hallucinations, paranoia, withdrawal reaction, hives, CNS depression, bleeding. Fluoxetine uses, teaching and adverse effects Correct Answer -SSRI -It can treat depression, obsessive-compulsive disorder (OCD), bulimia nervosa, and panic disorder -do not stop taking suddenly, can take 1-3 weeks to take effect and up to 2 months for maximum response -Avoid hazardous activity until you know how you will respond - AE's: n/v, headache, agitation, insomnia, anxiety, sexual dysfunction - Follow a healthy diet, weight gain can occur, monitor for SI. Paroxetine uses and teaching Correct Answer -SSRI -used to treat depression, panic attacks, obsessive-compulsive disorder (OCD), anxiety disorders, and post-traumatic stress disorder -avoid with grapefruit juice and high fat foods decrease absorption