Elderly and pregnant women are necessarily not contraindicated for which major depressive treatment? A. ECT B. Maois C. Tcas D. Ssris a. ECT
Cant do until after 2 other therapies have failed
A newly admitted client is experiencing a manic episode. The clients NDX is imbalanced nutrition, less tha...
NUR 222 - Quiz 3 Questions and Correct
Answers
Elderly and pregnant women are necessarily not contraindicated for which major
depressive treatment?
A. ECT
B. Maois
C. Tcas
D. Ssris ✅a. ECT
Cant do until after 2 other therapies have failed
A newly admitted client is experiencing a manic episode. The clients NDX is imbalanced
nutrition, less than body requirements. Which meal is best? SATA ✅chicken
fingers/french fries, ham and cheese sandwich
Finger foods - high protein, high cal finger foods to be eat on-the-go
The nurse is evaluating test results for a client who is Rx lithium carbonate, the clients
lithium level is 1.9 meq/L. Which NI is priority? ✅immediately notify the Dr and hold the
dose until further instructed
Lithium >1.5 = LETHAL
Client in in-pt psych unit is Rx Iamotrogine 50mg daily. After pt teaching, which client
statement reflects understanding of important related to Iamotrogine? ✅I will call my Dr
if i miss more than 5 days before restarting med
Mood stabilizer - needs to be titrated slowly otherwise this will lead to steven-johnson's
rash (severely
Doesnt cause NMS/EPS.
Nurse discussing routine f/u needs w a pt w new Rx for valproate. Nurse should inform
client of need for routine monitoring of WOTF labs should be run before admin?
✅AST/ALT - routine monitoring of liver fxn tests is necessary due to the risk of
hepatotoxicity
Nurse is planning care for a client who has bipolar disorder and is experiencing a manic
episode, WOTF NI should the nurse include in plan of care? SATA ✅offer concise
explanation, est consistent limits, use
, No flexible behavior expectations- pt is manic, requires consistent behavior
Nurse is teaching new nurse about ECT for the tc of bipolar disorder, WOTF statements
by the new nurse shows understanding? ✅ECT is effective for clients who are
experiencing severe mania
Initial tx: meds
Indicated for pt w SI
Indicated for pts experience acute episodes of BD rather than prevention
What meds are for ECT ✅glycopyrrolate (robinul) - gastric m relaxant
Methobhexital (brevital) - anesthesia
Succinylcholine (anectine) - skeletal m relaxants
Atropine - aspiration
Nurse discussing relapse prevention w a BD pt. WOTF info should the nurse teach?
SATA ✅difficulty sleeping can indicate relapse, participating in psychotherapy in
psychotherapy can help prevent relapse, anhedonia is a manifestation of depressive
relapse
Nurse is planning to teach about appropriate coping skills. Nurse would expect which pt
to be at the highest level of readiness to participate in instruction? ✅a client admitted 6
days ago following SI following a depressive episode
Has begun to stabilize bc of tx recieved during this time frame
Client dx w MDD is being considered for ECT. Which teaching should the nurse
prioritize? ✅discuss w the pt and family about expecte3d short-term memory loss
Should discuss SE
SE of ECT ✅- short-term ,memory loss
NI for ECT ✅- obtain informed consent
- pt is NPO 6-8 hr prior to ECT
- monitor vitals, EKG, EEG continuously
- edu pt: requires 6-12 tx, administered 3x/week
Which symptoms would nurse expect to assess in a pt experiencing serotonin
syndrome? ✅confusion, restlessness, tachycardia, labile BP, diaphoresis
Agitation, hallucinate, fever, tremors, diaphoresis
Ssris - DO NOT TAKE st. Johns wart - INC risk
The pt is taking MAOI. Which will the nurse tech pt to avoid? ✅cheese
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