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NUR 222 - Quiz 3 Questions and Correct Answers
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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...

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  • August 5, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nur 222 quiz 3 questions and correct answers
  • elderly and pregnant women are necessarily not con
  • a newly admitted client is experiencing a manic ep

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  • NUR 222
  • NUR 222

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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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