NUR 410 Nursing Concepts Synthesis Exam 4 (Psych, Critical Care, Leadership, & Community) questions with correct answers
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Course
NUR 410
Institution
NUR 410
How do we manage alcohol withdrawal? Correct Answer--Using CIWA to assess
-Delirium tremens 2-3 days
-We want safety precautions (Seizure, falls, etc.)
-Aspiration risk for these patients
-Medications used to treat withdrawal are benzo's and other meds (diazepam, chlordiazepoxide & clonidine, c...
NUR 410 Nursing Concepts Synthesis Exam 4 (Psych,
Critical Care, Leadership, & Community) questions
with correct answers
How do we manage alcohol withdrawal? Correct Answer--Using CIWA
to assess
-Delirium tremens 2-3 days
-We want safety precautions (Seizure, falls, etc.)
-Aspiration risk for these patients
-Medications used to treat withdrawal are benzo's and other meds
(diazepam, chlordiazepoxide & clonidine, carbamazepine)
What are the causes, symptoms, and treatment plans for Serotonin
Syndrome? Correct Answer--Causes: Toxic level of serotonin related to
anti-depressants, Use of OTC meds like St. John's Wort, and Inadequate
time to flush meds out before starting a new one wit serotonin
reuptake/increase
-Treatment: Starts symptomatic treatment (Blocking serotonin receptors
with cyprohepatadine, treat muscle rigidity with benzos, anticonvulsants
for safety, cooling blankets, artificial ventilation), hold medications once
symptoms start
, What are the guidelines when it comes to using restraints? Correct
Answer--Used only when other interventions have failed
-Doctor's order required, in emergency order can be given afterwards,
and a new order is needed each time
What are the guidelines when it comes to monitoring restraints? Correct
Answer--Monitor VS, I&O, assess mental status, pain, and injuries
-Clearly stated expectations for release of restraints
-Documents condition q 15-30 minutes
-Maximum time for 18 years and up is 4 hours; 9 to 17 years is 2 hours;
8 years and under is 1 hour maximum
What is Disulfiram? Correct Answer-Alcohol deterrent
maintenance/aversion therapy that is started after withdrawal is
completed
-liver function should be monitored on this drug
-Patient should read labels as they cant have anything with alcohol as an
ingredient
Identify home safety measures for home care for alzheimer's patients.
Correct Answer--Remove scatter rugs
-Install locks that are not easily opened
-Lock water heater and turn temp down
-Provide good lighting especially on stairs
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