100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 345 Exam 2 Questions and Answers $10.49   Add to cart

Exam (elaborations)

NURS 345 Exam 2 Questions and Answers

 5 views  0 purchase
  • Course
  • NUR 345
  • Institution
  • NUR 345

Mental illness psychiatric disorders that have definable diagnoses Physiological needs food, water, oxygen, sleep, sex, and constant body temperature Safety needs includes security, protection, freedom from fear, anxiety, and chaos Belonging and love needs intimate relationships, love, and affec...

[Show more]

Preview 3 out of 23  pages

  • August 30, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 345
  • NUR 345
avatar-seller
twishfrancis
NURS 345 Exam 2 Questions and
Answers
Mental illness ✅psychiatric disorders that have definable diagnoses

Physiological needs ✅food, water, oxygen, sleep, sex, and constant body temperature

Safety needs ✅includes security, protection, freedom from fear, anxiety, and chaos

Belonging and love needs ✅intimate relationships, love, and affection, and belonging;
seek to overcome feelings of loneliness and alienation

Esteem needs ✅-need for having a high self-regard and have it reflected from others
- when these needs are met there is a feeling of being confident, valued, and valuable;
when compromised there are feelings of inferiority, worthlessness, and helplessness

Self actualization ✅-striving to become everything one is capable of becoming
-highly individual
-up to each person to choose a path that will bring about inner peace and fulfillment

Toxicity ✅Patients taking lithium can develop what related to elevated levels in the
blood ?

Daily monitoring ✅Initial therapy of lithium requires what until a safe is therapeutic
level is attained ?

Weekly and monthly monitoring ✅What is recommended for lithium toxicity ?

Decreased sodium levels and inadequate hydration ✅What is lithium toxicity related to
?

Patients must have normal sodium intake and drink at least 2 to 3 L of water daily
✅What should patients taking lithium must have and take ?

Expected side effects of lithium toxicity ✅-nausea, vomiting, diarrhea, polyuria
-renal toxicity
-goiter and hypothyroidism

Early signs of lithium toxicity ✅-GI upset
-coarse hand tremor
-confusion

,-hyperirritability of muscles
-electroencephalographic changes
-sedation
-incoordination

Advanced signs of lithium toxicity ✅-ataxia
-giddiness
-serious electroencephalographic changes
-blurred vision
-clonic movements
-large output of dilute urine
-seizures
-stupor
-severe hypotension
-coma
-death

Side effects of antipsychotics ✅anticholinergic toxicity
Neuroleptic malignant syndrome
Agranulocytosis

Severe signs of lithium toxicity ✅convulsions, oliguria and death

Anticholinergic toxicity ✅life-threatening medical emergency caused by antipsychotics
or other medications with anticholinergic effects including many antiparkinsonian drugs

Neuroleptic malignant syndrome ✅-characterized by reduced consciousness and
responsiveness, increased muscle tone, and autonomic dysfunction

-life-threatening medical emergency

Agranulocytosis ✅associated with clozapine (Clozaril) is possible with other
antipsychotics

Nursing implications for neuroleptic malignant syndrome ✅-early detection
-discontinuation of the antipsychotic
-management of fluid balance
-temperature reduction
-monitoring for complications such as deep vein
-thrombosis and rhabdomyolysis

Acute mania and bipolar maintenance ✅What are anticonvulsants commonly used to
treat ?

Continously cycling patients ✅Who are anticonvulsants generally for ?

, -effective when there is no family history of bipolar disease
-effective at diminishing impulsive and aggressive behavior in some nonpsychotic
patients ✅When are anticonvulsants effective ?

Helpful in cases of alcohol and benzodiazepine withdrawal ✅When are antipsychotics
helpful?

Controlling mania (within 2 weeks) and depression (within 3 weeks or longer) ✅When
are antipsychotics beneficial?

Valproate ✅treats acute mania and prevents future manic episodes

Lamotrigine ✅can cause life threatening rash

Symptoms of serotonin syndrome ✅abdominal pain, diarrhea, sweating, fever,
tachycardia, elevated blood pressure, altered mental state (delirium), myoclonus
(muscle spams), increased motor activity, irritability, hostility, and mood change

Hyperpyrexia (excessively high fever), cardiovascular shock or death ✅Severe
manifestations of serotonin syndrome can lead to what ?

Signs and symptoms of SSR/NDRI (serotonin syndrome) ✅-hyperactivity or
restlessness
-tachycardia ----> cardiovascular shock
-fever ----> hyperpyrexia
-elevated blood pressure
-altered mental status (delirium)
-irrationality
-mood swings
-hostility
-seizures
-myoclonus (muscle spasms)
-incoordination
-tonic rigidity
-abdominal pain
-diarrhea
-bloating
-apnea ---> death

Silence ✅gives the person time to collect thoughts or think through a point

Example: encouraging a person to talk by waiting for the answers

Interventions of SSR/NDRI (serotonin syndrome) ✅-removing offending agent

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72042 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.49
  • (0)
  Add to cart