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NURS 663 EXAM 1|| ACTUAL EXAM ALL QUESTIONS AND CORRECT ANSWERS 100%|| FRLLY COVERED VERSION 1 TEST BANK WITH VERIFIED SOLUTIONS|| ASSURED PASS!!!$25.99
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NURS 663 EXAM 1|| ACTUAL EXAM ALL
QUESTIONS AND CORRECT ANSWERS 100%||
FRLLY COVERED VERSION 1 TEST BANK WITH
VERIFIED SOLUTIONS|| ASSURED PASS!!!
what are modifiable risk factors for suicide? - ANSWER: - unrealistic
expectations
perfectionism
poor coping skills
what are some warnings signs of suicide? - ANSWER: ideation, substance use
purposelessness, anxiety, "trapped", hopeless
withdrawal, anger, recklessness, mood changes
what three classes of medication are used as mood stabilizers? - ANSWER:
lithium
anticonvulsants
antipsychotics
what medication can help reduce the risk of suicide? - ANSWER: lithium
what symptoms of bipolar does lithium help? - ANSWER: mania and depression
what blood tests need to be completed before starting lithium? - ANSWER:
kidney (creatinine), TSH, CBC, pregnancy test
what is the goal blood trough level for lithium? - ANSWER: 0.6 - 1.2 mEq/L
,2|Pag e
what are the most common side effects of lithium use? - ANSWER: GI upset
weight gain
tremor
hair loss/acne
can cause:
leukocytosis
polyuria/polydipsia secondary to ADH antagonism
thyroid abnormalities
what are the levels and signs of lithium toxicity? - ANSWER: mild (1.5-2):
lethargy, tremor, increased GI upset
moderate (2-2.5) confusion, nystagmus
severe (>2.5) convulsions, oliguria, renal failure, seizures
what type of change on ECG might you see with lithium overdose? - ANSWER: T
wave flattened
what birth defect might be present with lithium use? - ANSWER: ebstein's
anomoly
how do you treat lithium overdose? - ANSWER: *dialysis*
sodium polystyrene sulfonate
, 3|Pag e
what type of bipolar symptoms does valproic acid help? - ANSWER: mania
- less effective with depression
what is the starting dose of lithium? - ANSWER: 300mg BID or TID
what types of bipolar patients might benefit most from valproic acid? - ANSWER:
rapid cycling
mixed
patient with comorbid anxiety
comorbid substance use
what lab tests should be monitored with valproic acid? - ANSWER: LFT, CBC,
pregnancy test
what supplement should be started in women of childbearing age who are taking
valproic acid? - ANSWER: folic acid
what is the target blood level of valproic acid? - ANSWER: 50-100 mcg/ml
what are side effects of valproic acid? - ANSWER: thrombocytopenia,
pancreatitis, weight gain, hair loss, GI distress, cognitive dulling, neural tube
defects in pregnancy
*weight gain and sedation
- watch for increase in ammonia and transaminitis
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