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Exam (elaborations)

Nurs 663 exam 1 Questions and Answers (100% Pass)

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  • Course
  • Nurs 663
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  • Nurs 663

what are modifiable risk factors for suicide? - unrealistic expectations perfectionism poor coping skills what are some warnings signs of suicide? ideation, substance use purposelessness, anxiety, "trapped", hopeless withdrawal, anger, recklessness, mood changes what three classes of medi...

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  • October 12, 2024
  • 36
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nurs 663
  • Nurs 663
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ExamArsenal
1 | P a g e | © copyright 2024/2025 | Grade A+




Nurs 663 exam 1 Questions and
Answers (100% Pass)
what are modifiable risk factors for suicide?


✓ - unrealistic expectations

perfectionism


poor coping skills




what are some warnings signs of suicide?


✓ ideation, substance use

purposelessness, anxiety, "trapped", hopeless


withdrawal, anger, recklessness, mood changes




what three classes of medication are used as mood stabilizers?


✓ lithium

anticonvulsants


antipsychotics




what medication can help reduce the risk of suicide?




Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

✓ lithium




what symptoms of bipolar does lithium help?


✓ mania and depression




what blood tests need to be completed before starting lithium?


✓ kidney (creatinine), TSH, CBC, pregnancy test




what is the goal blood trough level for lithium?


✓ 0.6 - 1.2 mEq/L




what are the most common side effects of lithium use?


✓ GI upset

weight gain


tremor


hair loss/acne




can cause:


leukocytosis


polyuria/polydipsia secondary to ADH antagonism

Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

thyroid abnormalities




what are the levels and signs of lithium toxicity?


✓ 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?


✓ T wave flattened




what birth defect might be present with lithium use?


✓ ebstein's anomoly




how do you treat lithium overdose?


✓ *dialysis*

sodium polystyrene sulfonate




what type of bipolar symptoms does valproic acid help?

Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

✓ mania

- less effective with depression




what is the starting dose of lithium?


✓ 300mg BID or TID




what types of bipolar patients might benefit most from valproic acid?


✓ rapid cycling

mixed


patient with comorbid anxiety


comorbid substance use




what lab tests should be monitored with valproic acid?


✓ LFT, CBC, pregnancy test




what supplement should be started in women of childbearing age who are

taking valproic acid?


✓ folic acid




what is the target blood level of valproic acid?


Master01 | October, 2024/2025 | Latest update

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