Exam (elaborations)
350 FINAL EXAM ONLY
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Exam of 44 pages for the course NUR 350 at NUR 350 (350 FINAL EXAM ONLY)
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NUR 350 Final Exam 2023-2024flunitrazepam (Rohypnol) or GHB
(gammahydroxybutyrate) are two drugs that can be
used after someone is sexually assaulted. These
drugs are the _________ ________ drugs. - ANSWER date rape drugs
The classification of medications that used to treat
anxiety is called? - ANSWER benzodiazepines
Name facts about benzodiazepines - ANSWER a.First choice unless patient has
addictive
behaviors
B Addictive
c. Ativan, Xanax
d. Used for OCD, panic disorders
e. Fast acting
f. Withdrawal symptoms: seizures, delirium
g. Do not stop abruptly
buspirone (BuSpar) - ANSWER This medication is in its own class. It is used to
help control anxiety. It is given as a scheduled
med - taken every day.
Is used often with patients who have addiction
history
Hydroxyzine (Vistaril ) - ANSWER This is an antihistamine
Used for patients with addictive behaviors to help
decrease anxiety
,Is given as needed - prn
Used a lot with patients who have addiction
history
what classification is the SSRIs? - ANSWER antidepressants
what neurotransmitter does SSRI work on? - ANSWER increase serotonin
what is the best classification to use first to treat depression? - ANSWER SSRI
and SNRI
what can happen is SSRI is stopped suddenly? - ANSWER serotonin syndrome
what classification is SNRIs? - ANSWER antidepressants
what neurotransmitter does SNRI work on and how? - ANSWER increase
serotonin and norepinephrine
what is the second best drug classification used to treat depression - ANSWER
TCA
important facts about TCA - ANSWER a.Second best choice
b.Takes apx. 6-8 weeks to take effect
c.Watch for possible signs of patient wanting to
overdose
d.Do not stop abruptly
what classification is MAOI? - ANSWER antidepressant
facts about MAOI - ANSWER Last choice to use
Many drug-drug interactions
Cause hypertensive crisis
Must be on low tyramine diet
A patient is taking an MAOI. What diet should the
,patient be on? Describe foods to avoid on the
diet? - ANSWER Must be on low tyramine diet
Avoid anything pickled, processed, aged food,
pizza, chocolate, caffeine, bananas, aged cheese
name the two main drugs that are MAOIs - ANSWER nardil, parnate
the patient is going to have a medication change. They are going to stop an SSRI
and begin taking an MAOI. How does the nurse do this? - ANSWER Must be off
many psychotropic for about 10
days before starting this medication.
If not can have a hypertensive crisis reaction
and this leads to a stroke
What is Trazodone (Desyrel)? - ANSWER This is an antidepressant that is used
often to
help patients sleep
If used for sleep would be given only at
bedtime and often is given as a prn medication.
If used for depression it is never given prn and
is give anywhere from one to three times a day
scheduled.
name two side effects of trazadone (desyrel) - ANSWER fatigue, priapism
bupropion (Wellbutrin) - What is it used
for? - ANSWER Depression
Can be used for smoking cessation
Is in a class of its own
Important facts about bupropion (Wellbutrin) - ANSWER No weight gain
Not always effective
, Decreases seizure threshold
Nursing considerations for bupropion
(Wellbutrin) - ANSWER Decreases seizure threshold; do not give to a
patient with a seizure disorder
If someone overdoses on this medication, they are
at high risk for seizures
It is important to make sure the dose is within the
therapeutic range - large doses can cause seizures
What is considered the last resort to treating
depression? - ANSWER ECT
Pre-op nursing interventions for a patient going to
ECT - ANSWER Patient needs to sign surgical consent form for
the ECT
Take shower night before
Wear hospital gown with no metal snaps
Do not administer benzodiazepines or
anitseizure medications after 5PM the day
before the treatment
Post-op nursing interventions after a ECT - ANSWER Orient patient frequently
Do Mental Status Assessment every 4 hours for 24
hours
Immediately after ECT patients physical needs are
highest priority
ADL's, eating, toileting, vital signs, respiratory
status,- becomes the focus of care for the first 2 to
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