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Georgette Module 1 & 2 Questions With Complete Solutions
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Georgette Module 1 & 2 Questions With Complete SolutionsGeorgette Module 1 & 2 Questions With Complete Solutions
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Georgette Module 1 & 2 Questions With Complete Solutions1. Test Taking Strategies - correct answerRead the entire question carefully before answering and identifying what the question is seeking. Do not skim over the words or read them too quickly.
Þ When reading the question pay attention to keywords.
2. Test Taking Strategies - correct answerDo not read into the question. Only use the information provided by the examiner to answer the question without making any assumptions or adding more information in the question.
3. Test Taking Strategies - correct answerRead all the answer choices.
Þ Narrow down options to 2 possible right answers.
Þ Partially correct answers are not the correct answer.
Þ When two answer choices are the opposite of one another, one is usually the correct answer.
Þ The right answer option might have the same word(s) as the test question; it can be the same word or synonym of the word.
Þ Choose client-focused answers.
· Best Answer/Choice: Answers that acknowledge a patient's feelings and makes the patient feel heard.
Þ When many response choices are remarkably similar in meaning, they usually are wrong.
Þ Be wary of absolutes: all, only, always, every, must, never, none, everything, nothing, etc. usually wrong.
4. Test Taking Strategies - correct answerQuestions that use adjectives like "priority," "Initial action," test your ability to prioritize.
Þ Airway, Breathing, and Circulation,
Þ Maslow's Hierarchy of Needs (physiological needs (food, water, warmth, rest), safety, and security, etc.).
Þ Nursing Process (Assessment before intervention). Assessment is collecting data to support the problem towards a resolution.
5. Test Taking Strategies - correct answerSafety for the patient and others is usually the
right answer.
6. Test Taking Strategies - correct answerCulture is important to be included in all nursing care.
7. Test Taking Strategies - correct answerCritical thinking is important.
8. Test Taking Strategies - correct answerInterprofessional collaboration is encouraged.
Refer Out
Lithium (0.6-1.2 mEq/L) (PB pg. 180) - correct answerLithium toxicity can occur when this level reaches 1.5 mEq/L or higher. Georgette Module 1 & 2 Questions With Complete Solutions
What is the normal value of lithium? - correct answer0.6-1.2 mEq/L
What medication is the gold standard when treating manic episodes? - correct answerLithium
Which medication for the treatment of Bipolar 1 has evidence of anti-suicidal effects? - correct answerLithium
Which medication is neuroprotective treatment of choice for bipolar? - correct answerLithium
Baseline labs to get before initiation of lithium to ensure safety and efficacy (PB pg. 180)
- correct answer· Thyroid panel (TSH)
· Serum creatine (0.6-1.2 mg/dl)
· Blood urea nitrogen (BUN) (10-20 mg/dl)
· Pregnancy test (human chorionic gonadotropin (HCG)
· ECG for clients older than age 50
Side effects of Lithium (PB pg. 181)
Endocrine - correct answerHypothyroidism
Weight gain
Side effects of Lithium (PB pg. 181)
Central nervous system - correct answerFine hand tremors
Fatigue
Mental cloudiness
Headaches
Coarse hand tremors occur with toxicity
Nystagmus
Side effects of Lithium (PB pg. 181)
Dermatological - correct answerMaculopapular rash
Pruritis
Acne
Side effects of Lithium (PB pg. 181)
Gastrointestinal - correct answerGI upset
Diarrhea
Vomiting
Cramps
Anorexia
Side effects of Lithium (PB pg. 181)
Renal - correct answerDiabetes insipidus: Polyuria, Polydipsia
Edema Georgette Module 1 & 2 Questions With Complete Solutions
Microscopic tubular changes
Side effects of Lithium (PB pg. 181)
Cardiac - correct answerT-wave inversions
Dysrhythmia
Side effects of Lithium (PB pg. 181)
Hematologic - correct answerLeukocytosis (Increases WBCs)
Signs of Lithium toxicity - correct answerSevere nausea, vomiting, and diarrhea, confusion, convulsions, drowsiness, blurred vision, slurred speech, muscle weakness, heart palpitations, coarse hand tremors, and unsteadiness while standing or walking (ataxia).
What is the intervention of lithium toxicity? - correct answerDC Li and check serum Li levels
Hypertensive crisis (PB pg. 157) - correct answerHypertensive crisis occurs when MAOIs are taken in conjunction with foods containing tyramine, a dietary precursor to norepinephrine.
Hypertensive crisis is life-threatening and cannot be reversed unless... - correct answermore MAO is produced by the body.
Hypertensive crisis and death also can occur when MAOIs are taken in conjunction with
what certain medications: - correct answerÞ Meperidine
Þ Stimulants and other sympathomimetics
Þ Decongestants
Þ Tricyclic antidepressants (TCAs)
Þ Atypical antipsychotics
Þ St. John's wort
Þ L-tryptophan
Þ Asthma medication
Symptoms of Hypertensive Crisis (PB pg. 157) - correct answer· Elevated blood pressure
· Sudden, explosive-like headache, usually occipital region
· Facial flushing
· Palpitations
· Pupillary dilation
· Diaphoresis
· Fever
Symptoms of Hypertensive Crisis (PB pg. 157)
Treatment - correct answer· DC the offending agent (MAOI)
· Administer phentolamine Georgette Module 1 & 2 Questions With Complete Solutions
· Stabilize fever
Teratogenic risks of common psychiatric medications (PB pg. 118, last paragraph) - correct answer· Benzodiazepines: Floppy baby syndrome, cleft palate.
· Carbamazepine (Tegretol): Neural tube defect.
· Lithium (Eskalith): Epstein anomaly (congenital heart defect).
· Divalproex sodium (Depakote): Neural tube defects, specifically spina bifida.
What is the pregnancy risk for benzodiazepines? - correct answerFloppy baby syndrome, cleft palate.
What is the pregnancy risk for Carbamazepine (Tegretol)? - correct answerNeural tube defect.
What is the pregnancy risk for Lithium (Eskalith)? - correct answerEpstein anomaly (congenital heart defect).
What is the pregnancy risk for Divalproex sodium (Depakote)? - correct answerNeural tube defects, specifically spina bifida.
Side effects of mood stabilizers (PB pg. 181, 8th bullet point after the table) - correct answerLamictal
What is the black box warning of mood stabilizers? - correct answerStevens Johnson syndrome (severe rash).
Signs and symptoms of Steven Johnson Syndrome include: (PB pg. 184) - correct answer· Fever
· Sore throat
· Facial swelling
· Tongue swelling
· Rash
· Skin sloughing
· Prodromal headache, malaise, arthralgia (joint stiffness), and painful mucous membranes may occur before rash occurs.
What is the black box warning of Valproic acid/divalproex sodium? (PB pg. 181) - correct answerHepatoxicity and Pancreatitis
Carbamazepine (Tegretol) (PB pg. 181-182 (on the table)) - correct answerÞ Black box warning for carbamazepine: Agranulocytosis (decreased white blood cells) and aplastic anemia (pallor, fatigue, headache, fever, nosebleeds, bleeding gums, skin rash, shortness of breath).
What can carbazepine (Tegretol) cause, particularly in Asians? - correct answerStevens-Johnson syndrome
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