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NURS 3365 - Pharmacology in Nursing Practice Psychotherapeutic Drugs Questions With Complete pdf 100% correct $11.49   Add to cart

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NURS 3365 - Pharmacology in Nursing Practice Psychotherapeutic Drugs Questions With Complete pdf 100% correct

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NURS 3365 - Pharmacology in Nursing Practice Psychotherapeutic Drugs Questions With Complete

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  • August 31, 2024
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NURS 3365 - Pharmacology in Nursing Practice: Psychotherapeutic Drug



1 Nonpharmacologic Interventions for Anxiety: correct answer Relaxation

techniques like deep breathing, guided imagery, and music, psychotherapy, and

support groups.


Should be used before starting anxiolytics or in conjunction with anxiolytics.

1. Benzodiazepines: Indications: correct

answer Insomnia Anxiety

Seizures

Muscle spasms

Status epilepticus

Anesthesia

2. Examples of Benzodiazepines: correct answer

Alprazolam (Xanax) Lorazepam (Ativan)

Diazepam (Valium)

Chlordiazepoxide (Librium)

Flurazepam (Dalmane)

Triazolam (Halcion)

Oxazepam (Serax)


,3. "-pam" and "-lam": correct answer Benzodiazepines

4. Benzodiazepines: MOA: Depress CNS activity; thought to stimulate GABA re-

ceptors in the brain (main inhibitory neurotransmitter of the brain).

5. Benzodiazepines: Contraindications: correct

answer Allergy Pregnancy

Narrow-angle glaucoma

6. Benzodiazepines: Side Effects: correct

answer Drowsiness Dizziness

Cognitive impairment

Lethargy

Amnesia

Confusion

"Hangover"

7. Benzodiazepines: Interactions: correct answer Other CNS depressants (cause

increased se- dation effects)

Valerian root

Kava kava

Grapefruit (prolongs effects of benzodiazepine)

8. Benzodiazepines: Toxicity and Management: correct answer Toxicity is more



,likely to happen if pt is taking other CNS depressants such as alcohol, opioids, or

barbiturates.


Treatment is symptomatic and supportive; antidote is flumazenil, though it's not






, commonly used due to risk of seizures - it's most likely to be used for anesthesia

reversal.

9. Nursing Process: Assessment - Benzodiazepines: correct answer Obtain

drug history - look for use of kava kava, valerian root, alcohol, or other CNS

depressants; does the pt drink grapefruit juice?

Vital signs; look for low BP and at HR and RR.

Look at renal function (BUN, creatinine levels).

Assess past medical history and any previous use of benzodiazepines, pt's preg-

nancy status; look for narrow-angle glaucoma.

Assess pt for anxiety, suicidal thoughts or ideations, history of self harm.

10. Nursing Process: Diagnosis - Benzodiazepines: correct answer Anxiety

11. Nursing Process: Planning - Benzodiazepines: correct answer Ultimately

depends on why the pt is being prescribed a benzodiazepine. Could be: pt is free

from injuring on benzodiazepine (accidental or purposeful).

Pt experiences less anxiety.

12. Nursing Process: Implementation - Benzodiazepines: correct answer Bed

alarm is in use (especially for older pts and pts taking benzodiazepines for the

first time). Monitor vital signs (BP/HR/RR).

Monitor renal function (UO, BUN, creatinine levels).

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