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Week 5 BSN 315 Antidepressant and Mood Stabilizer Drug Therapy Questions With Complete Solutions
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Week 5 BSN 315 Antidepressant and Mood Stabilizer Drug Therapy Questions With Complete Solutions
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Week 5 BSN 315 Antidepressant and Mood Stabilizer DrugTherapy Questions With Complete Solutions
CASE STUDY DETAILS
Mr. Chandler is an older adult who has been admitted to the
hospital with vomiting, abdominal pain, diarrhea, blurred vision,
and severe tremors. He has a history of bipolar disorder and
major depression. Mr. Chandler is currently taking lithium 300
mg PO every 8 hours and sertraline 50 mg PO every day. His
lithium level is 2.5 mEq/L. According to the patient's wife, he
started a low-sodium diet 3 months ago in an effort to control his
blood pressure. Correct Answer
Case Study:
Nurse holding clipboard sitting next to a teenage girl sitting on a
hospital bed
Christine, a 13-year-old female patient, is diagnosed with
attention-deficit/hyperactivity disorder (ADHD) after 14 months
of inability to focus on school assignments and dance practice.
Christine is taking prescribed methylphenidate 5 mg two times
daily for 2 weeks. The health care provider has prescribed that
Christine's medication dose be increased to 10 mg twice daily if
Christine shows signs of improvement after the 2 weeks.
Correct Answer
Central Nervous System Stimulant Therapy:
Question 1 of 4
Which action occurs within the central nervous system (CNS)
with the use of amphetamines?
Select all that apply.
Block the reuptake of dopamine and norepinephrine
,Stimulate the release of dopamine and norepinephrine
Stimulate the reuptake of dopamine and norepinephrine
Block the release of dopamine and norepinephrine
Block the release of dopamine and stimulate the release of
norepinephrine
Block the release of norepinephrine and stimulate the release of
dopamine Correct Answer
Mechanism of Action:
Amphetamines stimulate the release of norepinephrine and
dopamine from the brain and sympathetic nervous system
(peripheral nerve terminals) and inhibit the reuptake of these
transmitters.
Therapeutic Uses:
Methylphenidate helps correct ADHD by decreasing
hyperactivity and improving the attention span. This drug may
also be prescribed for narcolepsy. Amphetamine-like drugs are
considered generally safer and more effective than
amphetamines for treating ADHD.
Pharmacokinetics of Phentermine
-Phentermine is used as an appetite suppressor for weight loss
under a health care provider's supervision.
Mechanism of action:
Anorexiants suppress the appetite by stimulating the limbic and
hypothalamic regions of the brain.
Doxapram is an analeptic used for postanesthesia respiratory
depression.
-Doxapram stimulates an increase in patient's tidal volume and a
small increase in respiratory rate. This effect Correct Answer
, Methylphenidate:. (caffeine-CNS stimulant)
General Teaching
-Encourage patients to use sugarless gum to relieve dry mouth.
-Advise patients to record weight twice a week and report any
weight loss.
-Teach patients about side effects and the need to report serious
side effects such as tachycardia and palpitations.
-Advise parents and/or caregivers to monitor children taking
methylphenidate for onset of Tourette syndrome.
-Teach patients that amphetamines can cause adverse effects in
the CNS and cardiovascular, GI, and endocrine systems; side
effects and adverse reactions include restlessness, insomnia,
tachycardia, hypertension, heart palpitations, dry mouth,
anorexia, and weight loss.
-Teach patients not to take the medication after 6 p.m. to avoid
insomnia
Teach patients to take the drug before meals.
-Advise patients to avoid foods and drinks that contain caffeine.
-Encourage parents to provide children taking meth Correct
Answer
Question 1 of 14
A patient taking long-term amphetamines is ready to be weaned
off of the medication. Which information is most important for
the nurse to provide the patient about medication
discontinuation?
Abrupt discontinuation can cause rapid weight gain.
Abrupt discontinuation can cause respiratory distress.
Abrupt discontinuation can cause worsening
attention-deficit/hyperactivity disorder (ADHD) symptoms.
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