NU 150 EXAM 4 LATEST
QUESTIONS AND VERIFIED
CORRECT ANSWERS 100%
GUARANTEED PASS GRADED
A+
Fluoxetine & Citalopram - CORRECT ANSWER-Use: Depression.
Fluoxetine & Citalopram Interventions & Teaching - CORRECT ANSWER-Common side effects
include GI upset, weight changes, and sexual dysfunction; advocate for the patient to discuss
alternatives if sexual dysfunction causes non-compliance. SSRIs are activating and frequently
cause insomnia; administer in the morning. The highest risk for suicidal ideation occurs during
the first 2-4 weeks of therapy when energy levels improve but depression remains. Serotonin
syndrome is a risk; suspect this if the client presents with agitation, diaphoresis, hyperreflexia,
and fever. Citalopram is known to cause dose-dependent QT interval prolongation on an ECG.
Older adults are at risk for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), leading to
dangerous dilutional hyponatremia.
Venlafaxine - CORRECT ANSWER-Use: Depression.
Venlafaxine Interventions & Teaching - CORRECT ANSWER-A strict 14-day 'washout' period is
required between stopping an MAOI and starting an SNRI to prevent fatal drug interactions.
Closely monitor blood pressure, as the effect on norepinephrine can cause sustained
hypertension. Abruptly stopping the medication causes discontinuation syndrome,
characterized by dizziness, nausea, and 'electric shock' (brain zaps) sensations.
, Phenelzine - CORRECT ANSWER-Use: Depression.
Phenelzine Interventions & Teaching - CORRECT ANSWER-Consuming tyramine leads to a fatal
hypertensive crisis. Tyramine is found in aged, fermented, or cured foods like salami and aged
cheddar cheese. Fresh, unfermented foods like grilled chicken, hamburger, and milk are safe.
Fatal hypertensive crisis can also occur if combined with over-the-counter sympathomimetics,
such as decongestants containing pseudoephedrine.
Haloperidol - CORRECT ANSWER-Use: Psychosis, long-term management.
Haloperidol Interventions & Teaching - CORRECT ANSWER-High risk for Extrapyramidal
Symptoms (EPS). Acute dystonia presents as severe muscle spasms of the neck (torticollis) and
back; anticipate an immediate order for benztropine or diphenhydramine. Tardive dyskinesia
consists of irreversible, involuntary lip-smacking and repetitive tongue protrusions associated
with long-term use. Neuroleptic Malignant Syndrome (NMS) is an immediate medical
emergency characterized by sudden high fever, 'lead-pipe' muscle rigidity, and tachycardia;
notify the provider immediately.
Aripiprazole - CORRECT ANSWER-Use: Psychosis.
Aripiprazole Interventions & Teaching - CORRECT ANSWER-Generally has a lower risk of causing
Extrapyramidal Symptoms (EPS) compared to typical antipsychotics. Monitor for Akathisia, a
distressing feeling of intense inner restlessness and an inability to sit still. Carries a risk for
metabolic syndrome, requiring monitoring for weight gain, dyslipidemia, and altered blood
glucose levels.
Lithium - CORRECT ANSWER-Use: Bipolar disorder.
Lithium Interventions & Teaching - CORRECT ANSWER-The normal therapeutic range is 0.6 to
1.2 mEq/L. Maintaining a consistent intake of sodium is crucial; lithium and sodium have an
inverse relationship, so if sodium drops, lithium levels spike to toxic ranges. A blood level of 2.0
mEq/L is highly toxic and presents with severe tremors, ataxia, and confusion. Advise the client
QUESTIONS AND VERIFIED
CORRECT ANSWERS 100%
GUARANTEED PASS GRADED
A+
Fluoxetine & Citalopram - CORRECT ANSWER-Use: Depression.
Fluoxetine & Citalopram Interventions & Teaching - CORRECT ANSWER-Common side effects
include GI upset, weight changes, and sexual dysfunction; advocate for the patient to discuss
alternatives if sexual dysfunction causes non-compliance. SSRIs are activating and frequently
cause insomnia; administer in the morning. The highest risk for suicidal ideation occurs during
the first 2-4 weeks of therapy when energy levels improve but depression remains. Serotonin
syndrome is a risk; suspect this if the client presents with agitation, diaphoresis, hyperreflexia,
and fever. Citalopram is known to cause dose-dependent QT interval prolongation on an ECG.
Older adults are at risk for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), leading to
dangerous dilutional hyponatremia.
Venlafaxine - CORRECT ANSWER-Use: Depression.
Venlafaxine Interventions & Teaching - CORRECT ANSWER-A strict 14-day 'washout' period is
required between stopping an MAOI and starting an SNRI to prevent fatal drug interactions.
Closely monitor blood pressure, as the effect on norepinephrine can cause sustained
hypertension. Abruptly stopping the medication causes discontinuation syndrome,
characterized by dizziness, nausea, and 'electric shock' (brain zaps) sensations.
, Phenelzine - CORRECT ANSWER-Use: Depression.
Phenelzine Interventions & Teaching - CORRECT ANSWER-Consuming tyramine leads to a fatal
hypertensive crisis. Tyramine is found in aged, fermented, or cured foods like salami and aged
cheddar cheese. Fresh, unfermented foods like grilled chicken, hamburger, and milk are safe.
Fatal hypertensive crisis can also occur if combined with over-the-counter sympathomimetics,
such as decongestants containing pseudoephedrine.
Haloperidol - CORRECT ANSWER-Use: Psychosis, long-term management.
Haloperidol Interventions & Teaching - CORRECT ANSWER-High risk for Extrapyramidal
Symptoms (EPS). Acute dystonia presents as severe muscle spasms of the neck (torticollis) and
back; anticipate an immediate order for benztropine or diphenhydramine. Tardive dyskinesia
consists of irreversible, involuntary lip-smacking and repetitive tongue protrusions associated
with long-term use. Neuroleptic Malignant Syndrome (NMS) is an immediate medical
emergency characterized by sudden high fever, 'lead-pipe' muscle rigidity, and tachycardia;
notify the provider immediately.
Aripiprazole - CORRECT ANSWER-Use: Psychosis.
Aripiprazole Interventions & Teaching - CORRECT ANSWER-Generally has a lower risk of causing
Extrapyramidal Symptoms (EPS) compared to typical antipsychotics. Monitor for Akathisia, a
distressing feeling of intense inner restlessness and an inability to sit still. Carries a risk for
metabolic syndrome, requiring monitoring for weight gain, dyslipidemia, and altered blood
glucose levels.
Lithium - CORRECT ANSWER-Use: Bipolar disorder.
Lithium Interventions & Teaching - CORRECT ANSWER-The normal therapeutic range is 0.6 to
1.2 mEq/L. Maintaining a consistent intake of sodium is crucial; lithium and sodium have an
inverse relationship, so if sodium drops, lithium levels spike to toxic ranges. A blood level of 2.0
mEq/L is highly toxic and presents with severe tremors, ataxia, and confusion. Advise the client
