NURS 180 Week 3 Quiz (Latest 2026/2027) | Pharmacology Study Guide | Questions & Verified Answers | Pass Guaranteed | Grade A | WCU

NURS 180 Week 3 Quiz (Latest 2026/2027) | Pharmacology Study Guide | Questions & Verified Answers | Pass Guaranteed | Grade A | WCU Q: What is a lithium ? Answer antimanic a naturally occurring salt Q: True or False There is an interaction between the level of lithium in the blood and common table salt Answer True Q: What is the normal therapeutic blood levels of lithium range? Answer 0.6-1.2 mEq/L (Mv-250) Q: True or False Once patients is no longer manic, the need for lithium drugs drops dramatically Answer True Q: What is the action of lithium? Answer replaces intracellular and intraneuronal sodium, stabilizes neuronal membrane. Reduces release of norepinephrine and increases uptake of tryptophan. Exact action unknown Q: What are the uses of lithium? Answer mania, prevention of recurrent cycles Q: What do you monitor when a patient is taking lithium ? Answer Electrolytes, glucose, BUN/creatinine, urinalysis, thyroid function Q: True or False Answer You should always be aware of the patient's lithium level prior to administering the medication. True Q: What are common side effects of Lithium ? Answer -nausea, -vomiting -anorexia, Q: What are serious adverse effects of Lithium ? Answer -lithium toxicity -Persistent vomiting, -profuse diarrhea -Hyperreflexia, -lethargy, -weakness -Progressive fatigue, -weight gain (hypothyroid) -Hyperglycemia -Nephrotoxicity Q: Does lithium reduce sodium levels ? Answer yes Q: What is the action of valproic acid (depakote) ? Answer increases the levels of ami-nobutyric acid (GABA) in the brain, which decreases seizure activity Q: What are uses of valproic acid (depakote) ? Answer -simple/complex (petit mal)/absent/mixed/tonic clonic (grand mal) seizures -manic episodes associated with bipolar disorder -schizophrenia Q: True or False You shouldn't discontinue valproic acid. Answer True Q: What do you monitor for when a patient is taking valproic acid (depakote) ? Answer -sducidal thoughts/behavior -platelets -signs of hepatotoxicity : dark colored urine, jaundice -AST, ALT Q: What are side effects of valproic acid ? Answer -sedation -drowsiness -n/v Q: What are adverse effects of valproic acid ? Answer -suicidal ideation -hypothermia -pancreatitis -hepatotoxicity -thrombocytopenia -leukopenia -DRESS -hyperammonemia Q: What is the therapeutic blood serum level for valproic acid ? Answer 50-125 mcg/mL Q: What are the black box warnings of valproic acid ? Answer -hepatotoxicity -pancreatitis -pregnancy/breastfeeding Q: What duo you teach a patient taking valproic acid ? Answer -avoid driving -drink plenty of fluids -don't discontinue abruptly Q: What are the uses of aripiprazole (Abilify) ? Answer -schizophrenia -bipolar disorder -mania -major depressive disorder -irritability in pts with autism Q: What are the precautions for aripiprazole (abilify) ? Answer -renal/hepatic/cardiac disease -pregnancy Q: What is the black box warning for aripiprazole ? Answer -children with depression -suicidal ideation Q: What are common side effects of aripiprazole ? Answer -drowsiness, insomnia, agitation/headache/light headness -anxiety, akathisia (inability to remain still) -tremors -blurred vision, rhinitis -constipation/n/v, weight gin -rash, dry skin -orthostatic hypotension, hyperglycemia Q: What are adverse effects of aripiprazole ? Answer -seizures -neuroleptic malignant syndrome -suicidal ideation -tachycardia -agranulocytosis -anemia -leukemia -death among geriatric pts -hypersensitivity Q: What would you teach a patent taking aripiprazole ? Answer -orthostatic hypotension may occur, rise slowly -avoid hot tubs, hot showers, baths, hypotension may occur -don't abruptly withdrawl -avoid OTC -report impaired vision, tremors, muscle twitching -weight gain may occur Q: What is the overdose treatment for aripiprazole ? Answer lavage if orally ingested, provide airway, don't induce vomiting Q: What is a contraindication of aripiprazole ? Answer hypersensitivity to modafinil Q: What is the action of venlafaxine (Effexor) ? Answer potent inhibitor of neuronal serotonin and norepinephrine uptake, weak inhibitor of dopamine, no muscularinic, histaminergic or adrenergic receptors in vitro What are the uses of venlafaxine ? Answer -prevention/treatment of major depression -depression at the end of life -anxiety disorder -panic disorder -social anxiety disorder What are contraindication of venlafaxine ? Answer MAOIs What is the black box warning for venlafaxine ? Answer -suicidal ideation -children What are common side effects of venlafaxine ? -dizziness -weakness -hallucinations/insomnia -axiety -abnormal dreams, parathesia -abnormal vision What are adverse effects of venlafaxine ? -suicidal ideation in children/adolescents -seizures -tachycardia -SJS -angioedema -change on QTc interval -neuroeptic malignant syndrome like reaction What do you monitor for while a patient is taking venlafaxine ? -bleeding -BP, hypertension -withdrawl symptoms -CBC, AST, ALT -weight -serotonin syndrome What do you teach a patient that is taking venlafaxine ? avoid alcohol What is the overdose treatment fr venlafaxine ? ECG monitoring, lavage, administer anticonvulsant, may require whole bowel irrigation True or False You can't mix NSAIDs with lithium. True