Maryville University Of St. Louis

A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The nursing assistive personnel (NAP) then reports to the nurse that the patient's blood pressure was low when it was taken at 0830. The NAP states they were busy and did not have a chance to tell the nurse yet. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is rechecked and it has dropped even lower. In which phase of the nursing process did the nurse first make ...

Sertraline (Zoloft) Major Side Effects correct answer: insomnia, somnolence, HA, dry mouth, sex dysfunction, nausea & diarrhea Fluoxetine (Prozac) Major Side Effect correct answer: Activating (UPPER); AGITATION, INSOMNIA, nausea, vomiting, sex dysfunction, GI, serotonin syndrome Paraoxetine (Paxil) Major Side Effects correct answer: Anticholinergic (can't see, can't sleep, can't shit, can't spit), CYP2D6 inhibitor, increases TCA, phenothiazines, Type 1C antiarrhythmics, ...

mesolimbic pathway correct answer: subcortical part of the brain involved in cognition and emotion Name the dopamine pathways and the symptoms associated correct answer: 1. NIGROSTRIATAL- to basal ganglia--movements 2. MESOLIMBIC- positive symptoms (assoc w/ euphoria and drug abuse 3.MESOCORTICAL-- with C's VTA-DLPFC - cognitive sympts; VTA-VMPFC- affective symptoms 4. TUBEROINFUNDIBULAR--hypothalamus to anterior pituitary; hyperprolactemia 5. THALAMIC --involved in deep sleep/aro...

Which of the following is considered the pleasure center of the brain? A. Cortico-striatal-thalamic-cortical loop B. Mesolimbic dopamine pathway C. Mesocortical dopamine pathway D. None of the above correct answer: B. Mesolimbic dopamine pathway A 35-year-old cigarette smoker would like to quit but is nervous because she typically craves a cigarette approximately every 2 hrs. The craving and withdrawal are due to: A. Desensitization of nicotinic receptors B. Resensitization of nicotini...

Cyclothymic Disorder Diagnostic Criteria: correct answer: • Diagnostic Criteria: For at least 2 years (1 year in children and adolescents) there have been numerous periods with hypomanic symptoms that do not meet the criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet the criteria for a major depressive episode • During the above 1- or 2-year period, the hypomanic and depressive periods have been present for at least half of the time and the...

Risperidone Side Effects correct answer: diabetes and dyslipidemia, dose-dependent EPS, dose-dependent -activating-insomnia, anxiety, sedation, Nausea, dose-dependent sexual dysfunction, rare - TD, Risperidone Drug interactions correct answer: increase hypertensive agents, antagonize levodopa and dopamine agonists., Clozapine clearance of risperidone elevated plasma levels, Coadministration decrease risperidone, fluoxetine and paroxetine may increase risperidone Thioridazine Side Effects...

Which statement would indicate the need for further teaching? A. If skin area gets red but red goas away after turning, I should report it to the nurse B. Putting foam pads under the heels or other bony prominences can help decrease pressure C. If a person cannot turn himself in bed, someone should help them change position every 4 hours D. Skin should be washed with only warm water (not hot) and lotion put on wile it is still little whet correct answer: C. If a person cannot turn h...

The effects of GLP-1 Agonist medications include all of the following EXCEPT: Select one: a. glucagon induced gluconeogenesis b. increased satiety c. improved glycemic control d. glucose dependent insulin secretion correct answer: glucagon induced gluconeogenesis A common adverse effect with SGLT-2 Inhibitors is: Select one: a. edema b. mycotic infection c. hypertension d. weight gain correct answer: Mycotic Infection Due to the increased risk for hypoglycemia, the following tw...

Which of the following are important to teach to patients about preoperatively? Select all that apply. correct answer: -how to effectively use the incentive spirometer -the importance of early ambulation -what devices and drains they can expect to be connected to following surgery -how to effectively cough and deep breathe -plan for postoperative pain control T/F: Legal informed consent must include adequate disclosure, patient understanding of information, and voluntary consent. correct...

Minimum ANC level to prescribe Clozapine, general population: correct answer: 1,500 μL Severe Neutropenia correct answer: < 500μL Moderate Neutropenia correct answer: 500-999μL Mild Neutropenia correct answer: 1000-1499μL BEN patients: Normal ANC range for Clozaril correct answer: ≥1,000 μL Clozaril BEN patient: severe neutropenia correct answer: <500 μL BEN neutropenia correct answer: 500-999 μL Lower ANC threshold for starting clozapine: General popul...