Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Nursing 103 > NU 103 Lecture 4 > Flashcards

NU 103 Lecture 4 Flashcards

(58 cards)

Start Studying
1
Q

AIMS?

A

Abnormal Involuntary Movement Scale.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Purpose of AIMS?

A

This tool is used to monitor involuntary movements and tardive dyskinesia in clients who take antipsychotic medication.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Extrapyramidal Adverse Effects

A

-Acute Dystonia
-Pseudoparkinsonism
-Akathisia
-Neuroleptic malignant Syndrome
-Tardive Dyskinesia (TD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Acute Dystonia Timeline

A

1- 5 days after drug initiation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Acute Dystonia Manifestations

A

Uncontrolled spasm of the tongue, neck, face, and back.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Pseudoparkinsonism Timeline

A

1-4 weeks after drug initiation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Pseudoparkinsonism manifestations

A

Bradykinesia, Rigidity, and Tremors including pill-rolling.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Akathisia Timeline

A

5-60 days after drug initiation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Akathisia Manifestation

A

Restlessness or Inability to sit or stand still.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Neuroleptic malignant Syndrome Timeline

A

Weeks to Months after Drug Initiation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Neuroleptic malignant syndrome manifestations

A

Muscle Rigidity, Fever, Unstable BP, and/or myoglobinemia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Neuroleptic malignant syndrome Nursing care

A

-Stop medication immediately
-Treat Symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Tardive Dyskinesia (TD) Timeline

A

Months to years after drug initiation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Tardive Dyskinesia (TD) Manifestations

A

Involuntary painless movement of the face and upper limbs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Most Significant Side Effects of the 1st generation antipsychotics?

A

Tardive Dyskinesia (TD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When Assessing 1st generation medication always assess ?

A

Timeline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What can exacerbate Psychotic episodes?

A

Lack of Sleep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

A NURSE IS DISCUSSING MANIFESTATIONS OF SCHIZOPHRENIA. WHICH OF THE FOLLOWING MANIFESTATIONS SHOULD THE NURSE IDENTIFY AS BEING EFFECTIVELY TREATED BY FIRST-GENERATION ANTIPSYCHOTICS? SELECT ALL THAT APPLY.

A. Auditory hallucinations
B. Withdrawal from social situations
C. Delusions of grandeur
D. Severe agitation
E. Anhedonia

A

A. Auditory hallucinations
C. Delusions of grandeur
D. Severe agitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

A NURSE IS CARING FOR A CLIENT IN AN ACUTE MENTAL HEALTH UNIT. THE CLIENT REPORTS HEARING VOICES THAT ARE STATING, “KILL YOUR DOCTOR.
WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE TAKE FIRST?

A. Encourage the client to participate in group therapy on the unit
B. Initiate one-to-one observation of the client
C. Focus the client on reality
D. Notify the provider of the client’s statement

A

B. Initiate one-to-one observation of the client

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Psychotic Disorder Positive Symptoms

A

-Hallucinations
-Delusions
-Alterations in speech
-Bizarre behavior (walking backward constantly)
-Poor Judgement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Psychotic Disorder Negative Symptoms

A

-Affect
-Alogia
-Anergia
-Anhedonia
-Avolition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Most significant 1st generation medication?

A

-Haloperidol/ Haldol
-Chlorpromazine/ Thorazine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Selective Serotonin Reuptake Inhibitors (SSRI) main medications

A

-Fluoxetine/ Prozac
-Sertraline/ Zoloft

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

SSRIs expected pharmacological action?

Study These Flashcards
A

-Have less side effects than SNRIs
-Selectively block the reuptake of the monoamine neurotransmitter serotonin in the synaptic space, thereby intensifying the effects of serotonin.

25
Serotonin syndrome
-High levels of seratonin -Can begin 2 to 72 hours after starting treatment and can be lethal.
26
Serotonin syndrome Manifestations
"HARMFUL" -Hyperthermia -Anti-Cognitive -Reflexes -Myoclonus -Fast Heart Rate -Unconsciousness -Loss of GI Control
27
A nurse is assessing a client who has been taking sertraline for the past 2 days. The nurse should identify which of the following findings can indicate the client is developing serotonin syndrome. A. Bruising B. Fever C. Tinnitus D. Rash
B. Fever
28
Tricyclic Antidepressants
-Intensified Effects of Neurotransmitter. -It can take 4-8 weeks to kick in.
29
Tricyclic Antidepressants Main Medication
Amitriptyline
30
Tricyclic Antidepressants Uses
-Depression Disorder -Bipolar -Anxiety -OCD & ADHD
31
Tricyclic Antidepressants Contraindications
-Seizure Disorder -Pregnancy Risk C -Can Increase Suicide Risk
32
Antidote for Serotonin Syndrome
-Cyropheptodine
33
Tricyclic Antidepressants Main Complication
-Orthostatic Hypotension
34
Monoamine oxidase inhibitors (MAOIs) main medications
-Nardil/ Phenelzine -Selegiline/ Emsam
35
Monoamine oxidase inhibitors (MAOIs) Uses
-Depression/ Anxiety -Bulimia -OCD & PTSD
36
What can cause a Hypertensive Crisis when taking MAOIs?
-Tyramine
37
A NURSE IS EDUCATING A CLIENT ON AMITRIPTYLINE. WHICH OF THE FOLLOWING STATEMENTS BY THE CLIENT INDICATES AN UNDERSTANDING OF THE TEACHING? A."| can expect to experience diarrhea while taking this medication" B."I may feel drowsy for a few weeks after starting this medication" C. "I cannot eat my favorite pizza with pepperoni while taking this medication" D. "This medication will help me lose the weight that I've gained over the last year"
B."I may feel drowsy for a few weeks after starting this medication"
38
A NURSE WORKING ON AN ACUTE MENTAL HEALTH UNIT IS ADMITTING A CLIENT WITH MDD AND COMORBID ANXIETY DISORDER. WHICH OF THE FOLLOWING ACTIONS IS THE NURSE'S PRIORITY? A. Placing the client on one-to-one observation B. Assisting the client to perform ADL's C. Encouraging the client to participate in counseling D. Teaching the client about medication's adverse effects
A. Placing the client on one-to-one observation
39
Bipolar Disorder medications
-Mood Stabilizer/ Lithium
40
Lithium Long-Term Treatment main complication?
-Hypothyroidism
41
Lithium Toxicity Levels
-Common Adverse Effects -0.6 to 1.2 mEq/L -Early Indications -1.5 to 2.0 mEq/L -Advance Indications -2.0 to 2.5 mEq/L -Severe Toxicity -Greater than 2.5 mEq/L
42
Lithium Early Toxicity Indications Manifestations
-Confusion -Sedation -Coarse Tremors -GI Distress
43
Lithium Early Toxicity Level Nursing Care
-Excretion needs to be promoted -Withhold medication -New dosage can be administered based on blood lithium or sodium levels.
44
Lithium Advance Toxicity Indications Manifestations
-Extreme Polyuria -Blurred Vision -Ataxia -Seizures -Severe Hypotension
45
Treatment for Serotonin Syndrome
-Benzodiazepines
46
Lithium Advance Toxicity Level Nursing Care
-Gastric Lavage
47
Lithium Severe Toxicity Manifestations
-Coma and Death
48
Lithium Severe Toxicity Nursing Care
-Hemodialysis
49
After what treatment we use Lithium/ Mood stabilizers?
-Electroconvulsive Treatment (ECT)
50
Lithium Client Education
-2 to 3 grams of sodium a day. -2 to 3 liters of water a day.
51
Mood-stabilizing antiepileptic/ Anticonvulsant medications?
-Carbamazepine -Valproate -Lamotrigine
52
Mood-stabilizing antiepileptic/ Anticonvulsant medication Purpose?
-Suppress CNS excitation. -Prevent Relapse of Manic/ depressive -Mixed mania -Rapid Cycling-DIsorder
53
Carbamazepine Complications/ manifestations
-Blood Dyscrasias -Leukopenia (WBC) -Increase Infections -Fluid Overload -promotes ADH -Skin Disorders -Stevens-Johnson Syndrome
54
Carbamazepine Considerations
-Interacts with BCP & Warfarin/Coumadin -Avoid grapefruit juice -4-12 mcg/mL
55
Valproate Considerations
-Other anticonvulsants decrease effect. -50-120 mcg/mL
56
Valproate Complications/ Manifestations
-GI effects -Nausea, Vomiting -Hepatotoxicity -Pancreatitis -Thrombocytopenia -Increase in bleeding
57
Valproate Nursing Care
-Educate on Jaundice -Liver Function at baseline and routine.
58
A NURSE IS PLANNING CARE FOR A PATIENT WITH BIPOLAR DISORDER AND IS EXPERIENCING A MANIC EPISODE. WHICH OF THE FOLLOWING INTERVENTIONS SHOULD THE NURSE INCLUDE IN HER PLAN OF CARE? SELECT ALL THAT APPLY. A. Provide flexible client behavior expectations B. Offer concise explanations C. Establish consistent limits D. Disregard client concerns E. Use a firm approach to communication
A. Provide flexible client behavior expectations B. Offer concise explanations C. Establish consistent limits D. Disregard client concerns E. Use a firm approach to communication

Nursing 103 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions