Medications
The nurse should educate the patient to do this when developing orthostatic hypotension in relation to taking amitriptyline.
What is sit at the side of the bed for one minute before standing?
The nurse should understand that patients taking clozapine will have this monitored frequently.
What is WBC's/neutrophils?
The nurse suspects this disorder when the patient reports feelings of hopelessness, poor appetite, insomnia, and low self-esteem for 3 years.
What is dysthymia?
The nurse suspects this disorder when the patient reports no interest in others and wants to be alone.
What is Schizoid Personality Disorder?
Why did the nursing student bring a red pencil to clinical?
In case they had to draw blood!!
This medication is used to treat mania in those with bipolar disorder.
What is lithium?
The nurse should understand that patients taking lithium should maintain their level between this.
What is 0.6-1.2 mEq/L?
This disorder is classified by positive and negative symptoms.
What is schizophrenia?
The nurse suspects this disorder when the patient lacks trust and is suspicious of others and has a habit of holding grudges.
What is Paranoid Personality Disorder?
This is the order in which you should assess the abdomen.
What is inspect, auscultate, percuss, and palpate?
This is the class of medication that nurses need to be aware could cause extrapyramidal symptoms.
Bonus 100 points if you can name a specific medication!
What are 1st generation (also called typical) antipsychotics?
Medication Examples: Haloperidol, chlorpromazine, droperidol, etc.
A patient who receives monthly injections of Haldol for his diagnosis of schizophrenia presents with involuntary facial movements, lip smacking, eye blinking, and swaying from side to side. The nurse suspects this disorder.
What is tardive dyskinesia?
A patient with schizophrenia is admitted for pneumonia. During transport to the inpatient unit, the patient becomes combative and pulls out his IV. The patient's O2 sat is 91% on RA. The nurse should perform the following orders by the provider in this sequence.
1. Place IV
2. Administer haloperidol 5 mg IM PRN q. 6 hrs for agitation
3. Consult a psychiatric health care provider for a psychiatric evaluation
4. Administer azithromycin 500 mg IVPB q. 24 hrs
2, 1, 4, 3
The nurse suspects this disorder when the patient has a strong fear of being abandoned, has labile mood swings, and displays impulsive and risky behavior.
What is Borderline Personality Disorder?
She is referred to as "The Lady with the Lamp".
Who is Florence Nightingale?
A patient has been prescribed isocarboxazid (Marplan) for depression. The nurse should instruct the patient to avoid this.
Bonus 100 points if you can give a specific example!
Examples: Aged cheeses and meats, draft beer, soy products, etc.
Prior to administration of lithium, this is the electrolyte level the nurse should check.
What is sodium?
This is a term often seen in those with mania and is defined as "a significant increase in the rate of speech, causing words to seem to fall on top of each other".
What is pressured speech?
The nurse suspects this disorder when the patient shows little concern for others, is often good at flattery and manipulating other’s for personal gain, are impulsive and tend to break the law repeatedly.
What is Antisocial Personality Disorder?
Nurses walk approximately this distance during a 12-hour shift.
What is 4-5 miles?
The nurse is preparing to medicate a combative patient who is on a psychiatric hold. The patient states that he does not want the medication and is refusing it. This is what the nurse should do.
What is educate and explain the purpose of the medication and give it to the patient?
A patient makes a comment that they "don't want to be here anymore". These are the next two questions that the nurse should ask.
What is: "Are you wanting to hurt yourself" and "Do you have a plan?"
A patient admitted voluntarily for treatment of an anxiety disorder demand to be released from the hospital. This is the action that the nurse should take first.
1. Contact the provider
2. Call the patient's family to arrange for transportation
3. Attempt to persuade the patient to stay for only a few more days
4. Tell the patient that leaving would likely result in an involuntary commitment
What is 1 - Contact the provider?
The nurse suspects this disorder when the patient relies on others too much and is clingy toward others. They also lack confidence in their abilities.
What is Dependent Personality Disorder?
NCLEX - RN is an acronym for this.
What is the National Council Licensure Examination for Registered Nurses?