I'll Be Your Nurse!
You're going to put that where?
Let's Get It Done!
But What About The Treatment
Hold Up, What?!
100
What is the average amount of calorie intake for a patient dx Anorexia Nervosa
600-900 Calories/day
100
Which neurotransmitter has effects on restrictive eating
Serotonin
100
With a patient dx
Primary: anemia
Secondary: bulimia nervosa
What is most likely the cause of these DX?
Pharyngeal irritation and erosion results from esophageal hemorrhage
100
What do you expect as a nurse when caring for a client with fluid-volume deficit? Name 2
Weak pulse
Hypotension
tachycardia
100
What is the purpose for the support group Al-Aon
*Support for family and friends experiencing hx or presence of addiction with alcoholics
200
Norepinephrine, Dopamine, and Acetylcholine are effected due to the use of nicotine, cocaine and amphetamines' which are widely used to do _______ to the CNS
Stimulate
200
For a patient dx Bulimia Nervosa, what are 3 complications r/t the dx?
* Gastric acid ^
* Pharyngeal irritation
*Dental Enamel erosion
*Laxative abuse-constipation
*Suicidal Ideation
200
What support group is widely recognized to aid with alcoholism
Alcoholics Anonymous
200
What is the most commonly used stimulant that accelerates physical and mental functions temporarily
Drinking Coffee
200
A geriatric patient is experiencing these symptoms:
*Facial grimacing
*Tongue protrusion
*Lip smacking
*Mouth puckering
*Excessive eye blinking
*Writhing movements
What do you anticipate occurring?
Tardive dyskinesia
D/C medications, First gen. Antipsychotics such as Haloperidol (Haldol), Prochlorperazine (Compazine)
300
Name 3 physical assessment findings you'd expect with a patient dx Anorexia Nervosa.
-Temperature Intolerance
-Constipation
-Amenorrhea
-Abdominal Pain
-Lanugo
-Alopecia
-Down Wt by 25%
300
Name 3 complications to anticipate with a client dx binge eating disorder and compulsive overeating
-Obesity
-HTN
-Hyperlipemia
-Type 2 diabetes
-arthritis
-sleep apnea
-gallbladder complications
-heart disease
-social isolation
300
When a client is taking antipsychotic agents, what is a dx to monitor for that include these symptoms:
*Tachycardia
*Dyspnea
*Hypertension
*Severe muscle stiffness
*Loss of bladder control
*Increased confusion
Neuroleptic Malignant Syndrome
The nurse monitors the client taking an antipsychotic drug for symptoms of neuroleptic malignant syndrome, and the nurse notifies the primary healthcare provider IMMEDIATELY if symptoms occur
300
Name 3 instructions a nurse should provide a client with alcohol dependence who is prescribed disulfiram?
*Blood should be alcohol free for 12 hours prior to meds
*Avoid ALL substances that contain Alcohol
*Use only during alcohol therapy
*Monitor for suicidal Ideation
*Patients w/ dx or hx of renal impairment contraindicated
300
What is the goals for a nurse with a schizophrenic client when they're dwelling on delusions?
*Redirect delusional thinking
*Focus on the here and now
*safety
*Medication regimen if needed
400
A client dx schizophrenia is constantly inventing new words, these symptoms could be documented as _________
Neologism is inventing new words
Echolalia is repeating what others say
Delusions are false beliefs that cannot be changed by logical reasoning
Loose associations are a sequence of ideas that are slightly connected
400
When teaching on the second generation antipsychotics what would the nurse anticipate for a client experiencing a manic phase in schizophrenia? Name 3
-Agitation
-Insomnia
-Anxiety
-Dry mouth
-headache
400
When assessing a patient during alcohol withdrawal which is a primary concern?
*108 pulse
*102.9 temp
*180/102 bp
*severe diaphoresis
BP elavation
Administering Benzodiazepine per order is priority for treatment of escalating withdrawal symptoms
400
A client is admitted to a facility for detoxification, when do you expect the onset of withdrawal symptoms to begin?
6 hours after last consumption
400
When a schizophrenia client is verbalizing hearing voices, what is your best response to this patient
*Identify the content of the hallucinations
*Determine the safety of the client or if others are in jeopardy
*Call the auditory hallucinations by the term “the voices.”
ex "I can not hear the voices, what are they saying"
500
Which of the following interventions is the nurse’s priority who has a new dx of borderline personality disorder?
Safety- The greatest risk is pt self-harm or to others
500
A nurse is caring for a client who has paranoid delusions and believes the hospital food is being poisoned by the staff. Which meal presentation should the nurse consider to be an effective method of encouraging nutritional intake?
Serve individual items that have sealed packaging
500
What is a common complication r/t eating disorders going under reported?
*Behaviors are kept secret
500
What do you anticipate being ordered for a patient experiencing opiate overdose?
Naloxone (Narcan)
Opiate overdose leads to respiratory depression, unconsciousness, and death. Naloxone (Narcan) is administered to reverse the effects of opiates and assists in restoring respiration.
500
Which neurotransmitter contributes to the stimulation of CNS to activate fight or flight
Norepinephrine