Antipsychotics
The patient has a fever and the doctor orders a CBC. The client is most likely on this antipsychotic.
What is clozapine?
This type of EPS resembles Parkinson's Disease.
What is pseudoparkinsonism?
The nurses these assessments to distinguish alcohol from opioid withdrawal. Name both.
What are the CIWA and the COWS?
This is the difference between word salad and neologism.
What are word salad uses real words. Neologism is a made-up word.
This is the difference between Subutex and Suboxone.
What is Suboxone contains naloxone and Subutex does not?
A client displays involuntary movements and the constant need to move. This class of antipsychotics is most likely the cause.
What is typical antipsychotics? Haloperidol is the exemplar.
This type of EPS that can be life-threatening.
What is acute dystonia?
The nurse suspects the client is in opioid toxicity with this combination of 3 symptoms.
What are pinpoint pupils, respiratory depression, and coma/non-responsive? This is the opioid toxicity triad.
Name one priority assessment in psychosis.
What are command hallucinations and paranoid delusions? The increase the client risk for for self directed or other directed violence.
This benzo is contraindicated in a client with cirrhosis is going through alcohol withdrawal.
What is chlordiazepoxide?
These are the components of metabolic syndrome and they are most associated with this class of antipsychotics.
What are weight gain, increased cholesterol, and glucose? They are atypical antipsychotics?
Type of EPS causing constant need to move
What is akathisia? "Kathi can't stop moving."
Name the medication that interacts with most hand sanitizer, mouthwash, cold medicine, and cooking wine.
What is disulfiram?
The client states “I am pregnant with dolphins”. Is this a negative or positive symptom?
This is a positive symptom.
This vitamin is given to prevent Wernicke's encephalopathy.
What is B1 or thiamine?
The client has a fever of 106, severe muscle rigidity, and altered LOC. They are prescribed chlorpromazine. What is one medication that would be most effective? There are 2 options.
What is bromocriptine or dantrolene?
This type of EPS that can be permanent.
What is Tardive Dyskinesia?
A client asks the nurse what medication could reduce the cravings and pleasure from alcohol intake and gambling. The nurse provides education on this medication.
What is naltrexone?
List 3 negative symptoms of schizophrenia.
What are affect, anergia, alogia, ADL, avolition, apathy, and asocial?
ATI discusses autism it is important to note this is not the same as Autism Spectrum Disorder this is combined symptoms alogia and asocial.
The client asks the student nurse what replacement therapy is available for opioid recovery. The student nurse recalls these 2 exemplar medications for that purpose.
What are methadone and buprenorphine?
The acronyms FALTER and FEVER tell us signs and symptoms of NMS. Name 5 assessment findings that indicate NMS.
What are Fever, Autonomic instability, LOC change, Tremor, Elevated CPK & WBC, muscle rigidity, or encephalopathy.
These are two medications used to treat EPS you were told you need to know.
What are benztropine and diphenhydramine?
This can occur if a patient addicted to opiates is given opioid WD meds too soon.
What is precipitated WD? Increased SSWD
For clients with psychoses, we validate the _________, not the __________.
What are validate the feelings, not the experience?
These symptoms indicated the client is in alcohol withdrawal delirium. Name 3.
What are prominent psychotic features, a high CIWA score, fluctuating level of consciousness, extreme confusion and agitation?