NR 607 FINAL EXAM TESTED QUESTIONS
AND COMPLETE SOLUTIONS
◉ How would you treat lithium toxicity?
Answer: 1.) STOP THE CAUSATIVE MED
2.) Supportive care- gastric lavage, cardiac monitoring, IV fluids,
H.D
3.) You CAN RESTART Lithium, just order serial levels more often.
◉ _____ is a potentially life threatening agranulocytosis caused by
clozapine. It is unknown as to why this happens and researchers
believe it is genetically based.
Answer: Clozapine induced agranulocytosis
◉ What are some s/s of C.L.I.A?
Answer: ANC LESS THEN 100/mcL
fever, chills, increased HR, SUDDEN HYPOTENSION, muscle
weakness, fatigue, mouth ulcers, sore throat.
◉ When is C.L.I.A. the most likely to occur?
Answer: It can happen at ANY time however it is most common
after 4-5 weeks of drug therapy.
◉ How would you treat C.L.I.A?
,Answer: 1.) D/C Clozapine
2.) Supportive care for infection
3.) Hematology consult
4.) TRY ANOTHER ANTIPSYCHOTIC
◉ After intiation of CLozapine, how often should labs be drawn?
Answer: Weekly x 6 months
◉ After the first 6 months weekly lab draws of clozapine
treatment, how often should labs be drawn?
Answer: Biweekly for 6 months then after that, it will be monthly
for the duration of the treatment.
◉ ________ is characterized by an individual's significant focus on
one or more PHYSICAL symptoms such as pain, fatigue, weakness,
or shortness of breath to the extent that it causes major distress
and/or disruption of daily life FOR MORE THAN 6 MONTHS.
These people are frequenty flyers in the hospital and have had
multiple interventions with no relief! These people are ALWAYS
looking up their symptoms ONLINE.
Answer: SOMATIC SYMPTOM DISORDER
◉ _____________ (formerly HYPOCHONDRIASIS) involves a
PREOCCUPUATION WITH HAVING OR GETTING AN ILNESS,
leading to high anxiety about one's health and performance of
excessive health-related behaviors or maladaptive avoidance of
medical care FOR MORE THAN 6 MONTHS. (APA, 2022).
, It differs from somatic symptom disorder in that individuals
experience extensive WORRIES about health with few or NO
SOMATIC SYMPTOMS.
Illness may become a central part of the individual's identity and
lead to substantial strain on social and family relationships.
Reassurance by medical professionals does not alleviate the
anxiety and may even increase it.
*******These people are not experiencing any symptoms, just
anxiety behind it the THOUGHT of getting the illness.*******
Answer: illness Anxiety Disorder
◉ _________ involves the presentation of a loss of a voluntary motor
or sensory function that is incompatible with physiological
findings (APA, 2022). Specifiers include symptom types. Common
symptoms include PARALYSIS, BLINDNESS, DEAFNESS, or
SEIZURES , fainting spells, amnesia, dysphagia, abnormal
movements, deafness, TORTICOLLIS(tunnel vision).
The symptoms can be ACUTE less than 6 months OR CHRONIC
which is more than 6 months. (Wheeler, 2022).
Symptoms may be acute or persistent, and onset may be
associated with TRAUMA/STRESS.
AND COMPLETE SOLUTIONS
◉ How would you treat lithium toxicity?
Answer: 1.) STOP THE CAUSATIVE MED
2.) Supportive care- gastric lavage, cardiac monitoring, IV fluids,
H.D
3.) You CAN RESTART Lithium, just order serial levels more often.
◉ _____ is a potentially life threatening agranulocytosis caused by
clozapine. It is unknown as to why this happens and researchers
believe it is genetically based.
Answer: Clozapine induced agranulocytosis
◉ What are some s/s of C.L.I.A?
Answer: ANC LESS THEN 100/mcL
fever, chills, increased HR, SUDDEN HYPOTENSION, muscle
weakness, fatigue, mouth ulcers, sore throat.
◉ When is C.L.I.A. the most likely to occur?
Answer: It can happen at ANY time however it is most common
after 4-5 weeks of drug therapy.
◉ How would you treat C.L.I.A?
,Answer: 1.) D/C Clozapine
2.) Supportive care for infection
3.) Hematology consult
4.) TRY ANOTHER ANTIPSYCHOTIC
◉ After intiation of CLozapine, how often should labs be drawn?
Answer: Weekly x 6 months
◉ After the first 6 months weekly lab draws of clozapine
treatment, how often should labs be drawn?
Answer: Biweekly for 6 months then after that, it will be monthly
for the duration of the treatment.
◉ ________ is characterized by an individual's significant focus on
one or more PHYSICAL symptoms such as pain, fatigue, weakness,
or shortness of breath to the extent that it causes major distress
and/or disruption of daily life FOR MORE THAN 6 MONTHS.
These people are frequenty flyers in the hospital and have had
multiple interventions with no relief! These people are ALWAYS
looking up their symptoms ONLINE.
Answer: SOMATIC SYMPTOM DISORDER
◉ _____________ (formerly HYPOCHONDRIASIS) involves a
PREOCCUPUATION WITH HAVING OR GETTING AN ILNESS,
leading to high anxiety about one's health and performance of
excessive health-related behaviors or maladaptive avoidance of
medical care FOR MORE THAN 6 MONTHS. (APA, 2022).
, It differs from somatic symptom disorder in that individuals
experience extensive WORRIES about health with few or NO
SOMATIC SYMPTOMS.
Illness may become a central part of the individual's identity and
lead to substantial strain on social and family relationships.
Reassurance by medical professionals does not alleviate the
anxiety and may even increase it.
*******These people are not experiencing any symptoms, just
anxiety behind it the THOUGHT of getting the illness.*******
Answer: illness Anxiety Disorder
◉ _________ involves the presentation of a loss of a voluntary motor
or sensory function that is incompatible with physiological
findings (APA, 2022). Specifiers include symptom types. Common
symptoms include PARALYSIS, BLINDNESS, DEAFNESS, or
SEIZURES , fainting spells, amnesia, dysphagia, abnormal
movements, deafness, TORTICOLLIS(tunnel vision).
The symptoms can be ACUTE less than 6 months OR CHRONIC
which is more than 6 months. (Wheeler, 2022).
Symptoms may be acute or persistent, and onset may be
associated with TRAUMA/STRESS.
