NUR 350 Final Exam 186 Questions with Correct
Answers.
flunitrazepam (Rohypnol) or GHB
(gammahydroxybutyrate) are two drugs that can be
used after someone is sexually assaulted. These
drugs are the _________ ________ drugs. - Correct Answer date rape drugs
The classification of medications that used to treat
anxiety is called? - Correct Answer benzodiazepines
Name facts about benzodiazepines - Correct Answer a.First choice unless patient has
addictive
behaviors
B Addictive
c. Ativan, Xanax
d. Used for OCD, panic disorders
e. Fast acting
f. Withdrawal symptoms: seizures, delirium
g. Do not stop abruptly
buspirone (BuSpar) - Correct Answer This medication is in its own class. It is used to
help control anxiety. It is given as a scheduled
med - taken every day.
Is used often with patients who have addiction
history
Hydroxyzine (Vistaril ) - Correct Answer This is an antihistamine
Used for patients with addictive behaviors to help
decrease anxiety
Is given as needed - prn
,Used a lot with patients who have addiction
history
what classification is the SSRIs? - Correct Answer antidepressants
what neurotransmitter does SSRI work on? - Correct Answer increase serotonin
what is the best classification to use first to treat depression? - Correct Answer SSRI and
SNRI
what can happen is SSRI is stopped suddenly? - Correct Answer serotonin syndrome
what classification is SNRIs? - Correct Answer antidepressants
what neurotransmitter does SNRI work on and how? - Correct Answer increase serotonin
and norepinephrine
what is the second best drug classification used to treat depression - Correct Answer TCA
important facts about TCA - Correct Answer a.Second best choice
b.Takes apx. 6-8 weeks to take effect
c.Watch for possible signs of patient wanting to
overdose
d.Do not stop abruptly
what classification is MAOI? - Correct Answer antidepressant
facts about MAOI - Correct Answer Last choice to use
Many drug-drug interactions
Cause hypertensive crisis
Must be on low tyramine diet
A patient is taking an MAOI. What diet should the
patient be on? Describe foods to avoid on the
,diet? - Correct Answer Must be on low tyramine diet
Avoid anything pickled, processed, aged food,
pizza, chocolate, caffeine, bananas, aged cheese
name the two main drugs that are MAOIs - Correct Answer nardil, parnate
the patient is going to have a medication change. They are going to stop an SSRI and
begin taking an MAOI. How does the nurse do this? - Correct Answer Must be off many
psychotropic for about 10
days before starting this medication.
If not can have a hypertensive crisis reaction
and this leads to a stroke
What is Trazodone (Desyrel)? - Correct Answer This is an antidepressant that is used
often to
help patients sleep
If used for sleep would be given only at
bedtime and often is given as a prn medication.
If used for depression it is never given prn and
is give anywhere from one to three times a day
scheduled.
name two side effects of trazadone (desyrel) - Correct Answer fatigue, priapism
bupropion (Wellbutrin) - What is it used
for? - Correct Answer Depression
Can be used for smoking cessation
Is in a class of its own
Important facts about bupropion (Wellbutrin) - Correct Answer No weight gain
Not always effective
Decreases seizure threshold
, Nursing considerations for bupropion
(Wellbutrin) - Correct Answer Decreases seizure threshold; do not give to a
patient with a seizure disorder
If someone overdoses on this medication, they are
at high risk for seizures
It is important to make sure the dose is within the
therapeutic range - large doses can cause seizures
What is considered the last resort to treating
depression? - Correct Answer ECT
Pre-op nursing interventions for a patient going to
ECT - Correct Answer Patient needs to sign surgical consent form for
the ECT
Take shower night before
Wear hospital gown with no metal snaps
Do not administer benzodiazepines or
anitseizure medications after 5PM the day
before the treatment
Post-op nursing interventions after a ECT - Correct Answer Orient patient frequently
Do Mental Status Assessment every 4 hours for 24
hours
Immediately after ECT patients physical needs are
highest priority
ADL's, eating, toileting, vital signs, respiratory
status,- becomes the focus of care for the first 2 to
6 hours after the procedure
Answers.
flunitrazepam (Rohypnol) or GHB
(gammahydroxybutyrate) are two drugs that can be
used after someone is sexually assaulted. These
drugs are the _________ ________ drugs. - Correct Answer date rape drugs
The classification of medications that used to treat
anxiety is called? - Correct Answer benzodiazepines
Name facts about benzodiazepines - Correct Answer a.First choice unless patient has
addictive
behaviors
B Addictive
c. Ativan, Xanax
d. Used for OCD, panic disorders
e. Fast acting
f. Withdrawal symptoms: seizures, delirium
g. Do not stop abruptly
buspirone (BuSpar) - Correct Answer This medication is in its own class. It is used to
help control anxiety. It is given as a scheduled
med - taken every day.
Is used often with patients who have addiction
history
Hydroxyzine (Vistaril ) - Correct Answer This is an antihistamine
Used for patients with addictive behaviors to help
decrease anxiety
Is given as needed - prn
,Used a lot with patients who have addiction
history
what classification is the SSRIs? - Correct Answer antidepressants
what neurotransmitter does SSRI work on? - Correct Answer increase serotonin
what is the best classification to use first to treat depression? - Correct Answer SSRI and
SNRI
what can happen is SSRI is stopped suddenly? - Correct Answer serotonin syndrome
what classification is SNRIs? - Correct Answer antidepressants
what neurotransmitter does SNRI work on and how? - Correct Answer increase serotonin
and norepinephrine
what is the second best drug classification used to treat depression - Correct Answer TCA
important facts about TCA - Correct Answer a.Second best choice
b.Takes apx. 6-8 weeks to take effect
c.Watch for possible signs of patient wanting to
overdose
d.Do not stop abruptly
what classification is MAOI? - Correct Answer antidepressant
facts about MAOI - Correct Answer Last choice to use
Many drug-drug interactions
Cause hypertensive crisis
Must be on low tyramine diet
A patient is taking an MAOI. What diet should the
patient be on? Describe foods to avoid on the
,diet? - Correct Answer Must be on low tyramine diet
Avoid anything pickled, processed, aged food,
pizza, chocolate, caffeine, bananas, aged cheese
name the two main drugs that are MAOIs - Correct Answer nardil, parnate
the patient is going to have a medication change. They are going to stop an SSRI and
begin taking an MAOI. How does the nurse do this? - Correct Answer Must be off many
psychotropic for about 10
days before starting this medication.
If not can have a hypertensive crisis reaction
and this leads to a stroke
What is Trazodone (Desyrel)? - Correct Answer This is an antidepressant that is used
often to
help patients sleep
If used for sleep would be given only at
bedtime and often is given as a prn medication.
If used for depression it is never given prn and
is give anywhere from one to three times a day
scheduled.
name two side effects of trazadone (desyrel) - Correct Answer fatigue, priapism
bupropion (Wellbutrin) - What is it used
for? - Correct Answer Depression
Can be used for smoking cessation
Is in a class of its own
Important facts about bupropion (Wellbutrin) - Correct Answer No weight gain
Not always effective
Decreases seizure threshold
, Nursing considerations for bupropion
(Wellbutrin) - Correct Answer Decreases seizure threshold; do not give to a
patient with a seizure disorder
If someone overdoses on this medication, they are
at high risk for seizures
It is important to make sure the dose is within the
therapeutic range - large doses can cause seizures
What is considered the last resort to treating
depression? - Correct Answer ECT
Pre-op nursing interventions for a patient going to
ECT - Correct Answer Patient needs to sign surgical consent form for
the ECT
Take shower night before
Wear hospital gown with no metal snaps
Do not administer benzodiazepines or
anitseizure medications after 5PM the day
before the treatment
Post-op nursing interventions after a ECT - Correct Answer Orient patient frequently
Do Mental Status Assessment every 4 hours for 24
hours
Immediately after ECT patients physical needs are
highest priority
ADL's, eating, toileting, vital signs, respiratory
status,- becomes the focus of care for the first 2 to
6 hours after the procedure
