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Nurs 172 - Final Exam Complete Questions With 100% Rated Correct Answers | Graded A+ | 2025

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Nurs 172 - Final Exam COMPLETE QUESTIONS WITH 100% RATED CORRECT ANSWERS | GRADED A+ | 2025

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Nurs 172 - Final Exam COMPLETE QUESTIONS WITH 100% RATED

CORRECT ANSWERS | GRADED A+ | 2025

Atypical antiphsychotic drugs - (answers)Riperidone (risperdal)

olanzapine (zyprexa)

aripiprazole (ability)

clozapine (clozaril)

aripiprazole (abilify)


action: block dopamine receptors

indications: schizophrenia, bipolar mania, antiemetic

contraindications: elderly patients with psychosis, other CNS depressants, parkinsons, glaucoma,
severely depressed, lactating, cardiac issues, epilepsy

caution with: hx of seizures, DM, pregnancy, respiratory depression
你是想要一篇“眼睛容易阅读
interactions: increased hypotension with antihypertensive, anticholinergic drugs (dry mouth,
tachycardia) 的”中文文章


nursing implications: smoking increases metabolism (will need dose adjustment), avoid exposure
to extreme temps, no alcohol, watch for NMS



extrapyramidal symptoms - (answers)pseudoparkinsonism: tremors; rigid muscles.

akinesia: muscular weakness.

akathisia: restlessness, fidgeting.

dystonia: involuntary muscle movements.

oculogyric crisis: uncontrolled eye rolling.



anticholinergic effects - (answers)dry mouth, blurred vision, constipation, urinary retention

,tardive dyskinesia - (answers)involuntary movements of the facial muscles, tongue, and limbs



nueroleptic malignant syndrome - (answers)rare side effect of antipsychotic drugs: characterized
by sudden high fever, sweating, rigidity, dysrhythmias, fluctuations in BP, and respiratory failure



agranulocytosis - (answers)Is a rare adverse reaction to Clozapine (Clozaril) in which WBC's
drop causing pt to become susceptible to acute infections.



anxiolytic (antianxiety) drugs - (answers)alprazolam

lorazepam

chlordiazepoxide

buspirone



Action: depress CNS; produces calming effects by potentiating GABA

indications: anxiety disorders/symptoms, acute alcohol withdrawal, skeletal muscle spasms,
你是想要一篇“眼睛容易阅读
seizures
的”中文文章
contraindications: hypersensitivity, other CNS depressants, pregnancy, glaucoma

caution in: elderly, decreased renal/hepatic, known hx of addiction, suicidal or depressed


nursing implications: monitor for confusion, tolerance/dependance, orthostatic hypotension,
nausea/vomiting, assess anxiety/mental status



benzodiazepines - (answers)Alprazolam (Xanax)

Diazepam (Valium)

Lorazepam (Ativan)



Action: increase gabba and decreases neuron activity

Side effects: low and slow vitals, sedation, addiction

,Teaching: take at bedtime, do not skip doses, do not abruptly stop, not long term



*Pam and Lam in a Benz, addicted to being here for a good time not a long time*

*Gabba = grandma, more gabba = more sedated*



Non-benzodiazepines - (answers)Buspirone (Buspar)



action:

side effects: not addictive, no sedation, no withdrawal

teaching: 2-4 weeks for full effect, long term use, can drive bus



*Can still drive the bus on buspirone, not sedative*



paradoxical excitement - (answers)Experiencing an effect that is opposite of the indented effect.
你是想要一篇“眼睛容易阅读
-Sedative or a benzodiazepine to treat anxiety, when the patient is wide awake and hyperactive
rather than calm and relaxed. 的”中文文章



antidepressant drugs - (answers)selective serotonin re-uptake inhibitors (SSRIs)

monamine oxidase inhibitors (MAOIs)



rules of antidepressants - (answers)1. increased risk of suicide (especially in first few weeks of
treatment)

2. slow onset and slow taper off (never stop abruptly)

3. never mix SSRIs with st. johns wart and never mix MAOIs with any other antidepressant (2
week wash out period)

4. orthostatic hypotension and weight gain



selective serotonin re-uptake inhibitors (SSRIs) - (answers)sertraline

, fluoxetine

citalopram



action: inhibits re-uptake of serotonin (more serotonin)

side effects: weight gain, sexual dysfunction, insomnia, serotonin syndrome

teaching: never stop abruptly, no alcohol



key points:

- increased suicide (ages 18-24) when starting or changing dose

- report more energy without change in depression (risk for suicide)

- never mix with MAOIs, tramadol, st. johns wart



Serotonin syndrome symptoms - (answers)occurs when there is an *inadequate washout period
between taking MAOIs & SSRIs or when MAOIs are combined with meperidine*
你是想要一篇“眼睛容易阅读

Symptoms: 的”中文文章

1. *change in mental state*: confusion & agitation

2. *neuromuscular excitement*: muscle rigidity, weakness, sluggish pupils, shivering, tremors,
myoclonic jerks, collapse, & muscle paralysis

3. *autonomic abnormalities*: hyperthermia, tachycardia, tachypnea, hypersalivation, &
diaphoresis



Monoamine Oxidase Inhibitors (MAOIs) - (answers)Phenelzine

Tranylypromine



oldest and very powerful antidepressants; used to treat depression that is resistant to other
medications

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