NURS 4301 Exam 1 Study Questions And
Verified Answers
medications that are considered mood stabilizers - ANSWER lithium, divaproex sodium,
carbamazepine (prozac is not)
this medication interacts with oral contraceptives and is associated with increased risk
for birth defects - ANSWER carbamazepine (divalproex does not interact with oral
contraceptives)
symptom of stevens-johnson syndrome (sometimes lamotrigine is discontinued because
of this) - ANSWER serious rash
life threatening signs of lithium toxicity include - ANSWER excessively impaired
consciousness, seizures, fainting, renal insufficiency
instructions to patients when taking lithium due to it being a salt - ANSWER maintain
same salt and fluid intake (increase salt intake when dehydrated to avoid lithium
toxicity)
A patient is to receive a blood transfusion. Which nursing action has the greatest impact
on preventing a potential transfusion reaction? - ANSWER Comparing the name on the
patient's ID band with the name on the blood bag tag
Albumin - ANSWER Available as a 5% or 25% solution
Platelets - ANSWER Used to treat thrombocytopenia
Leukocyte-reduced PRBCs - ANSWER Indicated for the prevention of febrile,
non-hemolytic reactions
, Fresh frozen plasma - ANSWER Contains most of the coagulation factors
Cryoprecipitate - ANSWER Used to replace fibrinogen deficiency
When administering blood with Y-type blood administration tubing the tubing should be
primed with what type of IV solution? - ANSWER 0.9% NaCl
The nurse initiates a blood transfusion at which of the following rates? - ANSWER 120
mL/hr
Transfusion-Related Acute Lung Injury (TRALI) is the leading cause of transfusion
related death - ANSWER True
Clozapine was prescribed for your patient and the patient asks why they need to have
their blood drawn weekly after being discharged from the hospital. Which of the
following is the most accurate explanation? - ANSWER This is to check for
agranulocytosis (the white blood cells are too low to protect you from infections) which
is dangerous.
Nurses often detect Akathisia because they are observing the patient closely over many
hours of the day/night. Akathisia is different from agitation related to psychosis.
Medication should not be increased but should be decreased when the patient shows
signs of akathisia. What would the nurse observe to determine if the patient has
akathisia? - ANSWER The patient marches in place, crosses and uncrosses the legs
repetitively, cannot sit still, and complains of anxiety and jitteriness.
What is Neuroleptic Malignant Syndrome (NMS)? NMS is related to taking an
antipsychotic medication such as risperidone (Risperdal). Medication is stopped and
dopamine agonists are given. Nurses provide supportive care, protecting the patient,
reducing fever, insuring hydration. - ANSWER Rare condition with muscle rigidity,
variable vital signs, high fever, sudden mental status changes
Verified Answers
medications that are considered mood stabilizers - ANSWER lithium, divaproex sodium,
carbamazepine (prozac is not)
this medication interacts with oral contraceptives and is associated with increased risk
for birth defects - ANSWER carbamazepine (divalproex does not interact with oral
contraceptives)
symptom of stevens-johnson syndrome (sometimes lamotrigine is discontinued because
of this) - ANSWER serious rash
life threatening signs of lithium toxicity include - ANSWER excessively impaired
consciousness, seizures, fainting, renal insufficiency
instructions to patients when taking lithium due to it being a salt - ANSWER maintain
same salt and fluid intake (increase salt intake when dehydrated to avoid lithium
toxicity)
A patient is to receive a blood transfusion. Which nursing action has the greatest impact
on preventing a potential transfusion reaction? - ANSWER Comparing the name on the
patient's ID band with the name on the blood bag tag
Albumin - ANSWER Available as a 5% or 25% solution
Platelets - ANSWER Used to treat thrombocytopenia
Leukocyte-reduced PRBCs - ANSWER Indicated for the prevention of febrile,
non-hemolytic reactions
, Fresh frozen plasma - ANSWER Contains most of the coagulation factors
Cryoprecipitate - ANSWER Used to replace fibrinogen deficiency
When administering blood with Y-type blood administration tubing the tubing should be
primed with what type of IV solution? - ANSWER 0.9% NaCl
The nurse initiates a blood transfusion at which of the following rates? - ANSWER 120
mL/hr
Transfusion-Related Acute Lung Injury (TRALI) is the leading cause of transfusion
related death - ANSWER True
Clozapine was prescribed for your patient and the patient asks why they need to have
their blood drawn weekly after being discharged from the hospital. Which of the
following is the most accurate explanation? - ANSWER This is to check for
agranulocytosis (the white blood cells are too low to protect you from infections) which
is dangerous.
Nurses often detect Akathisia because they are observing the patient closely over many
hours of the day/night. Akathisia is different from agitation related to psychosis.
Medication should not be increased but should be decreased when the patient shows
signs of akathisia. What would the nurse observe to determine if the patient has
akathisia? - ANSWER The patient marches in place, crosses and uncrosses the legs
repetitively, cannot sit still, and complains of anxiety and jitteriness.
What is Neuroleptic Malignant Syndrome (NMS)? NMS is related to taking an
antipsychotic medication such as risperidone (Risperdal). Medication is stopped and
dopamine agonists are given. Nurses provide supportive care, protecting the patient,
reducing fever, insuring hydration. - ANSWER Rare condition with muscle rigidity,
variable vital signs, high fever, sudden mental status changes
