NR326 EXAM 1 QUESTIONS AND
CORRECT ANSWERS FOR A
GUARANTEED PASS LATEST
UPDATE
What drugs are given prior to ECT to decrease clients secretions and help
prevent aspiration?
Atropine sulfate or Glycopyrrolate
- administer 30 min prior
What drugs are given prior to ECT as short acting anesthetics?
Methohexital or Propofol IV bolus
- administered at time of procedure
What drug is given prior to ECT as a muscle relaxant?
succinylcholine chloride
When succinylcholine chloride is given prior to ECT, what nursing
responsibilities are needed?
1. Place BP cuff on lower leg prior to administration of succinylcholine
chloride
2. Make sure O2 is given as respiratory muscles will also be paralyzed
,Succinylcholine chloride
Muscle relaxant given prior to ECT to prevent severe muscle contractions
during the seizure
Approximately 30 minutes before ECT administer what drug as the
pretreatment medication?
atropine sulfate or glycopyrrolate (Robinul)
- given IM
Carbamazepine (Tegretol)
Anticonvulsant
Serotonin syndrome
potentially fatal syndrome of serotonin overstimulation with rapid onset
S/S
- change in mental status, dry mouth, sweating or fever
- hypothermic and shock, diarrhea or nausea
- tremors or reflex changes, muscle rigidity, mixing meds
, Interventions
- cessation of drug
- supportive interventions ( O2, IV fluids, control HR & BP, administer meds,
benzodiazepines)
What are the early signs of serotonin syndrome?
diarrhea, restlessness, agitation, hyperreflexia, fluctuations in vital signs
Stevens-Johnson Syndrome is a common side effect of what type of mood
stabilizers? Specially what drugs?
Anticonvulsants
Lamotrigine (Lamictal) and Carbamazepine (Tegretol)
Anticonvulsants as mood stabilizers
Carbamazepine (Tegretol)
Valproic acid (Depakote)
Lamotrigine (Lamictal)
CORRECT ANSWERS FOR A
GUARANTEED PASS LATEST
UPDATE
What drugs are given prior to ECT to decrease clients secretions and help
prevent aspiration?
Atropine sulfate or Glycopyrrolate
- administer 30 min prior
What drugs are given prior to ECT as short acting anesthetics?
Methohexital or Propofol IV bolus
- administered at time of procedure
What drug is given prior to ECT as a muscle relaxant?
succinylcholine chloride
When succinylcholine chloride is given prior to ECT, what nursing
responsibilities are needed?
1. Place BP cuff on lower leg prior to administration of succinylcholine
chloride
2. Make sure O2 is given as respiratory muscles will also be paralyzed
,Succinylcholine chloride
Muscle relaxant given prior to ECT to prevent severe muscle contractions
during the seizure
Approximately 30 minutes before ECT administer what drug as the
pretreatment medication?
atropine sulfate or glycopyrrolate (Robinul)
- given IM
Carbamazepine (Tegretol)
Anticonvulsant
Serotonin syndrome
potentially fatal syndrome of serotonin overstimulation with rapid onset
S/S
- change in mental status, dry mouth, sweating or fever
- hypothermic and shock, diarrhea or nausea
- tremors or reflex changes, muscle rigidity, mixing meds
, Interventions
- cessation of drug
- supportive interventions ( O2, IV fluids, control HR & BP, administer meds,
benzodiazepines)
What are the early signs of serotonin syndrome?
diarrhea, restlessness, agitation, hyperreflexia, fluctuations in vital signs
Stevens-Johnson Syndrome is a common side effect of what type of mood
stabilizers? Specially what drugs?
Anticonvulsants
Lamotrigine (Lamictal) and Carbamazepine (Tegretol)
Anticonvulsants as mood stabilizers
Carbamazepine (Tegretol)
Valproic acid (Depakote)
Lamotrigine (Lamictal)
