NGN Mental Health ATI Final Exam All Questions And
Correct Detailed Answers Already Graded A+ (Brand
New!!
What are symptoms of alcohol withdrawal? - ANSWER ..> Nausea,
vomiting, tremors, restlessness, insomnia, depressed mood or
irritability, tonic-clonic seizures, illusions.
What is alcohol withdrawal delirum and when can it occur? - ANSWER
..> Alcohol withdrawal delirium is a medical emergency and may occur
2-3 days after cessation and last the same (2-3 days). S/s include severe
disorientation, hallucinations, severe HTN, cardiac dysrhythmias,
delirium.
What are symptoms of opioid withdrawal? - ANSWER ..> Agitation,
insomnia, flulike manifestations, rhinorrhea, yawning, sweating,
diarrhea. Suicidal ideation may occur.
What are symptoms of tobacco (nicotine) withdrawal? - ANSWER ..>
Irritability, nervousness, restlessness, insomnia, difficulty concentrating
What kind of medications would be expected to be prescribed for a
patient who is detoxing from alcohol? - ANSWER ..> Chlordiazepoxide
(Librium), Diazepam (Valium), Lorazepam (Ativan), Oxazepam (Serax)
What are the intended effects of the benzodiazepines for detoxification
from alcohol? - ANSWER ..> Maintenance of patient's v/s, decrease risk
of seizures, decrease intensity of withdrawal s/s.
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, What are some of the adjunct medications for detoxification of
alcohol? - ANSWER ..> Carbamazepine (Tegretol), Clonidine (Catapres),
Propanolol (Inderal)
What are each of the adjunct medications indicated for? - ANSWER ..>
Decrease seizures (Carbamazepine)
Decrease autonomic response (decrease BP, HR)- Clonidine and
Propanolol
Decrease craving- Propanolol
What are overall nursing interventions and teaching points for patients
who are experiencing detoxification? - ANSWER ..> Pad the side rails
and include suction equipment at bedside (seizure precautions).
Monitor vital signs and continue monitoring on ongoing basis.
What kind of medications are indicated for abstinence maintenance of
alcohol? - ANSWER ..> Disulfiram (Antabuse), Naltrexone (Vivitrol),
Acamprosate (Campral)
What is the intended effect of disulfiram (Antabuse)? - ANSWER ..>
After the patient ingests alcohol, acetaldehyde syndrome will occur and
includes perfuse vomiting, nausea, weakness, sweating, palpitations,
and hypotension. Can progress to respiratory depression, seizures, and
death.
What teaching points need to be brought up with a patient who is
beginning disulfiram (Antabuse)? - ANSWER ..> Wear a med alert
bracelet, avoid ALL products containing alcohol (cough syrups,
aftershave lotion). Encourage participation in a 12 step program.
Potential for acetaldehyde syndrome can occur for up to 2 weeks after
disulfuram is discontinued.
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, Naltrexone (Vivitrol) What is the indicated effect? - ANSWER ..> Pure
opioid antagonist that supresses craving and pleasure of alcohol.
What can naltrexone (Vivitrol) also be utilized for? - ANSWER ..> Opioid
withdrawal.
Teaching points for naltrexone (Vivitrol)? - ANSWER ..> Take with meals
to supress GI distress. Monthly IM injections should be suggested for
patients who have difficulty to adhering to the medication regimen.
Acamprosate (Campral) indication... - ANSWER ..> Taken 3x daily to
reduce alcohol craving.
Teaching points for acamprosate (Campral) - ANSWER ..> Diarrhea may
occur while taking the medication. Increase fluids. Do not take while
pregnant.
What medications can be used to support withdrawal/abstinence from
opioids? - ANSWER ..> Methadone (Dolophine) substition, Clonidine
(Catapres), Buprenorphine (Subutex)
Intended effect of methadone (Dolophine) - ANSWER ..> Oral opioid
agonist that replaces the opioid to which client addicted. Encourage
participation in 12 step program. Inform that must be administered at
an approved treatment center.
Intended effect of clonidine (Catapres) - ANSWER ..> Assists with
withdrawal s/s related to autonomic hyperactivity (n/v/d) Has
anticholinergic effects and CNS depression.
Does clonidine (Catapres) reduce the craving for opioids? - ANSWER ..>
NO
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Correct Detailed Answers Already Graded A+ (Brand
New!!
What are symptoms of alcohol withdrawal? - ANSWER ..> Nausea,
vomiting, tremors, restlessness, insomnia, depressed mood or
irritability, tonic-clonic seizures, illusions.
What is alcohol withdrawal delirum and when can it occur? - ANSWER
..> Alcohol withdrawal delirium is a medical emergency and may occur
2-3 days after cessation and last the same (2-3 days). S/s include severe
disorientation, hallucinations, severe HTN, cardiac dysrhythmias,
delirium.
What are symptoms of opioid withdrawal? - ANSWER ..> Agitation,
insomnia, flulike manifestations, rhinorrhea, yawning, sweating,
diarrhea. Suicidal ideation may occur.
What are symptoms of tobacco (nicotine) withdrawal? - ANSWER ..>
Irritability, nervousness, restlessness, insomnia, difficulty concentrating
What kind of medications would be expected to be prescribed for a
patient who is detoxing from alcohol? - ANSWER ..> Chlordiazepoxide
(Librium), Diazepam (Valium), Lorazepam (Ativan), Oxazepam (Serax)
What are the intended effects of the benzodiazepines for detoxification
from alcohol? - ANSWER ..> Maintenance of patient's v/s, decrease risk
of seizures, decrease intensity of withdrawal s/s.
1
Page
, What are some of the adjunct medications for detoxification of
alcohol? - ANSWER ..> Carbamazepine (Tegretol), Clonidine (Catapres),
Propanolol (Inderal)
What are each of the adjunct medications indicated for? - ANSWER ..>
Decrease seizures (Carbamazepine)
Decrease autonomic response (decrease BP, HR)- Clonidine and
Propanolol
Decrease craving- Propanolol
What are overall nursing interventions and teaching points for patients
who are experiencing detoxification? - ANSWER ..> Pad the side rails
and include suction equipment at bedside (seizure precautions).
Monitor vital signs and continue monitoring on ongoing basis.
What kind of medications are indicated for abstinence maintenance of
alcohol? - ANSWER ..> Disulfiram (Antabuse), Naltrexone (Vivitrol),
Acamprosate (Campral)
What is the intended effect of disulfiram (Antabuse)? - ANSWER ..>
After the patient ingests alcohol, acetaldehyde syndrome will occur and
includes perfuse vomiting, nausea, weakness, sweating, palpitations,
and hypotension. Can progress to respiratory depression, seizures, and
death.
What teaching points need to be brought up with a patient who is
beginning disulfiram (Antabuse)? - ANSWER ..> Wear a med alert
bracelet, avoid ALL products containing alcohol (cough syrups,
aftershave lotion). Encourage participation in a 12 step program.
Potential for acetaldehyde syndrome can occur for up to 2 weeks after
disulfuram is discontinued.
2
Page
, Naltrexone (Vivitrol) What is the indicated effect? - ANSWER ..> Pure
opioid antagonist that supresses craving and pleasure of alcohol.
What can naltrexone (Vivitrol) also be utilized for? - ANSWER ..> Opioid
withdrawal.
Teaching points for naltrexone (Vivitrol)? - ANSWER ..> Take with meals
to supress GI distress. Monthly IM injections should be suggested for
patients who have difficulty to adhering to the medication regimen.
Acamprosate (Campral) indication... - ANSWER ..> Taken 3x daily to
reduce alcohol craving.
Teaching points for acamprosate (Campral) - ANSWER ..> Diarrhea may
occur while taking the medication. Increase fluids. Do not take while
pregnant.
What medications can be used to support withdrawal/abstinence from
opioids? - ANSWER ..> Methadone (Dolophine) substition, Clonidine
(Catapres), Buprenorphine (Subutex)
Intended effect of methadone (Dolophine) - ANSWER ..> Oral opioid
agonist that replaces the opioid to which client addicted. Encourage
participation in 12 step program. Inform that must be administered at
an approved treatment center.
Intended effect of clonidine (Catapres) - ANSWER ..> Assists with
withdrawal s/s related to autonomic hyperactivity (n/v/d) Has
anticholinergic effects and CNS depression.
Does clonidine (Catapres) reduce the craving for opioids? - ANSWER ..>
NO
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