NUSA 207 Final Exam With Complete Solution

NUSA 207 Final Exam With
Complete Solution

Alprazolam - ANSWER · Benzodiazepine

Fluoxetine - ANSWER · Selective serotonin reuptake inhibitor (SSRI)

Lithium carbonate - ANSWER · Mood stabilizer

Chlorpromazine - ANSWER · 1st gen antipsychotic

Methylphenidate - ANSWER · CNS stimulant

Levodopa/Carbidopa - ANSWER · Anti-Parkinson's med

Phenytoin - ANSWER · Antiepileptic

Carbamazepine - ANSWER · Antiepileptic

Midazolam - ANSWER · Benzodiazepine

Diazepam - ANSWER · Centrally acting muscle relaxant

Dantrolene - ANSWER · Peripherally acting muscle relaxant

Lithium carbonate action - ANSWER · Produces neurochemical changes in
the brain

· Decrease neuronal atrophy or increase neuronal growth

Lithium carbonate uses - ANSWER · Treat bipolar disorders

· Control episodes of acute mania

,· Prevent mania or depression

Lithium carbonate complications - ANSWER · Hand tremors

· Polyuria

· Weight gain

· Renal toxicity

· Goiter and hypothyroidism




Lithium carbonate contraindications - ANSWER · Pregnancy risk D

· Breastfeeding

· Caution in clients with renal dysfunction

· Caution in clients with thyroid disease, seizure disorder, diabetes




Lithium carbonate interactions - ANSWER · Diuretics

· NSAIDs

· Anticholinergics




Lithium carbonate client considerations - ANSWER · Monitor plasma
lithium levels during treatment

· Older adult often require more frequent monitoring

· Maintenance range is between 0.6 to 1.2 mEq/L

,Potassium chloride action - ANSWER · Essential for conduction of nerve
impulses, maintaining electrical excitability of the muscle, and regulation of
acid/base balance




Potassium chloride uses - ANSWER · Hypokalemia (less than 3.5 mEq/L)

· Potassium loss due to excessive vomiting, diarrhea, excessive use of
laxatives

· Clients taking diuretics




Potassium chloride complications - ANSWER · Hyperkalemia

· Local GI ulceration/GI discomfort




Potassium chloride contraindications - ANSWER · Hypoaldosteronism

· Severe kidney disease




Potassium chloride interactions - ANSWER · ACE inhibitors

· Potassium-sparing diuretics




Potassium chloride client considerations - ANSWER · Do not crush tablets

· Mix powdered formula with at least 4 oz of liquid

, · Never give as an IV bolus

· Dilute to prevent vein irritation (no more than 40 mEq/L)

· Administer slowly (no more than 10 mEq/L)




Black cohosh uses - ANSWER · Estrogen substitute

· Treats signs and symptoms of menopause and PMS




Black cohosh complications - ANSWER · Weight gain

· Headache, lightheadedness

· Rash

· GI discomfort

· Avoid during 1st two trimesters of pregnancy




Black cohosh interactions - ANSWER · Increases the effects of
antihypertensive meds

· Increases the effects of hypoglycemic meds

· Increases the effects of estrogen meds




Black cohosh client considerations - ANSWER · Educate about drug
interactions