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NUR 326 Final Exam with correct answers

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NUR 326 Final Exam with correct answers

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NUR 326 Final Exam with correct answers


Which of the following medications are used for alcohol recovery/maintenance?
Select all that apply.



a. Cogentin

b. Naltrexone

c. Disulfiram (Antabuse)

d. Trazadone

e. Acamprosate (Campral) - CORRECT ANSWERS ✔✔B C E



You have a client that has just been diagnosed with depression. Which of the
following are expected findings related to depression? Select all that apply.



a. Increased libido

b. Anhedonia

c. Generalized pain

d. Anergia

e. Increased socialization - CORRECT ANSWERS ✔✔B C D (A pt. experiencing
depression will exhibit decreased libido, lack of pleasure in normal activities, anxiety,
reports of sluggishment, changes in eating patterns, changes in bowel habits, sleep
disturbances, and somatic reports, such as fatigue, gastrointestinal changes, and
pain.)

,You are sitting with a client who has depression and you ask them, "Have you
thought about harming yourself or others?" The patient does not respond. What
should you, as the nurse, do next?



a. Repeat the question because they might not of heard you the first time.

b. Sit with the patient quietly until they are ready to respond.

c. Hug the patient.

d. Implement one-to-one observation because of suicide risk. - CORRECT ANSWERS
✔✔B (The answer will almost always be sit with the patient quietly.)



What anti-depressant has been found to be an effective non dependence forming
sleep aid?



a. Wellbutrin (Buspar)

b. Trazadone (Desyrel)

c. Fluoxetine (Prozac)

d. Citalopram (Celexa) - CORRECT ANSWERS ✔✔B



You are caring for a client who has been prescribed an MAO inhibitor, Phenelazine.
Which of the following statements should the nurse make about education regarding
taking this medication?



a. "Wear sunscreen before you go outside."

b. "Call the physician if you experience a sore throat."

c. "Do not eat aged cheese meats, wine, and chocolate while taking this medication."

,d. "It can take a few days before you start to see an improvement in your mood." -
CORRECT ANSWERS ✔✔C



You are caring for a client who is taking Fluoxetine (Prozac), an SSRI. Which of the
following are manifestations of serotonin syndrome, a serious adverse effect of too
much serotonin in the brain? Select all that apply.



a. Altered level of consciousness

b. Constipation

c. Fever

d. Tachycardia

e. Hypotension

f. Agitation

g. Tremors - CORRECT ANSWERS ✔✔A C D F (Signs and symptoms of serotonin
syndrome include:

-Confusion

-Disorientation

-Agitation

-Diarrhea

-Tachycardia

-Hallucinations

-Fever

-Poor Coordination

-Elevated B/P

-Vomiting)

, The healthcare provider is caring for a patient who has undergone electroconvulsive
therapy (ECT). The patient should be carefully assessed for which of the following
common adverse effects of this treatment?



a. Dizziness and blurred vision

b. Aggression and violent behavior

c. Headache and memory loss

d. Palpitations and cardiac arrest - CORRECT ANSWERS ✔✔C



A patient diagnosed with major depressive disorder is admitted for inpatient care.
Which of the following is the primary goal during the admission assessment?



A. Establishing desired outcomes for the patient

B. Administering antidepressant medications

C. Collecting and organizing patient data

D. Reviewing the policies for patient conduct - CORRECT ANSWERS ✔✔C (The
primary goal during the admission assessment is to collect and organize objective
and subjective data so patient problems and needs can be identified.)



A patient diagnosed with bipolar disorder is prescribed lithium carbonate (Lithobid).
When teaching the patient about the medication, which of these statements is a
priority for the healthcare provider include?



A. "You should follow this low calorie, low sodium diet to prevent weight gain."

B. "You should avoid consuming dairy products when you are taking this
medication."

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