NUR1211 Test #1 UPDATED ACTUAL
Questions and CORRECT Answers
How do you know if your patient is experiencing lithium toxicity? What increases the pt risk for
lithium toxicity? What additional education for lithium? - CORRECT ANSWER - Signs
and symptoms of early toxicity. include diarrhea, vomiting, drowsiness, muscle weakness, and
lack of coordination. Late toxicity = giddiness, ataxia, blurred vision, tinnitus, and large output
of dilute urine.
Additional education can include maintaining a balanced diet and sodium intake and notify HCP
before making any dietary alterations.
What patient is at risk for developing psuedoparkinsonism syndrome (PS) ? What is the typical
presentation of a patient with PS? - CORRECT ANSWER - Also known as drug-induced
parkinsonism, those who have low dopamine levels and are taking antipsychotic medication(s).
Why should a patient on MAOI's avoid foods that are high in Tyramines? What types of food are
high-tyramines? - CORRECT ANSWER - Tyramine accumulates in the bloodstream and
has an indirect sympathomimetic action causing the release of stored catecholamines. S/S begin
15 minutes to an hour and include hypertension, sever headache (occipital or temporal),
palpitations, nausea, and vomiting. Can be fatal.
Alcoholic beverages, all mature cheeses, sour cream and yogurt, avocados, bananas, fava beans,
canned figs, dried fish, liver, pickled herring, salami, sausage, caffeinated beverages, chocolate,
licorice, sauerkraut, soy sauce, yeast.
What are some nursing considerations for a patient taking antidepressants? What do you teach a
pt about taking antidepressants? - CORRECT ANSWER - Assess patient for cautions and
contraindications (drug allergies, hepatorenal diseases, glaucoma, etc), seizure disorder and
suicidal thoughts, and monitor results of ECG and lab tests. Provide both comfort and safety
measures.
Educate patient that they may not see full therapeutic effects of medications until 2-4 weeks.
Take medications as prescribed and to take a dose as soon as they remember, if they missed one.
Abrupt discontinuation can lead to severe withdrawals.
Questions and CORRECT Answers
How do you know if your patient is experiencing lithium toxicity? What increases the pt risk for
lithium toxicity? What additional education for lithium? - CORRECT ANSWER - Signs
and symptoms of early toxicity. include diarrhea, vomiting, drowsiness, muscle weakness, and
lack of coordination. Late toxicity = giddiness, ataxia, blurred vision, tinnitus, and large output
of dilute urine.
Additional education can include maintaining a balanced diet and sodium intake and notify HCP
before making any dietary alterations.
What patient is at risk for developing psuedoparkinsonism syndrome (PS) ? What is the typical
presentation of a patient with PS? - CORRECT ANSWER - Also known as drug-induced
parkinsonism, those who have low dopamine levels and are taking antipsychotic medication(s).
Why should a patient on MAOI's avoid foods that are high in Tyramines? What types of food are
high-tyramines? - CORRECT ANSWER - Tyramine accumulates in the bloodstream and
has an indirect sympathomimetic action causing the release of stored catecholamines. S/S begin
15 minutes to an hour and include hypertension, sever headache (occipital or temporal),
palpitations, nausea, and vomiting. Can be fatal.
Alcoholic beverages, all mature cheeses, sour cream and yogurt, avocados, bananas, fava beans,
canned figs, dried fish, liver, pickled herring, salami, sausage, caffeinated beverages, chocolate,
licorice, sauerkraut, soy sauce, yeast.
What are some nursing considerations for a patient taking antidepressants? What do you teach a
pt about taking antidepressants? - CORRECT ANSWER - Assess patient for cautions and
contraindications (drug allergies, hepatorenal diseases, glaucoma, etc), seizure disorder and
suicidal thoughts, and monitor results of ECG and lab tests. Provide both comfort and safety
measures.
Educate patient that they may not see full therapeutic effects of medications until 2-4 weeks.
Take medications as prescribed and to take a dose as soon as they remember, if they missed one.
Abrupt discontinuation can lead to severe withdrawals.
