NR 326 CMS EXAM WITH CORRECT ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ANSWERS
olanzapine uses and teaching - correct answer✔✔-antipsychotic medication that is used to treat psychotic
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
conditions such as schizophrenia and bipolar disorder (manic depression) in adults and children at least 13
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
years old ||\\||\\
-report agitation, dizziness, sedation, sleep disruption, agranulocytosis
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
lithium toxicity - correct answer✔✔-notify the provider of toxicity.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Diarrhea, N/V, thirst, muscle weakness, hand tremors, slurred speech, lethargy, tinnitus, ataxia, seizures,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
hypotension, respiratory complications. ||\\||\\ ||\\||\\
- Instruct pt. to hold medication and notify the provider.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Monitor Na+ and drink 1.5-3 liters of H20 daily ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
o Early - less than 1.5
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
o Advanced - 1.5-2
||\\||\\ ||\\||\\ ||\\||\\
o Severe- 2 - 2.5
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
o Greater than 2.5 - coma and death, initiate dialysis.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
o Avoid in hepatic, renal, or cardiac patients and schizophrenia
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
atomoxetine s/s and teaching - correct answer✔✔- appetite and growth suppression, GI effects (n/v, upper ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
abdominal pain, suicidal ideations in children and adolescents, hepatotoxicity(flu like symptoms), headache,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
insomnia, irritability. Take medication with food. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
methylphenidate uses and side effects - correct answer✔✔- sold under the trade name Ritalin among ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
others, is a stimulant medication used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- insomnia, restlessness, weight loss, growth suppression, cardiovascular effects, hallucinations, paranoia,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
withdrawal reaction, hives, CNS depression, bleeding. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
fluoxetine uses, teaching and adverse effects - correct answer✔✔-SSRI ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-It can treat depression, obsessive-compulsive disorder (OCD), bulimia nervosa, and panic disorder
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-do not stop taking suddenly, can take 1-3 weeks to take effect and up to 2 months for maximum response
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Avoid hazardous activity until you know how you will respond
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- AE's: n/v, headache, agitation, insomnia, anxiety, sexual dysfunction
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, - Follow a healthy diet, weight gain can occur, monitor for SI.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Paroxetine uses and teaching - correct answer✔✔-SSRI ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-used to treat depression, panic attacks, obsessive-compulsive disorder (OCD), anxiety disorders, and post-
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
traumatic stress disorder ||\\||\\ ||\\||\\
-avoid with grapefruit juice and high fat foods decrease absorption
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Dextroamphetamine (adderall) teaching - correct answer✔✔- administer immediately during or after meals ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- consult with MD if there is a request for a drug holiday - notify if there is chest pain, dizziness, or SOB,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
report hallucinations and paranoia ||\\||\\ ||\\||\\ ||\\||\\
- do not stop abruptly
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- take last dose before 4pm.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Benztropine - correct answer✔✔- anticholinergic ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- used to help treat symptoms of Parkinson's or involuntary movements due to Haldol or chlorpromazine
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Chlorpromazine - correct answer✔✔-typical antipsychotic ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-phenothiazine that is used to treat psychotic disorders such as schizophrenia or manic-depression in adults. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- interventions for AE: Monitor for EPS symptoms, change positions slowly, avoid TUMS as they decrease
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
absorption, can cause drowsiness and weight gain. Cooling blankets, antipyretics, increase fluids, Give
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
dantrolene.
Lithium - correct answer✔✔most common drug for bipolar disorder
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Atomoxetine - correct answer✔✔med for ADHD (Strattera) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Naltrexone, diazepam, carbamazepine, clonidine, phenobarbital - correct answer✔✔medications for alcohol
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
withdrawal
Amitriptyline uses and overdose teaching - correct answer✔✔-tricyclic antidepressant ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-if overdose is present administer Flumazenil and saline
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Clozapine uses and teaching - correct answer✔✔-antipsychotic ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-can treat schizophrenia. It can also lower the risk of suicidal behavior in patients with schizophrenia or
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
schizoaffective disorder ||\\||\\
ANSWERS
olanzapine uses and teaching - correct answer✔✔-antipsychotic medication that is used to treat psychotic
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
conditions such as schizophrenia and bipolar disorder (manic depression) in adults and children at least 13
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
years old ||\\||\\
-report agitation, dizziness, sedation, sleep disruption, agranulocytosis
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
lithium toxicity - correct answer✔✔-notify the provider of toxicity.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Diarrhea, N/V, thirst, muscle weakness, hand tremors, slurred speech, lethargy, tinnitus, ataxia, seizures,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
hypotension, respiratory complications. ||\\||\\ ||\\||\\
- Instruct pt. to hold medication and notify the provider.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Monitor Na+ and drink 1.5-3 liters of H20 daily ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
o Early - less than 1.5
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
o Advanced - 1.5-2
||\\||\\ ||\\||\\ ||\\||\\
o Severe- 2 - 2.5
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
o Greater than 2.5 - coma and death, initiate dialysis.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
o Avoid in hepatic, renal, or cardiac patients and schizophrenia
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
atomoxetine s/s and teaching - correct answer✔✔- appetite and growth suppression, GI effects (n/v, upper ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
abdominal pain, suicidal ideations in children and adolescents, hepatotoxicity(flu like symptoms), headache,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
insomnia, irritability. Take medication with food. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
methylphenidate uses and side effects - correct answer✔✔- sold under the trade name Ritalin among ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
others, is a stimulant medication used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- insomnia, restlessness, weight loss, growth suppression, cardiovascular effects, hallucinations, paranoia,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
withdrawal reaction, hives, CNS depression, bleeding. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
fluoxetine uses, teaching and adverse effects - correct answer✔✔-SSRI ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-It can treat depression, obsessive-compulsive disorder (OCD), bulimia nervosa, and panic disorder
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-do not stop taking suddenly, can take 1-3 weeks to take effect and up to 2 months for maximum response
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Avoid hazardous activity until you know how you will respond
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- AE's: n/v, headache, agitation, insomnia, anxiety, sexual dysfunction
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, - Follow a healthy diet, weight gain can occur, monitor for SI.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Paroxetine uses and teaching - correct answer✔✔-SSRI ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-used to treat depression, panic attacks, obsessive-compulsive disorder (OCD), anxiety disorders, and post-
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
traumatic stress disorder ||\\||\\ ||\\||\\
-avoid with grapefruit juice and high fat foods decrease absorption
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Dextroamphetamine (adderall) teaching - correct answer✔✔- administer immediately during or after meals ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- consult with MD if there is a request for a drug holiday - notify if there is chest pain, dizziness, or SOB,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
report hallucinations and paranoia ||\\||\\ ||\\||\\ ||\\||\\
- do not stop abruptly
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- take last dose before 4pm.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Benztropine - correct answer✔✔- anticholinergic ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- used to help treat symptoms of Parkinson's or involuntary movements due to Haldol or chlorpromazine
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Chlorpromazine - correct answer✔✔-typical antipsychotic ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-phenothiazine that is used to treat psychotic disorders such as schizophrenia or manic-depression in adults. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- interventions for AE: Monitor for EPS symptoms, change positions slowly, avoid TUMS as they decrease
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
absorption, can cause drowsiness and weight gain. Cooling blankets, antipyretics, increase fluids, Give
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
dantrolene.
Lithium - correct answer✔✔most common drug for bipolar disorder
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Atomoxetine - correct answer✔✔med for ADHD (Strattera) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Naltrexone, diazepam, carbamazepine, clonidine, phenobarbital - correct answer✔✔medications for alcohol
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
withdrawal
Amitriptyline uses and overdose teaching - correct answer✔✔-tricyclic antidepressant ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-if overdose is present administer Flumazenil and saline
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Clozapine uses and teaching - correct answer✔✔-antipsychotic ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-can treat schizophrenia. It can also lower the risk of suicidal behavior in patients with schizophrenia or
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
schizoaffective disorder ||\\||\\
