GALEN NUR 210 CERTIFICATION EVALUATION
QUESTIONS AND SOLUTIONS
◉ Lithium Levels.
Answer: 0.4-1.0 therapeutic
1.5 mild toxicity
1.5-2.0 advanced toxicity
2.0- 2.5 severe toxicity
> 2.5 death
◉ Signs & Symptoms of Lithium Toxicity.
Answer: Thirst, Tremors, Vomiting, Diarrhea, Muscle Weakness
◉ Bipolar II Disorder.
Answer: Episodes of hypomania (elation, high energy, but less than
bipolar I)
Does not experience psychosis
◉ Bipolar I Disorder.
Answer: Episodes of mania (super elation, super energy, doesn't
eat/drink/sleep, takes risks, spends excessive, hypersexual)
, May have hallucinations
◉ What is a priority when a Manic Bipolar I patient arrives at the
ED?.
Answer: 1. Medically evaluate
2. IVF
2. Benzodiazepines
◉ Nursing Interventions for Bipolar I Disorder.
Answer: Limit Stimuli, Safety, Encourage Sleep, Set Limits
◉ Benztropine (Cogentin).
Answer: Used for treatment of EPS, pseudo-parkinson symptoms
◉ Signs & Symptoms of Neuroleptic Malignant Syndrome.
Answer: Muscle rigidity, board-like, High temperature, diaphoretic,
tachycardic
◉ Generation Three Antipsychotics.
Answer: Aripiprazole (Abilify)
QUESTIONS AND SOLUTIONS
◉ Lithium Levels.
Answer: 0.4-1.0 therapeutic
1.5 mild toxicity
1.5-2.0 advanced toxicity
2.0- 2.5 severe toxicity
> 2.5 death
◉ Signs & Symptoms of Lithium Toxicity.
Answer: Thirst, Tremors, Vomiting, Diarrhea, Muscle Weakness
◉ Bipolar II Disorder.
Answer: Episodes of hypomania (elation, high energy, but less than
bipolar I)
Does not experience psychosis
◉ Bipolar I Disorder.
Answer: Episodes of mania (super elation, super energy, doesn't
eat/drink/sleep, takes risks, spends excessive, hypersexual)
, May have hallucinations
◉ What is a priority when a Manic Bipolar I patient arrives at the
ED?.
Answer: 1. Medically evaluate
2. IVF
2. Benzodiazepines
◉ Nursing Interventions for Bipolar I Disorder.
Answer: Limit Stimuli, Safety, Encourage Sleep, Set Limits
◉ Benztropine (Cogentin).
Answer: Used for treatment of EPS, pseudo-parkinson symptoms
◉ Signs & Symptoms of Neuroleptic Malignant Syndrome.
Answer: Muscle rigidity, board-like, High temperature, diaphoretic,
tachycardic
◉ Generation Three Antipsychotics.
Answer: Aripiprazole (Abilify)
