NURS6630N FINAL EXAM VERSION A LATEST 2023 QUESTIONS AND CORRECT ANSWERS

NURS6630N FINAL EXAM VERSION A LATEST 2023 QUESTIONS AND CORRECT ANSWERS Benzodiazepines can be withdrawn abruptly despite duration of therapy/abuse. Response Feedback: Benzodiazepines should never be stopped suddenly; Page 194 “Under no circumstances should benzodiazepines be stopped abruptly.” Which medication below would you use in addition to benzodiazepine treatment if the patient is experiencing psychosis during alcohol withdrawal delirium? Response Feedback: “Haloperidol 50 to 10 mg PO or IM may be added and repeated after 1 to 2 hours when psychosis or agitation is present.” Select the correct treatment regarding drugs involved in addiction management and their corresponding mechanism of action. Response Feedback: under Overdose subtitle: “Flumazenil, a specific benzodiazepine antagonist, reverses the life-threatening effects of a benzodiazepine overdose.” What baseline levels should you perform before initiating an anti-ADHD medication? Response under Overview: “Before treatment with medications, it is usually • Question 4 • Question 3 • Question 2 • Question 5 Feedback: important to measure baseline levels of height, weight, blood pressure, and pulse and to monitor them over the course of the treatment.” Which of the following drugs in the treatment of Alzheimer’s Disease requires administration with food? Response Feedback: “Rivastigmine should be administered with meals to reduce gastrointestinal side effects.” Which medication below should be routine for all suspected cases of alcohol intoxication and dependence? Response Feedback: under Treatment of Wernicke’s encephalopathy: “Administration of the B vitamin thiamine (IM or IV) should be routine for all suspected cases of alcohol intoxication and dependence.” Patient is a 75-year-old female with a confirmed diagnosis of Alzheimer’s Disease. She is currently on Donepezil 10 mg daily. She is accompanied to your clinic today by her daughter, who informs you that her mother has recently had an increase in depressive symptoms. She has no history of mood disorders. She has a history of hypertension and tonic-clonic seizures, but both are controlled. Assuming this patient will be thoroughly evaluated for the diagnosis of depression, what would you recommend as initial therapy? Response Feedback: SSRIs are effective in treating depressive symptoms. Answer choices A & B are both TCAs and are advised against due to side effect profile and the fact this person is treatment naive (learned from previous exam) and answer choice D is contraindicated in a patient with seizures. Y. R. is a 35-year-old woman who presents to your clinic today complaining of ankle pain. She said she was running the trail when she saw a snake. During a quick turn to run away from the snake, she twisted her ankle. Which of the following medications may be a good choice in helping Y. R. with her pain? Response Feedback: No specific page number, but ibuprofen would be the best choice since oxycodone isn’t recommended first-line (Box 17-1 on page 208) since no other medications have been trialed; TCAs and SNRIs wouldn’t be a good choice because the patient doesn’t show any signs of depression. If a patient suffers from a multitude of small strokes and later begins experiencing mood disturbances in an acute fashion that sometimes resolve, from what type of dementia would you think that patient may suffer? Response Feedback: under the clinical features and diagnosis subtitle The experience of pain is ALWAYS subjective • Question 10 • Question 9 • Question 8 • Question 7 • Question 6 Response Feedback: “The experience of pain is always subjective.”