Question

lication is used to treat bipolar besides D. Avoid all purines 16. A patient is admitted with bip ent is admitted with bipolar disorder. What medication is use lithium? A Ginco biloba B. St Wart C. Valporic Acid D. Citalopram 17. Which herbal supplement can cause serotonin syndrome in patients taking A Feverfew B. Ginko C. St John Wart D. Ging-shen 18. When patient is taking antidepressant, what should the nurse do? (Sellect all that apply) A. Observe for suicidal idiation B. Observe for orthostatic hypotension C. Alert patient that medication does not start working immediately D. Advise to take adequate fluid 19. A patient is started on TCA amytriptiline is complaining of excessive sleepiness during the day. What is the best nursing respond? A. "It is a common side effect" B. "Tell me more about your sleepiness" C. "It will go away with continued use" D. "What time of the day are you taking it?" 20 A patients on TCA nortriptyline is complaining of palpitations, he seems agitated and confused. Nurse is preparing to place an urgent call to on-call doctor because she suspects what adverse side effect of this medication? A. Sedation B. Seizure C. Cardiac toxicity D. Anticholinergic side effect. 20. A patient with seizure disorder is seeking treatment for his generalized depression. He says "my friend is on the amytriptiline, she said she can share some of her medication so I could try it out". What is the best respond by the nurse? A. "TCA antidepressants like amytriptiline can decrease your seizure threshold" B. "Sharing medication is not recommended, it may not be the correct dose" C. "Nortriptyline is more effective" D. "I can ask the doctor to order it for you so you do not have to share" 21. A patient is on Sertraline (SSRI) he calls afterhours and says he is on vacation and forgot his medication at home, he wants to know if he can skip a few days safely till he comes back home. What is the best respond by the nurse? A. "This medication takes a while to build up to therapeutic level" B. "Do not take any herbal supplements to replace it"

Answer 1

16. C. Valproic acid Antipsychotic medications ace Combined with a mood stabilizer such as lithicum ç Nalproic acid "C. Heubal Supplement St John wayt Can caume serotonin Syndzome un Patients taking SSRI'S 18. pationti daking Anti-depsienanty The nose Should 8bsexue A. Obserue for suicidal Ioleation. D.what time of the 19. day your taking Amytriptallin cause Sleepimey So the adviced to take the Patient is drug before going to bed 20.8. Seizures arie the Aduerse side Effect of Anti-doprenant dug Amyonyptalin .

20. D. I can auk doctor to order it for do not haue to shacee you Amytiptiline for the seizvre disorder patient mot oecommended Inorease the Seizure It will thoreshold 21. B. "Do not take any heubal Supplem - it". it" ent, to sleplace Because some herbal medicines Iike St. Johns wart , Ginseng & Nutmeg leads to Serotonin Syndrome. cS Scanned with CamScanner