Question

30 A patient performs ritualiti D. Simple carbs 9. A patient on lithium for bipo lithium for bipolar disorder complains about constant about constant migraine like headaches and say is the best respond by the nurse she takes Ibuprophen for it at home, what is the best NSAIDs should be avoided, they can lead to lithium toxicity B. "Motrin works better for migraine-like head ache C. "Ibuprophen is OK as long as it is not over daily limit D. "Lithium can cause headache" 10. A management of substance abuse starts with: A. Methadone loading dose B. Detoxification C. AA meeting D. Quitting cold turkey 11. A patient with a history of opioid abuse is admitted to med surg, he complains of Pam should the nurse question? A. Morphine sulfate 2 mg IV B. Acetaminophen 650 mg PO C. Diphenhydramine 25 mg IV D. Ketorolac 30 mg IV 12. A patient recently started on fluoxetine (SSRI) complains of abdominal pain, feeling anxious, sweating and tremors. A nurse suspects medication interaction. What medication is most likely to contribute to those symptoms? A. Birth control pills B. Beta blockers C. MAOI D. Antihistamine 13. A patient is started on MAOI, the nurse is explaining that he will need to be monitoring his while on this medication (fill in the blank) A. Blood sugar B. Weight C. Diet D. Blood pressure 14. The nurse is discussing ways to prevent lithium toxicity with a patient newly diagnosed with bip disorder, what statement indicated patient needs more teaching? A. "I will drink 10 glasses of water a day" B. I will do monthly lab work" C. "I will report increased sleepiness or weakness" D. "I can continue my diuretic therapy" 15. The nurse is instructiong a patient starting on disulfiram (antabusel on following precautions receiving the therapy (select all that apply): A. Check all labels for ingredients B. Avoid all alcoholic beverages C. Avoid high tyramine foods

Answer 1

9.Most 9f the drugs when taken with lithium interacts.The NSAIDS has a potential to increase the level of lithium in the blood when consumed along with it.eg., Ibuprofen or Motrin.It can lead to lithium toxicity. This medication has to be taken only after consultation with a physician .Headache is not a common side effects of lithium

Ans:NSAID should be avoided, they can lead to lithium toxicity

10.The first step to trest an addicted individual is to remove the harmful substance or reduce its effects by detoxifying

Methadone will be used as a maintenance dru

Alcoholic Anonymous (AA) meeting can be effective if the person is addicted to alcohol and not much effective for other addictions

Quitting cold Turkey method is to stop using the addicted substance all of a sudden and completely. This may lead to withdrawal symptoms and make the individual more craving for the substance in case of heroine marijuana, drugs, alcohol or stonger substance which is difficult to be quitted with this method. It can be effective in case of smoking or using tobacco but not with other products

Ans:Detoxification

11.The drugs like acetaminophen, diphenhydramine, ketorolac has low abuse rate but the addiction towards morphine will be high if used in opioid abuse patient. So it has be avoided or counter verified before administration.

Ans:Morphine sulphate 2mg IV

12.The drugs which can be interact with the SSRI are

• Nonsteroidal anti inflammatory drugs
• Birth control pills
• Lithium MAOI (patient may experience central nervous problems like confusion, tremors,nausea,vomiting, headache,agitation, abdominal pain)
• Anticoagulant
• Bronchodilators

Ans:MAOI