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ANCC Psychiatric and Mental Health Nursing - Blogs Sample Questions

An EKG would be ordered if you suspect that a 56-year-old patient is suffering from _______.

Correct Answer:

arrhythmia.

an ekg, or electrocardiogram, would be ordered if you suspect that a 56-year-old patient is suffering from **arrhythmia**. arrhythmias are abnormalities in the heart rate or rhythm. they can manifest as palpitations, irregular heartbeats, or the feeling of skipped beats. an ekg is crucial in diagnosing arrhythmias because it records the electrical activity of the heart, allowing healthcare providers to identify irregularities in the heart's rhythm and conduction patterns.

while other conditions might also warrant the use of an ekg, arrhythmia is one of the primary indications. for example, low oxygen levels, or hypoxemia, can indeed affect heart function and might indirectly lead to arrhythmias, but an ekg wouldn't be the first test ordered specifically for suspected low oxygen levels; instead, pulse oximetry or arterial blood gas tests would be more appropriate initially.

similarly, a high bun (blood urea nitrogen) level indicates renal issues and while it can be associated with overall cardiovascular risk, it does not directly suggest arrhythmias. in such cases, the ekg might be part of a broader evaluation, but it is not specifically indicated by high bun alone.

in the case of seizures, while they are neurological events, an ekg might occasionally be ordered if a cardiac cause for the seizures is suspected, such as an arrhythmia leading to fainting spells (syncope) that could be mistaken for seizures. however, the primary diagnostic tools for seizure disorders are eeg (electroencephalogram) and imaging studies.

therefore, when a 56-year-old patient presents symptoms that suggest a potential arrhythmia, such as chest pain, dizziness, or unexplained fainting, an ekg is a direct and effective diagnostic approach to confirm or rule out arrhythmia as the cause of these symptoms. this test is vital in guiding further treatment and management, ensuring the patient receives the appropriate care based on accurate diagnosis.

Side effects which can occur with all chemical classes of antidepressants
would include all of the following except?

Correct Answer:

anxiety

when discussing side effects of antidepressants, it's important to note that while many side effects can be common across different classes of these medications, not all side effects are universal. antidepressants are a diverse group of medications used primarily to treat major depressive disorders and other conditions, and they are categorized into several different classes based on their chemical structure and mechanism of action in the brain.

common side effects that can occur with virtually all classes of antidepressants include nausea, dry mouth, sedation, and discontinuation syndrome. these side effects are shared across various types of antidepressants because many of these drugs affect similar neurotransmitter systems in the brain, albeit in different ways. for instance, neurotransmitters like serotonin, norepinephrine, and dopamine are often influenced by these medications, which can lead to gastrointestinal upset (resulting in nausea), changes in salivation (leading to dry mouth), alterations in sleep patterns and alertness (causing sedation), and symptoms that occur with sudden discontinuation of the drugs (discontinuation syndrome).

however, anxiety as a side effect is not commonly seen across all antidepressant classes. in fact, antidepressants are often prescribed to help manage anxiety disorders. it's possible for some individuals to experience increased anxiety when starting an antidepressant, but this is typically temporary and can vary depending on the specific drug and the individual's personal health profile. moreover, certain antidepressants, particularly those in the selective serotonin reuptake inhibitor (ssri) class, are known for their efficacy in reducing anxiety over time.

therefore, when evaluating the side effects common to all classes of antidepressants, anxiety does not typically feature as a standard side effect. instead, it is more accurate to consider nausea, dry mouth, sedation, and discontinuation syndrome as the more prevalent side effects experienced by patients across different antidepressant classes. it is crucial for healthcare providers to monitor patients for any side effects and adjust treatment plans accordingly, ensuring the therapeutic benefits outweigh potential adverse effects.

Additional Blogs for ANCC - American Nurses Credentialing Center dfgdfgdfg

In your journey to get ANCC Psychiatric and Mental Health Nursing certified it is important for you to have all information related to your exam. So we have pulled together a list of additional blogs that may be of interest to you because that are all related to the American Nurses Credentialing Center.