Score High in Your NCLEX: MAOI Inhibitors Must-Knows

MAOI Inhibitors Must-Knows

According to studies, depression affects more than 120 million individuals around the world. This mental disorder, unfortunately, disturbs one’s quality of life, relationships and social skills. Worst of all, it has led to approximately 850,000 cases of suicide worldwide.

Because of the prevalence of this disease, it is your responsibility as a nurse to familiarize yourself – as well as your clients – with anti-depressant medications, such as MAOI Inhibitors.

http://www.amazon.com/dp/B00EMLFF0S/ref=rdr_kindle_ext_tmb to get the Top Medications on NCLEX RN exam

Signs of Depression

Indications for Use

MAOI inhibitors are anti-depressants that affect neurotransmitters that serve as linkages between neurons. It addresses depression symptoms by altering the levels of such brain chemicals.

MAOI inhibitors prevent the synthesis of monoamine oxidase, which eliminates dopamine, serotonin and epinephrine from the brain. With higher levels of the aforementioned neurotransmitters, enhanced mood is experienced.

Examples of MAOI inhibitors are Phenelzine (Nardil), Selegilin (Emsam), Isocarboxazid (Marplan) and Tranylcypromine (Parnate.)

Nursing Considerations

Before administering MAOI inhibitors, the nurse should take the history of the patient. Pertinent information that should be noted are hypersensitivity to MAOI inhibitors, seizure disorders and cerebrovascular defects. Disorders such as cardiovascular disease, hypertension and hyperthyroidism should be documented as well.

As for physical examination, the nurse should obtain the client’s vital signs, reflexes, affect, orientation and urine output. Skin color and the presence of skin lesions should be checked as well. Laboratory tests that should be obtained include CBC, urinalysis, thyroid function tests, ECG and EEG.

NCLEX Nursing Interventions

The most important nursing intervention for patients taking MAOI inhibitors is to ensure that they limit the intake of tyramine-rich foods. Tyramine, whose breakdown is impeded by MAOI inhibitors, can lead to a hypertensive crisis. Symptoms include elevated BP and severe headache. At the sign of this, immediately discontinue the drug and inform the doctor.

Consequently, make sure to control the patient’s intake of cheese, alcohol, banana, liver and fermented/smoked food products. In anticipation of a hypertensive crisis, keep alpha-adrenergic blocking drugs and phentolamine at bay.

Apart from the symptoms of hypertensive crisis, MAOI inhibitors should also be discontinued at the first sign of hepatic dysfunction (jaundice.)

Important NCLEX Teaching Points

Nurses are health educators, so when teaching patients taking MAOI inhibitors, remind them to take the drug as prescribed.  Advise them not to discontinue use abruptly.

As it has been emphasized, instruct your patients to avoid tyramine-rich foods while taking MAOI inhibitors, up to 2 weeks after therapy. Alcohol, appetite suppressants and over-the-counter drugs should be averted as well.

Additionally, make sure to educate your patients about the expected side effects of MAOI inhibitors, which are:

  • Dizziness
  • Weakness/fainting resulting from an abrupt positional change
  • Drowsiness
  • Blurred vision (reversible)
  • Nausea and vomiting
  • Loss of appetite
  • Emotional or mental changes
  • Irritability/ nervousness

Patients should be informed about the warning signs that warrant immediate physician/nurse attention as well. They include:

  • Headache
  • Rashes
  • Darkened urine
  • Pale stools
  • Eye/skin yellowing
  • Chills and fever
  • Sore throat

Your patient’s recovery depends on your knowledge, skills and passion as a nurse. Enhance your mind and become an excellent nurse with the practice NCLEX questions at nclexpreceptor.com.

next page

References:

http://www.mayoclinic.org/diseases-conditions/depression/in-depth/maois/art-20043992

http://web.squ.edu.om/med-Lib/MED_CD/E_CDs/Psychiatric%20Nursing%20Care%20Plans/monographs/phenelzine%20sulfate.htm

http://assistednursingcare.net/monoamine-oxidase-inhibitors-maois-an-antidepressant-and-its-contraindications/

 

There was an issue loading your timed LeadBox™. Please check plugin settings.

Nursing NCLEX Fundamentals

Nursing NCLEX Fundamentals

The nurse must have a solid understanding of nursing NCLEX fundamentals to pass NCLEX.  It is important for the nurse to study basic NCLEX fundamentals such as assessment, diagnosis, planning, implementing, and evaluation.

NCLEX Fundamentals
NCLEX Fundamentals
  1. Assessment is collecting vital signs, pain levels, other signs/ symptoms
  2. Diagnosis is the nurse making a nursing diagnosis based on assessment of patient.  Medical diagnosis are made by physicians.
  3. Planning is the nurse comeing up with client-centered goals; need to be measurable (client will ambulate 10 meters 3x daily for 2 wks)
  4. Implementing is the nurse following through with plan that was developed for the patient
  5. Evaluation is when the nurse assess if a  goal was met, partially met, not met.  The nurse should evaluate the patient’s plan of care.

Consider placing patients on bedrest to help increase a patients strength.  Bedrest will lower the body’s need for oxygen.  Bedrest will reduce pain and discomfort.  Patients should not be placed on bedrest without considering physical therapy.

NCLEX Fundamentals Tips

NCLEX Fundamentals Tip 1:

Assessment is the first step in the nursing process.  The nurse should assess the patient in order to create a nursing diagnosis.  Assessment is collecting objective and subjective information on the patient.

NCLEX Fundamentals Tip 2:

Pain management is a NCLEX fundamental concept.  Opioids are pain relievers that contain opium or chemically related to opium.  Opioids are ordered for moderate to severe pain.  Opioids are commonly ordered for post-op, chronic non-cancer, or cancer patients.

NCLEX Fundamental Tip 3:

Hand washing is a NCLEX fundamental concept.  One of the most important technique used in preventing and controlling transmission of infection is hand washing.  Nurses should wash their hands before and after each patient encounter.  Hand washing protects the patient as well as the nurse.

NCLEX FundamentalsNCLEX Fundamentals of Meds 3rd Edition only $9.99

Find more nursing fundamentals at Kaplan
Find nursing text books at Amazon

 

There was an issue loading your timed LeadBox™. Please check plugin settings.

Important Things to Know About the RN NCLEX – Questions and Answers

Join Our Private NCLEX Group

Congratulations, you have finally passed the hurdle that is Nursing School! While the thought of graduation should make you celebrate, you need to know that there is one more challenge you need to overcome: the NCLEX. Probably the most important requirement for all wannabe nurses, the NCLEX and the questions therein  are designed to ensure safety of the public in the hands of neophyte nurses like you.

http://www.amazon.com/dp/B00EMLFF0S/ref=rdr_kindle_ext_tmb to get the Top Medications on NCLEX RN exam

What is the NCLEX?

NCLEX is the acronym for National Council Licensure Examination. NCLEX questions are formulated by members of the National Council of State Boards of Nursing.

NCLEX questions come in two forms: the NCLEX-RN for Registered Nurses, and the NCLEX-PN for Practical Nurses.

Passing the NCLEX is a must for every aspiring nurse, as it measures the competencies of entry-level nurses. This helps determine the ability of such professionals to perform their duties safely and efficiently in the healthcare setting.

NCLEX Format

The computerized NCLEX questions test is an innovation introduced in April 1994. NCLEX questions are divided into four categories, and these cover the entire span of Nursing.

The NCLEX is not just a repository of randomly-assigned queries, it features a computer-adaptive format that spews questions based on your former answers. The difficulty will depend on you, the examinee, and the level of your Nursing knowledge.

NCLEX Questions and Exam Length

NCLEX questions and the entire exam vary in length. The minimum number of questions you need to answer is 75, while the maximum is 265.

You have a total of 6 hours to finish the NCLEX questions. This duration includes breaks (optional), as well as viewing of tutorials and answering sample questions. Remember that your six-hour allotment does not stop whenever you take breaks.

What to Expect During the Exam Date

On the exam date, you need to provide a scan of your palms, as well as fingerprints and a digital signature. You need to have your picture taken as well.

You need to surrender your Authorization to Test (ATT) when asked. This is the only item you can bring with you during the examination. You can store your valuables in a locker outside the testing area.

NCLEX Results

To ensure result accuracy, each exam is checked twice by the Board.

After answering NCLEX questions, the waiting time is approximately one month before you get the results from the State Board. If this is too long for you, you can get the unofficial result 2 days after you have taken the test. Getting your result through this method comes with an additional fee.

In case of failure, you will be sent a Candidate Performance Report that features a detailed account of your strengths and weaknesses. From this report you can determine which NCLEX questions you need to brush up on, before you take another round of the test.

NCLEX Passing Tips

Practicing NCLEX questions is one of the best ways for you to pass the exam. If you are looking for mind-boosting queries that can help you prepare for the test, then be sure to visit nclexpreceptor.com.

Now that you know everything there is to know about the exam, it is time for you to take the exam and answer the NCLEX questions! Good luck!

Join Our Private NCLEX Group

There was an issue loading your timed LeadBox™. Please check plugin settings.

Vitamin K – Pass the NCLEX on your First Time by Mastering this Drug

Master Vitamin K

Vitamins are essential for everybody’s health. So if you are an aspiring nurse, you definitely have to master these vital substances.

Now that you are about to take your NCLEX, remember that you need to be familiar with the common drugs, such as Vitamin K. Often found in NCLEX tests, you can memorize its important points by reading through the rest of this article.

http://www.amazon.com/dp/B00EMLFF0S/ref=rdr_kindle_ext_tmb to get the Top Medications on NCLEX RN exam

Indications for Use

Also known as Phytomenadione, Vitamin K is a medication that works similar to the natural vitamin found in green leafy vegetables and fish. It is needed for the synthesis of clotting factors that prevent excessive bleeding.

Vitamin K is prescribed in patients who suffer from an overdose of oral anti-coagulants, such as Coumadin and Inandione. It is also used in individuals who suffer from hypoprothrombinemia resulting from the intake of oral antibiotics and Vitamin A.

Those with disorders resulting to the malabsorption and inadequacy of Vitamin K, such as ulcerative colitis and obstructive jaundice, are also treated with the said drug.

Vitamin K is also an essential medication for newborns, as it is used in the treatment of neonatal hemorrhagic disease.

Vitamin K FoodsNursing Considerations

As a nurse, you are responsible for monitoring the patient who will receive Vitamin K. You should take a comprehensive history, specifically noting if he has allergies. For female patients, establish if they are pregnant, planning to be pregnant or lactating, as it can cause jaundice and other conditions to the fetus/neonate.

Since Vitamin K helps in the synthesis of clotting factors, you should check the patient’s PT and INR tests every so often.

NCLEX Nursing Interventions

As it has been established, you should religiously monitor your patient’s PT/INR response. After all, the result will dictate the duration, frequency and dose of Vitamin K.

The effectiveness of the drug is evidenced by the following responses:

  • Shortened PT/INR, bleeding and clotting times
  • Decreased bleeding tendencies

Important NCLEX Teaching Points

When dealing with patients taking Vitamin K, it is vital to remind them to maintain a normal diet. Remind them to avoid increasing the intake of Vitamin K-rich foods (i.e. green leafy vegetables, fish, meat and eggs,) especially if the treatment regimen has already been stabilized.

It is also important to inform patients taking Vitamin K that they might develop temporary resistance to anticoagulants similar to Coumadin. Should this oral medication be needed, a larger dose – or heparin even – might be prescribed instead.

Vitamin K is an essential drug, commonly seen in many hospital floors. Boost your nursing knowledge and obtain that most-awaited license by going through the practice NCLEX questions here at nclexpreceptor.com.

next page

 

 

 

Resources:

http://www.mayoclinic.org/drugs-supplements/vitamin-k-oral-route-parenteral-route/description/drg-20069592

http://www.robholland.com/Nursing/Drug_Guide/data/monographframes/P045.html

There was an issue loading your timed LeadBox™. Please check plugin settings.

Superb NCLEX Study Tips

Join Our Private NCLEX Group

Ace the NCLEX:  Superb

NCLEX Study Tips

NCLEX study tips are the best way for nurses to study for NCLEX.  Congratulations! Your years of studying have finally paid off.  Graduating from Nursing school is just the start of your journey. Before you can practice your skills and live out your dream of becoming an efficient nurse, you first need to pass the National Council Licensure Examinations for Registered Nurses, also known as NCLEX-RN.  We provide NCLEX Study tips to help you pass the exam on your 1st try.

The NCLEX, which is administered in a computerized adaptive testing format, provides the aspiring nurse with 75 to 265 exam questions. Our NCLEX Study tips will help you pass the exam.  The test ends when the system determines the capacity of the exam taker (below or above standard.)

Of course, you want your results to be above standard, don’t you? So how do you go about with this make-or-break event in your life? Here are superb NCLEX Study tips that can help you ace your NCLEX in as little as 75 questions!

Get more NCLEX Study Tips in our mobile app

NCLEX Study tip 1.

Go over as many NCLEX study tips and questions as you possibly can.  NCLEXPreceptor.com has a mobile application and website that provides study questions that will help you pass the NCLEX exam on the 1st try.

NCLEX Study tip 2.

Draft an effective study plan.  According to the article “6 tips on preparing for the NCLEX-RN exam” by Judy Draper, MSN and Alice Stein, RN, EdD, you should schedule your examination right away, while the information in your mind is still fresh. Once the schedule is put into place, you can calculate how many days you have left for reviewing.

Divide your study materials equally so that you can cover all the bases for the remaining days. Choose the best time where you can function well – is

NCLEX Study Tips
NCLEX Study Tips

it morning, or before sleeping?

Now that you have created a study schedule, make sure to stick with it. Go over your class notes, books and test reviewers as you have planned to. Devote additional study times to areas where you are weak at.

NCLEX Study tip 3.

Familiarize yourself with the test plan categories.

The practice of Nursing is broad; so it will help if you know the categories and types of questions that can appear in the NCLEX. Here is the breakdown of the topics you can expect from the exam:

  • Basic Care and Comfort
  • Pharmacological and Parenteral Therapies
  • Reduction of Risk Potential
  • Physiological Adaptation
  • Management of Care
  • Safety and Infection Control
  • Psychosocial Adaptation
  • Coping and Adaptation
  • Prevention and Early Detection of Disease
  • Growth and Development Through the Lifespan

NCLEX Study tip 4.

Review for the exam with a study group.  You might find it hard to study on your own, especially if you have your TV and your laptop to distract you. In this case, you need to participate in a study group. Here, you can gain support and motivation from colleagues (God knows I got mine from my peer group!) You can even share your study materials and ask each other about possible NCLEX-RN questions, such as this one: Antepartum

A new mother has some questions about (PKU). Which of the following statements made by a nurse is not correct regarding PKU?

A: A Guthrie test can check the necessary lab values.
B: The urine has a high concentration of phenylpyruvic acid
C: Mental deficits are often present with PKU.
D: The effects of PKU are reversible.

5.  Be prepared on the test date itself.  Cramming will do you no good, especially the day before the exam. Sleep early so you can be well-rested on the exam date itself. Arrive at the test facility earlier than expected, especially if you are not familiar with the area. Be sure to have all the necessary documents with you – your test authorization form and two valid IDs.

Studying well is important for you to pass the NCLEX – and it is just as vital to be mentally prepared as well. With a well-stocked brain and a positive outlook in life, you can become the nurse you have always wanted to be! You can find other test questions and NCLEX study tips at www.NCLEXPreceptor.com.

Do you have other study tips for NCLEX takers? Don’t hesitate to share them here!Join Our Private NCLEX Group

 

Author: Raychel Ria Agramon

There was an issue loading your timed LeadBox™. Please check plugin settings.