A patient with depression is prescribed duloxetine (Cymbalta). What should the nurse instruct the patient about this medication?
a. Take with fruit juice.
b. Do not take with St. John's wort.
c. Stop the medication if experiencing adverse effects.
d. Expect blood pressure to drop with this medication.
ANS: B
Many people take St. John's wort, an OTC herbal supplement, for depression. Although it may be effective for some people with mild depression, it can interact with many prescribed medications that influence serotonin levels. If combined with prescription serotonin-type antidepressants, it can cause serotonin syndrome, an excess of serotonin resulting in agitation, confusion, diarrhea, muscle spasms, and even death. A. This medication does not need to be taken with fruit juice. C. This medication should not be abruptly stopped. D. This medication can cause systolic hypertension.
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A nurse assesses a client with the National Institutes of Health (NIH) Stroke Scale and determines the client's score to be 36. How should the nurse plan care for this client?
a. The client will need near-total care. b. The client will need cuing only. c. The client will need safety precautions. d. The client will be discharged home.
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A forensic nurse is responsible for conducting a thorough examination, including a history, performing a physical assessment, and collecting forensic evidence on a female client following a rape. In which of the following subspecialties of forensic nursin
a. Sexual assault nurse examiner (SANE) b. Nurse coroner c. Legal nurse consultant d. Forensic nurse death investigator
Your patient is a 62-year-old woman complaining of a "racing heart." Your examination of the patient reveals a pulse rate of 192 beats/min. Briefly explain why recognition of a rapid heart rate is important when providing patient care
What will be an ideal response?