A client diagnosed with a gambling disorder asks the nurse about medications that may be ordered by the client's physician to treat this disorder. The nurse would give the client information on which medications?
1. Escitalopram (Lexapro) and clozapine (Clozaril)
2. Citalopram (Celexa) and olanzapine (Zyprexa)
3. Lithium carbonate (Lithobid) and sertraline (Zoloft)
4. Naltrexone (ReVia) and ziprasidone (Geodon)
3
Rationale: The SSRIs and clomipramine have been used successfully in the treatment of pathological gambling as a form of obsessive-compulsive disorder. Lithium, carbamazepine, and naltrexone have also been shown to be effective. The antipsychotic medications clozapine, olanzapine, and ziprasidone are not treatments of choice for this disorder.
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A pregnant woman, gravida 2, para 1, tells the nurse she desires a VBAC (vaginal birth after cesarean section) with this pregnancy. What is the primary concern regarding complications for this patient during labor and birth?
a. Eclampsia b. Placental abruption c. Congestive heart failure d. Uterine rupture
Order: Vasopressin 4 milliunits/kg/hr Available: Vasopressin 20 units in 500 mL NS Client's weight: 100 kg The IV flow rate is _______________
a. 160 mL/hr b. 16 mL/hr c. 10 mL/hr d. 100 mL/hr
The student nurses are studying the possible complications of heart failure. What would the nurse mean if he documented on the chart that the patient is experiencing orthopnea?
A) Breathing without use of oxygen B) Breathing while sitting upright C) Breathing with movement D) Breathing when lying flat
The most important instruction to include in a teaching plan for a client in early pregnancy who has Class I heart disease is she:
a. must report any nausea or vomiting. b. may experience mild fatigue in early pregnancy. c. must report any chest discomfort or productive cough. d. should plan to increase her daily exercise gradually throughout pregnancy.