An older client has met the criteria for a diagnosis of major depressive disorder. The client does not respond to antidepressant medications. Which therapeutic intervention should a nurse anticipate will be ordered for this client?
1. Electroconvulsive therapy (ECT)
2. Neuroleptic therapy
3. An antiparkinsonian agent
4. An anxiolytic agent
1
Rationale: The nurse should anticipate that ECT will be ordered to treat this client's symptoms of depression. ECT remains one of the safest and most effective treatments for major depression in older adults. The response to ECT may be slower in older clients, and the effects may be of limited duration.
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A nursing student asks the nurse to discuss the differences between POAG and angle-closure glaucoma. Which statement by the nurse is correct?
a. "Angle-closure glaucoma may be asymp-tomatic until irreversible damage has oc-curred." b. "Both types are more common in African American patients." c. "Drug therapy is the definitive treatment for angle-closure glaucoma." d. "Early treatment with prostaglandin ana-logs can stop the progression of POAG."
The vital signs should be charted:
1. after they have been reported to the nurse in charge or the doctor. 2. at the end of the shift. 3. before the lunch break. 4. immediately after they have been taken.
A client with cirrhosis has a nasogastric tube for gastric decompression. How would the nurse check for upper gastrointestinal bleeding in the absence of frank bleeding?
a. use test strip to test gastric aspirate for guiac b. assess for signs of gastric distress c. check stool of hematochezia d. trend vital signs
The main function of lymphocytes is phagocytosis of bacteria and other invading microorganisms
Indicate whether the statement is true or false