A nurse is providing education to nurses in the psychiatric unit on antidepressant medications
To evaluate their learning, the educator asks one of the nurses, "How does fluoxetine (Prozac) achieve its effects?" The nurse would be correct to state that fluoxetine (Prozac) achieves its ef-fects by which of the following mechanisms of action? a. Selectively inhibiting serotonin reuptake
b. Blocking the uptake of monoamines
c. Inhibiting monoamine oxidase-A in nerve terminals
d. Direct stimulation of serotonin receptors
A
Fluoxetine produces selective inhibition of serotonin reuptake and intensifies transmission at se-rotonergic synapses.
Fluoxetine does not act by blocking uptake of monoamines or inhibiting monoamine oxidase-A nerve terminals, nor does it directly stimulate serotonin receptors.
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What patient populations would the nurse expect is most likely to be prescribed a drug for an off-label use?
A) Adolescent and middle-aged adult patients B) Patients with diabetes or heart disease C) Obstetric and neonatal patients D) Pediatric and geriatric patients
Which attribute is necessary for the nurse who wishes to be a client advocate?
1. Restricting work to those areas in which the nurse has expertise and experience. 2. Referring any political action needs to a political action committee. 3. Avoiding conflicts with physicians and healthcare agency administrators. 4. Being assertive in representing the needs of the client and family.
The client asks the nurse to explain the reason for a chest tube insertion in treating a pneumothorax. Which is the best response by the nurse?
A) "Chest tube will allow air to be restored to the lung." B) "The tube will drain secretions from the lung." C) "Chest tubes provide a route for medication instillation to the lung." D) "The tube will drain air from the space around the lung."
The clinic nurse is assessing a 6-month-old infant during a well-child appointment. The nurse should use which approaches to alleviate the infant's stranger anxiety? (Select all that apply.)
a. Talk in a loud voice. b. Meet the infant at eye level. c. Avoid sudden intrusive gestures. d. Maintain a safe distance initially. e. Pick up the infant and hold him or her closely.