A nurse is caring for a client with major depressive disorder. The client takes no pleasure in journaling, which the client usually enjoys. The nurse understands that this is an example of which type of major depressive disorder?
A) With psychotic features
B) With catatonic features
C) With melancholic features
D) With seasonal pattern
C
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During a follow-up visit with a patient recently started on Coumadin, the home health nurse is concerned after seeing an herbal remedy that enhances the effect of anticoagulants by the patient's bedside. What is this herbal remedy?
a. Cayenne b. Aloe vera c. Asian ginseng d. Kava
The nurse is planning care for an older patient diagnosed with major depression who states that voices are telling the patient to kill himself. Which nursing diagnosis would be a priority for this patient?
1. Social isolation 2. Risk for suicide 3. Disturbed sleep pattern 4. Altered sensory perception
A patient receiving a unit of packed red blood cells for hypovolemic shock is demonstrating signs of a transfusion reaction. In which order should the nurse provide care to this patient?
1: Stop the transfusion and notify the physician 2: Compare the blood slip with the unit of blood 3: Assess vital signs and associated manifestations 4: Save the blood bag and tubing for laboratory analysis 5: Collect urine and venous blood samples according to policy
Which statement by a patient receiving nitroglycerin ointment indicates the need for additional teaching?
a. "I will remove the previous dose before I put on the new dose." b. "I will reapply the dose every 4 hours around the clock." c. "I must avoid rubbing my skin when I put on a new dose." d. "I will put tape over the paper so that the dose stays in place."