A patient with a history of depression and suicidal ideation is taking fluoxetine [Prozac]. The patient reports difficulty maintaining sleep and is prescribed secobarbital [Seconal] as a seda-tive-hypnotic
The nurse preparing this patient for discharge from the hospital will: a. contact the provider to suggest an order for ramelteon [Rozerem].
b. instruct the patient to use alcohol in mod-eration.
c. request an order to change to trazodone [Desyrel] for sleep.
d. suggest that the patient try alternative re-medies for sleep.
C
Trazodone is an atypical antidepressant with sedative actions and can be used to prolong sleep duration. It is useful for treating insomnia related to antidepressants such as Prozac. Ramelteon is not a drug of choice to treat patients who have difficulty maintaining sleep. Patients who are de-pressed or at increased risk for suicide should not take barbiturates, because overdose can readily cause death. Alcohol is contraindicated when taking barbiturates. Alternative remedies have not shown effectiveness in treating insomnia.
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The nurse is assessing a client's respiratory status. Indicators of normal respiratory status include: Standard Text: Select all that apply
1. Eupnea. 2. Use of external intercostal muscles. 3. Suprasternal retraction. 4. Orthopnea. 5. Apnea.
An IV is infusing at 36 gtt/min. The drop factor is 20 gtt/mL. In 8 hours, the client will have received _______________
a. 760 mL b. 864 mL c. 288 mL d. 3,800 mL
A man who reports frequently experiencing premature ejaculation tells the nurse, "I feel like such a failure. It's so awful for both me and my partner. Can you help me?" Select the nurse's best response
a. "Have you discussed this problem with your partner?" b. "I can refer you to a practitioner who can help you with this problem." c. "Have you asked your health care provider for prescription medication?" d. "There are several techniques described in this pamphlet that might be helpful."
Which of the following may be said of nursing theories in general?