A woman with postpartum depression is being treated with a selective serotonin reuptake inhibitor (SSRI). What statement by the patient requires further action by the nurse?
A.
"Adding St. John's wort has really helped my depression."
B.
"I have started using aromatherapy and it helps a little."
C.
"Increasing my calcium intake seems to have a positive effect."
D.
"My baby seemed sleepier so I stopped breastfeeding him."
ANS: A
St. John's wort has been used to treat depression but cannot be taken with SSRIs because of the possibility of the patient developing a serious condition known as serotonin syndrome. This herb can also increase the side effects associated with SSRIs. The other statements are appropriate.
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The nurse is preparing to examine a client who is complaining of right lower quadrant abdominal pain. Which actions by the nurse are appropriate in this situation? Select all that apply
1. "It is a little cool in our examination room; may I turn up the thermostat?" 2. "I've been told you are experiencing some pain in the lower right area of your abdomen. I will examine that area first." 3. "I am going to stand on your left side so I can feel your liver better." 4. "I'm going to place this drape over you so you don't feel too exposed during this examination." 5. "I am going to place this pillow behind your head and this pillow under your knees."
As a perioperative nurse, you know that the 2009 National Patient Safety Goals all pertain to the perioperative areas. Which of the 2009 National Patient Safety Goals has the most direct relevance to the operating room?
A) Improve safety of using medications B) Reduce the risk of patient harm resulting from falls C) Reduce the risk of health care–associated infections D) Reduce the risk of surgical fires
A client is admitted with possible renal calculi. The client asks, "Are there are any tests that can be performed to show the doctor if there are any kidney stones?" The nurse would be correct in responding:
1. "The intravenous pyelogram will allow the healthcare provider to visualize kidney stones.". 2. "A 24-hour urine specimen will allow the healthcare provider to visualize kidney stones.". 3. "A routine urinalysis will allow the healthcare provider to visualize kidney stones.". 4. "A kidney biopsy will allow the healthcare provider to visualize kidney stones.".
The nurse caring for an elderly client in the hospital notes on assessment that the client has a scald burn on her foot
On questioning the client, the nurse learns that the client scalded her foot when adding hot water from the tap to her bath while she was in the tub. The nurse should do which of the following? 1. Report the incident as suspected elder abuse. 2. Suggest that the temperature of the hot water heater be lowered. 3. Instruct the client that she should not be taking tub baths to prevent this from happening again. 4. Discuss the incident with social services so that arrangements can be made for the client to go to a nursing home on discharge from the hospital.