Which statements are true regarding the selective serotonin reuptake inhibitors (SSRIs)?
(Select all that apply.)
a. Avoid foods and beverages that contain tyramine.
b. Monitor the patient for extrapyramidal symptoms.
c. Therapeutic effects may not be seen for about 4 to 6 weeks after the medication is started.
d. If the patient has been on an MAOI, a 2- to 5-week or longer time span is required before beginning an SSRI medication.
e. These drugs have anticholinergic effects, including constipation, urinary retention, dry mouth, and blurred vision.
f. Cogentin is often also prescribed to reduce the adverse effects that may occur.
ANS: C, D
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The nurse caring for a client in pain administers an analgesic and provides a back massage while waiting for the effects of the medication. The purpose of the back massage is to:
1. Stimulate larger nerves and impede the passage of pain stimuli in the smaller nerves. 2. Reduce muscle tension that is increasing pain perception. 3. Stimulate blood flow, which reduces pain perception. 4. Stimulate production of endorphins to reduce pain perception.
Which of the following would indicate successful reperfusion after administration of a fibrinolytic agent? (Select all that apply.)
a. Gradual decrease in chest pain b. Intermittent, multifocal premature ventricular contractions c. Rapid resolution of ST elevation d. Rapid rise in creatine kinase MB fraction
A nursing instructor is teaching about components present in the recovery process as described by Andresen and associates that led to the development of the Psychological Recovery Model
Which student statement indicates that further teaching is needed? 1. "A client has a better chance of recovery if he or she truly believes that recovery can occur." 2. "If a client is willing to give the responsibility of treatment to the health-care team, they are likely to recover." 3. "A client who has a positive sense of self and a positive identity is likely to recover." 4. "A client has a better chance of recovery if he or she has purpose and meaning in life."
A client who takes metoprolol, furosemide, and terazosin is experiencing a new onset of leg cramps. Which reason should the nurse suspect as causing this client to have this symptom?
a. Hypokalemia b. Iron deficiency c. Folate deficiency d. Vitamin D deficiency