A patient asks the nurse, "Why has my primary care physician ordered an antidepressant for me? I'm not depressed. I'm just in pain." The nurse could appropriately explain:
1. "It was ordered because it is known to potentiate the pain medication that you are taking."
2. "Anyone who is suffering from pain will eventually begin to suffer from depression, so your physician wants to prevent that."
3. "Everyone experiences depression at one time or another."
4. "I guess your primary care physician must have misunderstood you. I'll talk to the physician later."
ANS: 1
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A client has received an opioid analgesic for pain. The nurse assesses that the client has a Pasero Scale score of 3 and a respiratory rate of 7 shallow breaths/min. The client's oxygen saturation is 87%. What action should the nurse perform first?
a. Apply oxygen at 4 L/min. b. Attempt to arouse the client. c. Give naloxone (Narcan). d. Notify the Rapid Response Team.
Which of the following events occurred in 1965?
a. State mental hospitals were created. b. The mentally ill were deinstitutionalized. c. Electroconvulsive therapy was discovered to help depression. d. Community mental health centers for outpatient care were established.
When developing the plan of care for a child with burns requiring fluid replacement therapy, which of the following would the nurse expect to include?
A) Administration of colloid initially followed by a crystalloid B) Determination of fluid replacement based on the type of burn C) Administration of most of the volume during the first 8 hours D) Monitoring of hourly urine output to achieve less than 1 mL/kg/hour
According to studies of estrogen/progestin therapy (EPT), what are its known benefits? (Select all that apply.)
a. Cardiovascular protection in older patients b. Decreased osteoporosis risk c. Glycemic control d. Improved wound healing e. Prevention of colorectal cancer