A nurse should identify topiramate (Topamax) as the drug of choice for which of the following conditions? (Select all that apply.)
1. Binge eating with a diagnosis of obesity
2. Bingeing and purging with a diagnosis of bulimia nervosa
3. Weight loss with a diagnosis of anorexia nervosa
4. Amenorrhea with a diagnosis of anorexia nervosa
5. Emaciation with a diagnosis of bulimia nervosa
1, 2
Rationale: The nurse should identify that topiramate is the drug of choice when treating binge eating with a diagnosis of obesity or bingeing and purging with a diagnosis of bulimia nervosa. Topiramate is an anticonvulsant that produces a significant decline in binge frequency and reduction in body weight.
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A 68-year-old female client who had a total hip replacement is to be discharged because her healing is almost complete. Which of the following would be most important for this client?
A) Advising the client to avoid red meat B) Urging her to keep the affected limb in an elevated position C) Educating the client about the effects of menopause D) Exploring factors related to the client's home environment
Within the context of the culture of poverty, which of the following most clearly describes why individuals who are part of this culture become trapped in a downward economic spiral?
A) Unemployment causes poverty; a lack of willpower and motivation can, in turn, cause unemployment in those people who do not have a strong work ethic. B) They don't pay their rent so they eventually don't have an address to use in filling out job applications. C) Characteristics of poverty (joblessness and lack of financial independence) can, in turn, contribute to attributes (feelings of powerlessness and low self-esteem) that sustain poverty. D) Poverty is passed on from generation to generation; individuals learn at an early age that there is no way to escape living in poverty.
You are assisting a patient with his range-of-motion exercises; he says he does not feel like doing them today and asks you to finish the exercises for him. What is your response?
What will be an ideal response?
A client who has been receiving therapy with tetracycline reports itching and yellowish discoloration of the skin. The nurse knows these symptoms could be associated with which adverse effect of tetracycline?
1. Cholestatic hepatitis 2. Acute pancreatitis 3. Fatty degeneration of the liver 4. Exfoliative dermatitis