Which statement by a patient with chronic depression who is prescribed fluoxetine (Prozac) indicates to the nurse the need for additional teaching?

a. "It may take from 2 to 8 weeks for my depression to improve."
b. "If I have suicidal thoughts, I will contact my prescriber immediately."
c. "I will check my pulse every day and report irregular rhythms to my prescriber."
d. "When I am feeling better and no longer depressed, I will stop taking the Prozac."


D
When depression is chronic, patients must continue to take antidepressants even when they have no symptoms to keep the depression from returning. Patients should be taught that antidepres-sants can control the symptoms but will not cure depression.

Nursing

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After shift change the nurse discovers that a client's IV heparin has been turned off at the IV controller. The amount of fluid left in the IV bag indicates that the client received half of the dose ordered

Which statement should be documented in the client's medical record? 1. IV heparin restarted. Physician notified. Client's vital signs unchanged. 2. IV heparin restarted at a rate to catch up dosage accidentally deleted. 3. IV heparin turned off by previous shift. Restarted. 4. IV heparin restarted and incident report completed.

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The key concepts of the psychodynamic approach all look at hidden dynamics of organizations in order to decipher the motives for why people behave the way they do

a. True b. False

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A Stage III pressure ulcer shows

A) full-thickness skin loss extending to the muscle, tendon, or bone. B) a highly defined area or red, shiny, intact skin. C) full-thickness skin loss with damage of subcutaneous tissue. D) partial-thickness skin loss with an abrasion or blistered surface.

Nursing

A patient is noted to be anemic. Which hormone will affect the development of red blood cells in this patient?

A) Insulin B) Secretin C) Erythropoietin D) Epinephrine

Nursing