A patient has been taking an SSRI antidepressant for major depression and reports having headaches and jaw pain. What will the nurse tell the patient?
a. This represents an irreversible extrapyra-midal side effect.
b. Discuss discontinuing the antidepressant with the provider.
c. Discuss these symptoms with a dentist.
d. Try stress-relieving methods and relaxa-tion techniques.
C
Bruxism is a side effect of SSRIs and can result in headache and jaw pain. Patients who expe-rience these signs should be evaluated for bruxism by a dentist, who can determine whether the patient may benefit from use of a mouth guard. Headache and jaw pain are not signs of extrapy-ramidal side effects. Discontinuing the antidepressant is not indicated, because depression may return. Stress-relieving methods and relaxation techniques are not recommended, because these symptoms occur during sleep.
You might also like to view...
The nursing student is preparing to perform a physical examination of the adult client. The techniques the student will not utilize is:
1. Smelling 2. Auscultation 3. Percussion 4. Palpation
Shock is best described as a condition in which systemic blood pressure is inadequate to deliver oxygen to the tissues. The nurse knows that without prompt intervention any type of shock will eventually result in:
A) Decreased blood flow to the tissue and edema B) A loss of sympathetic tone and hypervolemia C) Anaerobic metabolism and cellular death D) An overwhelming inflammatory response and infection
At 7 AM, the nurse admits the client, who has a balanced fluid status. What is the client's fluid status at the end of the 7 AM to 3 PM period? Refer to the 24-hour intake and output record for the client
Oral IV Total Urine Ileostomy Surgical Drain Total 7 AM–3 PM 455 650 570 50 50 3-11 PM 390 550 435 150 25 11 PM–7 AM 200 400 280 90 15 24-hour total 1. Fluid volume deficit 2. Fluid volume excess 3. Excess intake 355 ml 4. Excess output 285 ml
Trimethoprim-sulfamethoxazole (Bactrim) has been prescribed for a client with a urinary tract infection. The nurse can administer this medication by which routes?
Standard Text: Select all that apply. 1. By mouth 2. By intravenous injection 3. By intramuscular injection 4. By subcutaneous injection 5. By the topical route